AHIP 2026/2027 FINAL EXAM ACTUAL EXAM | Updated
Questions & Verified Answers | 100% Pass Guarantee - A+
Graded
Section 1: Medicare Eligibility & Enrollment Windows (Q1-15)
Q1. What is the total duration of the Medicare Initial Enrollment Period (IEP) for an
individual turning 65?
A. 3 months
B. 5 months
C. 7 months
D. 12 months
Correct Answer: C. 7 months [CORRECT]
Rationale: The IEP spans 7 months total: 3 months before the month of turning 65, the
month of turning 65, and 3 months after. Options A and B are incomplete durations, and
D describes the maximum length of a different election period.
Q2. A 65-year-old has employer group health coverage through a company with 60
employees. They delay Part B enrollment during their IEP. They retire and lose employer
coverage on March 1, 2026. What enrollment option is available?
A. They must enroll during the General Enrollment Period only
B. They have an 8-month Special Enrollment Period (SEP) beginning when employer
coverage ends
C. They can enroll anytime without penalty because the employer had more than 20
employees
D. They must wait until the next Annual Enrollment Period
Correct Answer: B. They have an 8-month Special Enrollment Period (SEP) beginning
when employer coverage ends [CORRECT]
Rationale: Individuals with group health coverage through employers with 20+
employees receive an 8-month SEP to enroll in Part B after losing creditable coverage
,without penalty. Option A ignores the SEP, C misstates the continuous enrollment right,
and D is incorrect because AEP is not required.
Q3. During which months does the Medicare General Enrollment Period (GEP) occur
each year?
A. October 15 – December 7
B. January 1 – March 31
C. April 1 – June 30
D. July 1 – September 30
Correct Answer: B. January 1 – March 31 [CORRECT]
Rationale: The GEP runs from January 1 through March 31 annually for those who
missed their IEP and are not eligible for an SEP. Option A describes the Annual
Enrollment Period, while C and D are not valid Medicare enrollment periods.
Q4. A beneficiary enrolled in a Medicare Advantage plan moves permanently to a new
address outside the plan's service area on August 15, 2026. What is the correct SEP
timeframe for enrolling in a new MA plan?
A. The SEP begins August 1 and ends October 31
B. The SEP begins the month of the move and continues for 2 full months after
C. The SEP only applies during the Annual Enrollment Period
D. The SEP begins 3 months before the move and ends 1 month after
Correct Answer: B. The SEP begins the month of the move and continues for 2 full
months after [CORRECT]
Rationale: For Medicare Advantage plans, the moving SEP begins the month of the
permanent move and continues for 2 full months after. Option A misstates the start
date, C incorrectly limits the SEP to AEP, and D describes a timeframe that does not
apply to MA plan changes.
Q5. A 68-year-old beneficiary enrolled in Original Medicare and Medigap Plan G decides
to try a Medicare Advantage plan for the first time during AEP 2026. By March 2026,
they are dissatisfied with network restrictions. What comprehensive option is available?
A. They must remain in the MA plan until the next AEP
B. They can use the Medicare Advantage trial period SEP to return to Original Medicare
and have guaranteed issue rights to purchase Medigap for 63 days
, C. They can only switch to another MA plan during the MA OEP
D. They permanently lose all Medigap rights
Correct Answer: B. They can use the Medicare Advantage trial period SEP to return to
Original Medicare and have guaranteed issue rights to purchase Medigap for 63 days
[CORRECT]
Rationale: First-time MA enrollees have a 12-month trial period SEP to disenroll and
return to Original Medicare with guaranteed issue rights for Medigap for 63 days.
Options A and D are incorrect because the trial period SEP exists, and C is incomplete
because returning to Original Medicare is permitted.
Q6. What are the exact dates of the Medicare Annual Enrollment Period (AEP)?
A. January 1 – March 31
B. October 15 – December 7
C. April 1 – June 30
D. December 8 – November 30
Correct Answer: B. October 15 – December 7 [CORRECT]
Rationale: The AEP runs from October 15 through December 7 each year, with new
coverage effective January 1. Option A describes the GEP, C is not a valid period, and D
reverses the dates.
Q7. A beneficiary is admitted to a skilled nursing facility for long-term care. What SEP
allows them to enroll in or switch Medicare Advantage plans?
A. The Annual Enrollment Period only
B. The Open Enrollment Period for Institutionalized individuals (OEPI)
C. The General Enrollment Period
D. No SEP exists for institutionalized beneficiaries
Correct Answer: B. The Open Enrollment Period for Institutionalized individuals (OEPI)
[CORRECT]
Rationale: The OEPI allows individuals residing in institutions such as nursing homes or
SNFs to enroll, disenroll, or switch MA plans. Options A and C are standard enrollment
periods that do not specifically address institutional status, and D is factually incorrect.
Questions & Verified Answers | 100% Pass Guarantee - A+
Graded
Section 1: Medicare Eligibility & Enrollment Windows (Q1-15)
Q1. What is the total duration of the Medicare Initial Enrollment Period (IEP) for an
individual turning 65?
A. 3 months
B. 5 months
C. 7 months
D. 12 months
Correct Answer: C. 7 months [CORRECT]
Rationale: The IEP spans 7 months total: 3 months before the month of turning 65, the
month of turning 65, and 3 months after. Options A and B are incomplete durations, and
D describes the maximum length of a different election period.
Q2. A 65-year-old has employer group health coverage through a company with 60
employees. They delay Part B enrollment during their IEP. They retire and lose employer
coverage on March 1, 2026. What enrollment option is available?
A. They must enroll during the General Enrollment Period only
B. They have an 8-month Special Enrollment Period (SEP) beginning when employer
coverage ends
C. They can enroll anytime without penalty because the employer had more than 20
employees
D. They must wait until the next Annual Enrollment Period
Correct Answer: B. They have an 8-month Special Enrollment Period (SEP) beginning
when employer coverage ends [CORRECT]
Rationale: Individuals with group health coverage through employers with 20+
employees receive an 8-month SEP to enroll in Part B after losing creditable coverage
,without penalty. Option A ignores the SEP, C misstates the continuous enrollment right,
and D is incorrect because AEP is not required.
Q3. During which months does the Medicare General Enrollment Period (GEP) occur
each year?
A. October 15 – December 7
B. January 1 – March 31
C. April 1 – June 30
D. July 1 – September 30
Correct Answer: B. January 1 – March 31 [CORRECT]
Rationale: The GEP runs from January 1 through March 31 annually for those who
missed their IEP and are not eligible for an SEP. Option A describes the Annual
Enrollment Period, while C and D are not valid Medicare enrollment periods.
Q4. A beneficiary enrolled in a Medicare Advantage plan moves permanently to a new
address outside the plan's service area on August 15, 2026. What is the correct SEP
timeframe for enrolling in a new MA plan?
A. The SEP begins August 1 and ends October 31
B. The SEP begins the month of the move and continues for 2 full months after
C. The SEP only applies during the Annual Enrollment Period
D. The SEP begins 3 months before the move and ends 1 month after
Correct Answer: B. The SEP begins the month of the move and continues for 2 full
months after [CORRECT]
Rationale: For Medicare Advantage plans, the moving SEP begins the month of the
permanent move and continues for 2 full months after. Option A misstates the start
date, C incorrectly limits the SEP to AEP, and D describes a timeframe that does not
apply to MA plan changes.
Q5. A 68-year-old beneficiary enrolled in Original Medicare and Medigap Plan G decides
to try a Medicare Advantage plan for the first time during AEP 2026. By March 2026,
they are dissatisfied with network restrictions. What comprehensive option is available?
A. They must remain in the MA plan until the next AEP
B. They can use the Medicare Advantage trial period SEP to return to Original Medicare
and have guaranteed issue rights to purchase Medigap for 63 days
, C. They can only switch to another MA plan during the MA OEP
D. They permanently lose all Medigap rights
Correct Answer: B. They can use the Medicare Advantage trial period SEP to return to
Original Medicare and have guaranteed issue rights to purchase Medigap for 63 days
[CORRECT]
Rationale: First-time MA enrollees have a 12-month trial period SEP to disenroll and
return to Original Medicare with guaranteed issue rights for Medigap for 63 days.
Options A and D are incorrect because the trial period SEP exists, and C is incomplete
because returning to Original Medicare is permitted.
Q6. What are the exact dates of the Medicare Annual Enrollment Period (AEP)?
A. January 1 – March 31
B. October 15 – December 7
C. April 1 – June 30
D. December 8 – November 30
Correct Answer: B. October 15 – December 7 [CORRECT]
Rationale: The AEP runs from October 15 through December 7 each year, with new
coverage effective January 1. Option A describes the GEP, C is not a valid period, and D
reverses the dates.
Q7. A beneficiary is admitted to a skilled nursing facility for long-term care. What SEP
allows them to enroll in or switch Medicare Advantage plans?
A. The Annual Enrollment Period only
B. The Open Enrollment Period for Institutionalized individuals (OEPI)
C. The General Enrollment Period
D. No SEP exists for institutionalized beneficiaries
Correct Answer: B. The Open Enrollment Period for Institutionalized individuals (OEPI)
[CORRECT]
Rationale: The OEPI allows individuals residing in institutions such as nursing homes or
SNFs to enroll, disenroll, or switch MA plans. Options A and C are standard enrollment
periods that do not specifically address institutional status, and D is factually incorrect.
