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AHIP FINAL EXAM
2026|COMPREHENSIVE Q&A FOR
CERTIFICATION SUCCESS
You have come to Mrs. Midler's home for a sales presentation. At the beginning
of the presentation, Mrs. Midler tells you that she has a copy of her medical
record available because she thinks this will help you understand her needs. She
suggests that you will know which questions to ask her about her health status in
order to best assist her in selecting a plan. What should you do? - correct-answer
-You can only ask Mrs. Midler questions about conditions that affect eligibility,
specifically, whether she has end stage renal disease or one of the conditions that
would qualify her for a special needs plan.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following can
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she not do during the ICEP? - correct-answer -She can enroll in a Medigap plan to
supplement the benefits of the MA plan that she's also enrolling in.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level.
She wishes to enroll in a MA MSA plan that she heard about from her neighbor.
She also wants to have prescription drug coverage since her doctor recently
prescribed several expensive medications. Currently, she is enrolled in Original
Medicare and a standalone Part D plan. How would you advise Mrs. Chi? -
correct-answer -Mrs. Chi may enroll in a MS MSA plan and remain in her current
standalone Part D prescription drug plan.
Alice is enrolled in a MA-PD plan. She makes a permanent move across the
country and wonders what her options are for continuing MA-PD coverage. What
would you say to her in regard to a special enrollment period (SEP)? - correct-
answer -She is likely to qualify for a SEP. She can choose an effective date of up to
three months after the month in which the enrollment form is received by the
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new plan, but the effective date may not be earlier than the date of her
permanent move.
Which of the following individuals is most likely to be eligible to enroll in a part d
plan? - correct-answer -Jose, a grandfather who was granted asylum and has
worked in the United States for many years.
When Myra first became eligible for Medicare, she enrolled in Original Medicare
(Parts A and B). She is now 67 and will turn 68 on July 1. She would now like to
enroll in a Medicare Advantage (MA) plan and approaches you about her options.
What advice would you give her? - correct-answer -She should remain in Original
Medicare until the annual election period running from October 15 to December
7, during which she can select an MA plan.
Mr. Chen has heard about Medical Savings Account (MSA), but wants to know if it
is just about saving money, or if he will get insurance coverage for his health care
AHIP FINAL EXAM
2026|COMPREHENSIVE Q&A FOR
CERTIFICATION SUCCESS
You have come to Mrs. Midler's home for a sales presentation. At the beginning
of the presentation, Mrs. Midler tells you that she has a copy of her medical
record available because she thinks this will help you understand her needs. She
suggests that you will know which questions to ask her about her health status in
order to best assist her in selecting a plan. What should you do? - correct-answer
-You can only ask Mrs. Midler questions about conditions that affect eligibility,
specifically, whether she has end stage renal disease or one of the conditions that
would qualify her for a special needs plan.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following can
,2|Page
she not do during the ICEP? - correct-answer -She can enroll in a Medigap plan to
supplement the benefits of the MA plan that she's also enrolling in.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level.
She wishes to enroll in a MA MSA plan that she heard about from her neighbor.
She also wants to have prescription drug coverage since her doctor recently
prescribed several expensive medications. Currently, she is enrolled in Original
Medicare and a standalone Part D plan. How would you advise Mrs. Chi? -
correct-answer -Mrs. Chi may enroll in a MS MSA plan and remain in her current
standalone Part D prescription drug plan.
Alice is enrolled in a MA-PD plan. She makes a permanent move across the
country and wonders what her options are for continuing MA-PD coverage. What
would you say to her in regard to a special enrollment period (SEP)? - correct-
answer -She is likely to qualify for a SEP. She can choose an effective date of up to
three months after the month in which the enrollment form is received by the
, 3|Page
new plan, but the effective date may not be earlier than the date of her
permanent move.
Which of the following individuals is most likely to be eligible to enroll in a part d
plan? - correct-answer -Jose, a grandfather who was granted asylum and has
worked in the United States for many years.
When Myra first became eligible for Medicare, she enrolled in Original Medicare
(Parts A and B). She is now 67 and will turn 68 on July 1. She would now like to
enroll in a Medicare Advantage (MA) plan and approaches you about her options.
What advice would you give her? - correct-answer -She should remain in Original
Medicare until the annual election period running from October 15 to December
7, during which she can select an MA plan.
Mr. Chen has heard about Medical Savings Account (MSA), but wants to know if it
is just about saving money, or if he will get insurance coverage for his health care
