Level 3 AHIP Final Exam Latest
(2025/2026) | 50 Verified Questions and
Correct Answers | A+ Graded
DOMAIN: MEDICARE BASICS (Questions 1-10)
1. A beneficiary turns 65 on June 15, 2025. When does their Initial
Enrollment Period (IEP) begin and end?
• A) June 1, 2025 – December 31, 2025
• B) March 1, 2025 – September 30, 2025
• C) April 1, 2025 – October 31, 2025
• D) January 1, 2025 – December 31, 2025
Answer: B. The Initial Enrollment Period (IEP) is a 7-month
window: 3 months before, the month of, and 3 months after the
month of the 65th birthday. For a June birthday, the IEP runs from
March 1 to September 30.
2. Which part of Medicare covers inpatient hospital stays, skilled
nursing facility care, and hospice?
• A) Part A
• B) Part B
• C) Part C
• D) Part D
Answer: A. Medicare Part A covers hospital insurance, including
inpatient care in hospitals, skilled nursing facilities, hospice, and
some home health care.
,3. Which part of Medicare covers physician services, outpatient care,
and preventive services?
• A) Part A
• B) Part B
• C) Part C
• D) Part D
Answer: B. Medicare Part B covers medical insurance, including
doctor visits, outpatient services, lab tests, preventive screenings,
and durable medical equipment.
4. What is the standard premium for Medicare Part B in 2025?
• A) $164.90
• B) $174.70
• C) $185.00
• D) $148.50
**Answer: B.** *The standard monthly premium for Medicare Part B
in 2025 is $174.70 for most beneficiaries (higher for higher-income
earners).*
5. A beneficiary has worked 40 quarters (10 years) and paid Medicare
taxes. What is their Part A premium?
• A) $0 (premium-free Part A)
• B) $278 per month
• C) $505 per month
• D) $174.70 per month
Answer: A. Beneficiaries who have worked and paid Medicare
taxes for at least 40 quarters (10 years) qualify for premium-free
Medicare Part A.
, 6. What is the Medicare Part A inpatient hospital deductible for
2025?
• A) $1,408
• B) $1,632
• C) $1,676
• D) $1,600
**Answer: C.** *The Part A inpatient hospital deductible for 2025 is
$1,676 per benefit period.*
7. A beneficiary has Medicare Part A and Part B. They are 67 and still
working with employer-sponsored coverage. Can they delay Part B
without penalty?
• A) No, they must enroll at 65
• B) Yes, if they have creditable coverage through their employer
• C) Yes, but only if they work for a small employer
• D) No, they will pay a penalty regardless
Answer: B. Beneficiaries can delay Part B without penalty if they
have "creditable coverage" through an employer group health plan
based on current employment (their own or a spouse's).
8. What is the "Medicare & You" handbook?
• A) A marketing tool for insurance agents
• B) The official CMS guide that explains Medicare benefits, rights,
and options
• C) A legal document for healthcare providers
• D) A list of all Medicare Advantage plans in the country
Answer: B. The "Medicare & You" handbook is the official CMS
publication sent to all Medicare beneficiaries annually, explaining
their Medicare options, rights, and protections.
(2025/2026) | 50 Verified Questions and
Correct Answers | A+ Graded
DOMAIN: MEDICARE BASICS (Questions 1-10)
1. A beneficiary turns 65 on June 15, 2025. When does their Initial
Enrollment Period (IEP) begin and end?
• A) June 1, 2025 – December 31, 2025
• B) March 1, 2025 – September 30, 2025
• C) April 1, 2025 – October 31, 2025
• D) January 1, 2025 – December 31, 2025
Answer: B. The Initial Enrollment Period (IEP) is a 7-month
window: 3 months before, the month of, and 3 months after the
month of the 65th birthday. For a June birthday, the IEP runs from
March 1 to September 30.
2. Which part of Medicare covers inpatient hospital stays, skilled
nursing facility care, and hospice?
• A) Part A
• B) Part B
• C) Part C
• D) Part D
Answer: A. Medicare Part A covers hospital insurance, including
inpatient care in hospitals, skilled nursing facilities, hospice, and
some home health care.
,3. Which part of Medicare covers physician services, outpatient care,
and preventive services?
• A) Part A
• B) Part B
• C) Part C
• D) Part D
Answer: B. Medicare Part B covers medical insurance, including
doctor visits, outpatient services, lab tests, preventive screenings,
and durable medical equipment.
4. What is the standard premium for Medicare Part B in 2025?
• A) $164.90
• B) $174.70
• C) $185.00
• D) $148.50
**Answer: B.** *The standard monthly premium for Medicare Part B
in 2025 is $174.70 for most beneficiaries (higher for higher-income
earners).*
5. A beneficiary has worked 40 quarters (10 years) and paid Medicare
taxes. What is their Part A premium?
• A) $0 (premium-free Part A)
• B) $278 per month
• C) $505 per month
• D) $174.70 per month
Answer: A. Beneficiaries who have worked and paid Medicare
taxes for at least 40 quarters (10 years) qualify for premium-free
Medicare Part A.
, 6. What is the Medicare Part A inpatient hospital deductible for
2025?
• A) $1,408
• B) $1,632
• C) $1,676
• D) $1,600
**Answer: C.** *The Part A inpatient hospital deductible for 2025 is
$1,676 per benefit period.*
7. A beneficiary has Medicare Part A and Part B. They are 67 and still
working with employer-sponsored coverage. Can they delay Part B
without penalty?
• A) No, they must enroll at 65
• B) Yes, if they have creditable coverage through their employer
• C) Yes, but only if they work for a small employer
• D) No, they will pay a penalty regardless
Answer: B. Beneficiaries can delay Part B without penalty if they
have "creditable coverage" through an employer group health plan
based on current employment (their own or a spouse's).
8. What is the "Medicare & You" handbook?
• A) A marketing tool for insurance agents
• B) The official CMS guide that explains Medicare benefits, rights,
and options
• C) A legal document for healthcare providers
• D) A list of all Medicare Advantage plans in the country
Answer: B. The "Medicare & You" handbook is the official CMS
publication sent to all Medicare beneficiaries annually, explaining
their Medicare options, rights, and protections.
