AHIP 2026 Final Exam 2026
Exam Questions and Answers |
Already Graded A+
Mr. Arias, a naturalized citizen, previously enrolled in Medicare Part B
but has recently stopped paying his Part B premium. Mr. Arias is still
covered by Part A. He would like to enroll in a Medicare Advantage (MA)
plan and is still covered by Part A. What should you tell him? -
ANSWER ✔✔He is not eligible to enroll in a Medicare Advantage
plan until he re-enrolls in Medicare Part B.
Mrs. Joy, age 65, is entitled to Part A but has not yet enrolled in Part B.
She is considering enrolling in a Medicare Advantage plan (Part C).
What should you advise her to do before she can enroll in a Medicare
,Advantage plan? - ANSWER ✔✔To join a Medicare Advantage plan,
she also must enroll in Part B.
Mr. Kumar is considering a Medicare Advantage HMO and has
questions about his ability to access providers. What should you tell
him? - ANSWER ✔✔In most Medicare Advantage HMOs, Mr. Kumar
must generally obtain his services only from providers within the plan's
network (except in an emergency or where care is unavailable within the
network).
Mrs. Robles is considering a Medicare Advantage PPO and has
questions about which providers she can go to for her health care. What
should you tell her? - ANSWER ✔✔Mrs. Robles can obtain care from
any provider who participates in Original Medicare, but generally will
have a higher cost-sharing amount if she sees a provider who/that is not
a part of the PPO network.
Mrs. Lester is age 75 and enjoys a comfortable but not extremely high-
income level. She wishes to enroll in an 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. Lester? -
, ANSWER ✔✔Mrs. Lester may enroll in an MA MSA plan and remain
in her current standalone Part D prescription drug plan.
Mr. Dalton is in excellent health, lives in his own home, and has a
sizeable income from his investments. He has a friend enrolled in a
Medicare Advantage Special Needs Plan (SNP). His friend has
mentioned that the SNP charges very low cost-sharing amounts and Mr.
Dalton would like to join that plan. What should you tell him? -
ANSWER ✔✔SNPs limit enrollment to certain subpopulations of
beneficiaries. Given his current situation, he is unlikely to qualify and
would not be able to enroll in the SNP.
Mr. Anderson wants to know whether he is eligible to sign up for a
Private fee-for-service (PFFS) plan. What questions would you need to
ask to determine his eligibility? - ANSWER ✔✔You would need to ask
Mr. Anderson if he is entitled to Part A, enrolled in Part B, and if he lives
in the PFFS plan's service area.
Herber Noble is turning 65 next month, Herber legally entered the United
States over twenty years ago but is not a citizen. Since his entry into the
country, Herber has worked at Smallcap Incorporated and contributed to
the Medicare system. Herber suffers from diabetes. He will soon retire
and asks you if he can enroll in a Medicare Advantage plan that you
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
Exam Questions and Answers |
Already Graded A+
Mr. Arias, a naturalized citizen, previously enrolled in Medicare Part B
but has recently stopped paying his Part B premium. Mr. Arias is still
covered by Part A. He would like to enroll in a Medicare Advantage (MA)
plan and is still covered by Part A. What should you tell him? -
ANSWER ✔✔He is not eligible to enroll in a Medicare Advantage
plan until he re-enrolls in Medicare Part B.
Mrs. Joy, age 65, is entitled to Part A but has not yet enrolled in Part B.
She is considering enrolling in a Medicare Advantage plan (Part C).
What should you advise her to do before she can enroll in a Medicare
,Advantage plan? - ANSWER ✔✔To join a Medicare Advantage plan,
she also must enroll in Part B.
Mr. Kumar is considering a Medicare Advantage HMO and has
questions about his ability to access providers. What should you tell
him? - ANSWER ✔✔In most Medicare Advantage HMOs, Mr. Kumar
must generally obtain his services only from providers within the plan's
network (except in an emergency or where care is unavailable within the
network).
Mrs. Robles is considering a Medicare Advantage PPO and has
questions about which providers she can go to for her health care. What
should you tell her? - ANSWER ✔✔Mrs. Robles can obtain care from
any provider who participates in Original Medicare, but generally will
have a higher cost-sharing amount if she sees a provider who/that is not
a part of the PPO network.
Mrs. Lester is age 75 and enjoys a comfortable but not extremely high-
income level. She wishes to enroll in an 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. Lester? -
, ANSWER ✔✔Mrs. Lester may enroll in an MA MSA plan and remain
in her current standalone Part D prescription drug plan.
Mr. Dalton is in excellent health, lives in his own home, and has a
sizeable income from his investments. He has a friend enrolled in a
Medicare Advantage Special Needs Plan (SNP). His friend has
mentioned that the SNP charges very low cost-sharing amounts and Mr.
Dalton would like to join that plan. What should you tell him? -
ANSWER ✔✔SNPs limit enrollment to certain subpopulations of
beneficiaries. Given his current situation, he is unlikely to qualify and
would not be able to enroll in the SNP.
Mr. Anderson wants to know whether he is eligible to sign up for a
Private fee-for-service (PFFS) plan. What questions would you need to
ask to determine his eligibility? - ANSWER ✔✔You would need to ask
Mr. Anderson if he is entitled to Part A, enrolled in Part B, and if he lives
in the PFFS plan's service area.
Herber Noble is turning 65 next month, Herber legally entered the United
States over twenty years ago but is not a citizen. Since his entry into the
country, Herber has worked at Smallcap Incorporated and contributed to
the Medicare system. Herber suffers from diabetes. He will soon retire
and asks you if he can enroll in a Medicare Advantage plan that you
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
