AHIP Final Exam Actual 2026/2027 – Complete Q&A with
Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
Section A: Medicare Basics — Parts A, B, C, D & Eligibility
Q1: A 67-year-old individual with a high annual income of $250,000 asks if they are
eligible for Medicare. Which statement is correct?
A. They are ineligible for Medicare due to high income
B. They are eligible for Medicare, but high income may increase their Part B and Part D
premiums [CORRECT]
C. They can only enroll in Medicare Advantage, not Original Medicare
D. They must wait until age 70 to enroll
Correct Answer: B
Rationale: Medicare eligibility is not income-based; all individuals 65+ (or with qualifying
disabilities/ESRD/ALS) are eligible. However, high-income beneficiaries pay
Income-Related Monthly Adjustment Amounts (IRMAA) for Parts B and D. Option A is
false—income does not disqualify. Option C is false—Original Medicare is available to all
eligible beneficiaries. Option D is false—eligibility begins at 65, not 70.
Q2: Which of the following services is covered under Medicare Part A?
A. Annual wellness visit with a primary care physician
,B. Inpatient hospital stay and skilled nursing facility care [CORRECT]
C. Outpatient physical therapy
D. Prescription drugs purchased at a retail pharmacy
Correct Answer: B
Rationale: Part A covers inpatient hospital care, skilled nursing facility (SNF) care,
hospice, and limited home health. Annual wellness visits (Option A) and outpatient
therapy (Option C) are Part B services. Retail prescription drugs (Option D) are covered
by Part D.
Q3: Medicare Part B primarily covers which category of services?
A. Inpatient hospital surgery
B. Physician services, outpatient care, durable medical equipment, and preventive
services [CORRECT]
C. Long-term custodial nursing home care
D. Dental and vision services
Correct Answer: B
Rationale: Part B covers medically necessary physician services, outpatient care, DME,
and preventive services. Inpatient surgery (Option A) is Part A. Long-term custodial care
(Option C) is not covered by Medicare. Dental and vision (Option D) are generally not
covered by Original Medicare.
, Q4: A 62-year-old individual with amyotrophic lateral sclerosis (ALS) asks when they can
enroll in Medicare. Which response is correct?
A. They must wait until age 65
B. They are eligible for Medicare immediately upon receiving Social Security Disability
Insurance (SSDI) benefits [CORRECT]
C. They are ineligible for Medicare due to their young age
D. They can only enroll in Part D
Correct Answer: B
Rationale: Individuals with ALS are eligible for Medicare immediately upon SSDI
entitlement, without the standard 24-month waiting period required for most disabilities.
Option A applies to age-based eligibility. Option C is false—ALS is a qualifying condition.
Option D is false—full Medicare eligibility applies.
Q5: A beneficiary asks what Medicare Part D covers. The correct answer is:
A. Inpatient hospital prescription medications administered during a stay
B. Outpatient prescription drugs purchased at a pharmacy [CORRECT]
C. Over-the-counter medications without a prescription
D. Long-term care facility room and board
Correct Answer: B
Rationale: Part D provides prescription drug coverage for outpatient medications
obtained at pharmacies. Inpatient medications (Option A) are covered by Part A. OTC
Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
Section A: Medicare Basics — Parts A, B, C, D & Eligibility
Q1: A 67-year-old individual with a high annual income of $250,000 asks if they are
eligible for Medicare. Which statement is correct?
A. They are ineligible for Medicare due to high income
B. They are eligible for Medicare, but high income may increase their Part B and Part D
premiums [CORRECT]
C. They can only enroll in Medicare Advantage, not Original Medicare
D. They must wait until age 70 to enroll
Correct Answer: B
Rationale: Medicare eligibility is not income-based; all individuals 65+ (or with qualifying
disabilities/ESRD/ALS) are eligible. However, high-income beneficiaries pay
Income-Related Monthly Adjustment Amounts (IRMAA) for Parts B and D. Option A is
false—income does not disqualify. Option C is false—Original Medicare is available to all
eligible beneficiaries. Option D is false—eligibility begins at 65, not 70.
Q2: Which of the following services is covered under Medicare Part A?
A. Annual wellness visit with a primary care physician
,B. Inpatient hospital stay and skilled nursing facility care [CORRECT]
C. Outpatient physical therapy
D. Prescription drugs purchased at a retail pharmacy
Correct Answer: B
Rationale: Part A covers inpatient hospital care, skilled nursing facility (SNF) care,
hospice, and limited home health. Annual wellness visits (Option A) and outpatient
therapy (Option C) are Part B services. Retail prescription drugs (Option D) are covered
by Part D.
Q3: Medicare Part B primarily covers which category of services?
A. Inpatient hospital surgery
B. Physician services, outpatient care, durable medical equipment, and preventive
services [CORRECT]
C. Long-term custodial nursing home care
D. Dental and vision services
Correct Answer: B
Rationale: Part B covers medically necessary physician services, outpatient care, DME,
and preventive services. Inpatient surgery (Option A) is Part A. Long-term custodial care
(Option C) is not covered by Medicare. Dental and vision (Option D) are generally not
covered by Original Medicare.
, Q4: A 62-year-old individual with amyotrophic lateral sclerosis (ALS) asks when they can
enroll in Medicare. Which response is correct?
A. They must wait until age 65
B. They are eligible for Medicare immediately upon receiving Social Security Disability
Insurance (SSDI) benefits [CORRECT]
C. They are ineligible for Medicare due to their young age
D. They can only enroll in Part D
Correct Answer: B
Rationale: Individuals with ALS are eligible for Medicare immediately upon SSDI
entitlement, without the standard 24-month waiting period required for most disabilities.
Option A applies to age-based eligibility. Option C is false—ALS is a qualifying condition.
Option D is false—full Medicare eligibility applies.
Q5: A beneficiary asks what Medicare Part D covers. The correct answer is:
A. Inpatient hospital prescription medications administered during a stay
B. Outpatient prescription drugs purchased at a pharmacy [CORRECT]
C. Over-the-counter medications without a prescription
D. Long-term care facility room and board
Correct Answer: B
Rationale: Part D provides prescription drug coverage for outpatient medications
obtained at pharmacies. Inpatient medications (Option A) are covered by Part A. OTC
