AHIP 2027 FINAL EXAM PREPARATION
QUESTIONS AND ANSWERS
1. Under the Inflation Reduction Act, what is the annual out-of-pocket cap for Part D
prescription drugs in 2027?
A. $2,000
B. $3,500
C. $5,000
D. There is no cap
Answer: A
Conceptual Explanation: The Inflation Reduction Act established a $2,000 out-of-pocket
maximum for Part D drugs to protect beneficiaries from high costs.
2. When is the Annual Election Period (AEP) for Medicare Advantage and Part D plans?
A. October 15 to December 7
B. January 1 to March 31
C. July 1 to September 15
D. November 1 to January 15
,Answer: A
Conceptual Explanation: The AEP occurs annually from October 15 through December 7,
allowing beneficiaries to change their coverage for the following year.
3. Which of the following is a prohibited marketing practice regarding unsolicited contact?
A. Approaching a senior in a grocery store to discuss Medicare plans
B. Sending a direct mail piece to a prospect
C. Calling a current client to discuss their plan options
D. Placing an advertisement on television
Answer: A
Conceptual Explanation: Medicare guidelines prohibit agents from conducting unsolicited
door-to-door or ‘cold’ outreach in public places like grocery stores or pharmacies.
4. A Scope of Appointment (SOA) form must generally be collected how long before a
marketing appointment?
A. 24 hours
B. 72 hours
C. 48 hours
D. 1 week
Answer: C
, Conceptual Explanation: CMS rules generally require that a Scope of Appointment be
obtained at least 48 hours prior to a scheduled marketing meeting, with limited exceptions.
5. What does ‘Extra Help’ (Low-Income Subsidy) primarily assist with?
A. Part A hospital deductibles
B. Part D premiums and drug co-payments
C. Medigap monthly premiums
D. Long-term care facility costs
Answer: B
Conceptual Explanation: The Low-Income Subsidy (LIS), also known as Extra Help, is
designed to help eligible beneficiaries pay for Part D drug costs.
6. Which part of Medicare covers physician services and outpatient care?
A. Part B
B. Part A
C. Part C
D. Part D
Answer: A
Conceptual Explanation: Medicare Part B is Medical Insurance, covering doctor visits,
outpatient services, and some preventive care.
QUESTIONS AND ANSWERS
1. Under the Inflation Reduction Act, what is the annual out-of-pocket cap for Part D
prescription drugs in 2027?
A. $2,000
B. $3,500
C. $5,000
D. There is no cap
Answer: A
Conceptual Explanation: The Inflation Reduction Act established a $2,000 out-of-pocket
maximum for Part D drugs to protect beneficiaries from high costs.
2. When is the Annual Election Period (AEP) for Medicare Advantage and Part D plans?
A. October 15 to December 7
B. January 1 to March 31
C. July 1 to September 15
D. November 1 to January 15
,Answer: A
Conceptual Explanation: The AEP occurs annually from October 15 through December 7,
allowing beneficiaries to change their coverage for the following year.
3. Which of the following is a prohibited marketing practice regarding unsolicited contact?
A. Approaching a senior in a grocery store to discuss Medicare plans
B. Sending a direct mail piece to a prospect
C. Calling a current client to discuss their plan options
D. Placing an advertisement on television
Answer: A
Conceptual Explanation: Medicare guidelines prohibit agents from conducting unsolicited
door-to-door or ‘cold’ outreach in public places like grocery stores or pharmacies.
4. A Scope of Appointment (SOA) form must generally be collected how long before a
marketing appointment?
A. 24 hours
B. 72 hours
C. 48 hours
D. 1 week
Answer: C
, Conceptual Explanation: CMS rules generally require that a Scope of Appointment be
obtained at least 48 hours prior to a scheduled marketing meeting, with limited exceptions.
5. What does ‘Extra Help’ (Low-Income Subsidy) primarily assist with?
A. Part A hospital deductibles
B. Part D premiums and drug co-payments
C. Medigap monthly premiums
D. Long-term care facility costs
Answer: B
Conceptual Explanation: The Low-Income Subsidy (LIS), also known as Extra Help, is
designed to help eligible beneficiaries pay for Part D drug costs.
6. Which part of Medicare covers physician services and outpatient care?
A. Part B
B. Part A
C. Part C
D. Part D
Answer: A
Conceptual Explanation: Medicare Part B is Medical Insurance, covering doctor visits,
outpatient services, and some preventive care.
