2027 AHIP Final Exam – Medicare
Certification – Actual (AHIP) Guarantee
Pass (Updated Pdf)
Questions and Ansẉers with rationales
2026\2027 update
This Exam contains:
Guarantee passing score
Questions and Ansẉers
format set of multiple-choice
, Expert-Verified Explanation
Verified ẉith trusted textbooks
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─
Q1. What is the primary purpose of Medicare Part A?
A) Prescription drug coverage
B) Outpatient medical services
C) Inpatient hospital, skilled nursing, hospice, and home health care
D) Physician services
Answer: C
Rationale: Medicare Part A is considered Hospital Insurance and covers inpatient
care in hospitals, skilled nursing facilities (not custodial), hospice, and limited
home health services.
Q2. How is Medicare Part B primarily funded?
A) Payroll taxes
B) General federal revenues and beneficiary premiums
C) State taxes
D) Voluntary contributions
Answer: B
Rationale: Unlike Part A, which is funded by payroll taxes, Part B is funded by
general federal tax revenues (about 75%) and monthly premiums paid by
beneficiaries (about 25%).
Q3. Mr. Gomez turns 65 in May 2027. His Initial Coverage Election Period (ICEP)
for Medicare Advantage is:
A) January 1 – March 31, 2027
B) April 1 – June 30, 2027
C) May 1 – October 31, 2027
D) November 15 – January 15, 2028
Answer: B
Rationale: The ICEP for Medicare Advantage is the 3 months before the month
of eligibility, the month of eligibility, and the 3 months after. For a May
birthday, it runs April through June.
, Q4. What is the standard Medicare Part B deductible for 2027? (Note: Use
current baseline approximations for 2027 projections)
A) $0
B) $240
C) $257 (or projected higher based on inflation)
D) $1,600
Answer: C
Rationale: The Part B deductible is an annual amount. While exact 2027 dollars
adjust for inflation, it historically hovers around the mid-$200s, unlike the Part
A deductible which is over $1,600.
Q5. Which of the following services is NOT covered under Medicare Part B?
A) Clinical laboratory services
B) Outpatient mental health treatment
C) Routine dental cleanings
D) Durable medical equipment (DME)
Answer: C
Rationale: Original Medicare (Parts A and B) does not cover routine dental care,
dentures, or routine vision care (like eyeglasses).
Q6. Mrs. Patel has both Medicare and employer group health plan (EGHP)
coverage through her active employer. Who pays first?
A) Medicare always pays first
B) The EGHP pays first because the employer has 20 or more employees
C) The EGHP pays first regardless of size
D) They split costs 50/50
Answer: B
Rationale: For active employees aged 65+, if the employer has 20 or more
employees, the EGHP is primary and Medicare is secondary. If fewer than 20,
Medicare is primary.
Q7. What is the Medicare Part D Income-Related Monthly Adjustment Amount
(IRMAA)?
A) A penalty for late enrollment
B) An extra charge added to the Part D premium for high-income beneficiaries
C) The base premium for all Part D plans
D) A deductible waiver for low-income beneficiaries
Answer: B
Certification – Actual (AHIP) Guarantee
Pass (Updated Pdf)
Questions and Ansẉers with rationales
2026\2027 update
This Exam contains:
Guarantee passing score
Questions and Ansẉers
format set of multiple-choice
, Expert-Verified Explanation
Verified ẉith trusted textbooks
───────────────────────────────────────────────────────
─
Q1. What is the primary purpose of Medicare Part A?
A) Prescription drug coverage
B) Outpatient medical services
C) Inpatient hospital, skilled nursing, hospice, and home health care
D) Physician services
Answer: C
Rationale: Medicare Part A is considered Hospital Insurance and covers inpatient
care in hospitals, skilled nursing facilities (not custodial), hospice, and limited
home health services.
Q2. How is Medicare Part B primarily funded?
A) Payroll taxes
B) General federal revenues and beneficiary premiums
C) State taxes
D) Voluntary contributions
Answer: B
Rationale: Unlike Part A, which is funded by payroll taxes, Part B is funded by
general federal tax revenues (about 75%) and monthly premiums paid by
beneficiaries (about 25%).
Q3. Mr. Gomez turns 65 in May 2027. His Initial Coverage Election Period (ICEP)
for Medicare Advantage is:
A) January 1 – March 31, 2027
B) April 1 – June 30, 2027
C) May 1 – October 31, 2027
D) November 15 – January 15, 2028
Answer: B
Rationale: The ICEP for Medicare Advantage is the 3 months before the month
of eligibility, the month of eligibility, and the 3 months after. For a May
birthday, it runs April through June.
, Q4. What is the standard Medicare Part B deductible for 2027? (Note: Use
current baseline approximations for 2027 projections)
A) $0
B) $240
C) $257 (or projected higher based on inflation)
D) $1,600
Answer: C
Rationale: The Part B deductible is an annual amount. While exact 2027 dollars
adjust for inflation, it historically hovers around the mid-$200s, unlike the Part
A deductible which is over $1,600.
Q5. Which of the following services is NOT covered under Medicare Part B?
A) Clinical laboratory services
B) Outpatient mental health treatment
C) Routine dental cleanings
D) Durable medical equipment (DME)
Answer: C
Rationale: Original Medicare (Parts A and B) does not cover routine dental care,
dentures, or routine vision care (like eyeglasses).
Q6. Mrs. Patel has both Medicare and employer group health plan (EGHP)
coverage through her active employer. Who pays first?
A) Medicare always pays first
B) The EGHP pays first because the employer has 20 or more employees
C) The EGHP pays first regardless of size
D) They split costs 50/50
Answer: B
Rationale: For active employees aged 65+, if the employer has 20 or more
employees, the EGHP is primary and Medicare is secondary. If fewer than 20,
Medicare is primary.
Q7. What is the Medicare Part D Income-Related Monthly Adjustment Amount
(IRMAA)?
A) A penalty for late enrollment
B) An extra charge added to the Part D premium for high-income beneficiaries
C) The base premium for all Part D plans
D) A deductible waiver for low-income beneficiaries
Answer: B
