AHIP 2026 CERTIFICATION EXAM
| LATEST UPDATES, COSTS,
MODULE CHANGES, STUDY
GUIDE, PRACTICE QUESTIONS,
SOLUTIONS, ANSWERS,
COMPLIANCE TIPS & HOW TO
PASS FAST
1. Mr. Schmidt would like to plan for retirement and has asked you what is
covered under Original Fee-for-Service (FFS) Medicare. What could you
tell him? - CORRECT ANSWER : -Part A, which covers hospital, skilled
nursing facility, hospice, and home health services and Part B, which
covers professional services such as those provided by a doctor are
covered under Original Medicare.
2. Mrs. Cook is an elderly retiree. Mrs. Cook has a low fixed income. What
could you tell Mrs. Cook that might be of assistance? - CORRECT
ANSWER : -She should contact her state Medicaid agency to see if she
, qualifies for one of the several programs that can help with Medicare
costs for which she is responsible.
3. Mr. Moy will soon turn age 65. He is slightly younger than his wife. Mr.
Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental insurance provides since his
health care needs are different from his wife's needs. What could you tell
Mr. Moy? - CORRECT ANSWER : -Medicare supplemental insurance
would help cover his Part A deductible and Part B coinsurance or
copayments in Original Fee-for-Service (FFS) Medicare as well as possibly
some services that Medicare does not cover
4. Mr. Vasquez is in good health and is preparing a budget in anticipation of
his retirement when he turns 66. He wants to understand the health care
costs he might be exposed to under Medicare is he were to require
hospitalization because of an illness. In general terms, what could you
tell him about his costs for inpatient hospital services under Original
Medicare? - CORRECT ANSWER : -Under Original Medicare, there is a
single deductible amount due for the first 60 days of any inpatient
, hospital stay, after which it converts into a per-day coinsurance amount
through day 90. After day 90, he would pay a daily amount up to 60 days
over his lifetime, after which he would be responsible for all costs
5. Mr. Wu is eligible for Medicare. He has limited financial resources but
failed to qualify for the Part D low-income subsidy. Where might he turn
for help with his prescription drug costs? - CORRECT ANSWER : -Mr. Wu
may still qualify for help in paying Part D costs through his State
Pharmaceutical Assistance program (SPAP)
6. Ms. Henderson believes that she will qualify for Medicare Coverage
when she turns 65, without paying any premiums, because she has been
working for 40 years and paying Medicare taxes. What should you tell
her? - CORRECT ANSWER : -To obtain Part B coverage, she must pay a
standard monthly premium, though it is higher for individuals with
higher income
7. Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is
currently enrolled in Medicare Parts A and B. Jerry has also purchased a
, Medicare Supplement (Medigap) plan which he has had for several
years. However, the plan does not provide drug benefits. How would you
advise Agent John Miller to proceed? - CORRECT ANSWER : -Tell
prospect Jerry Smith that he should consider adding a standalone Part D
prescription drug coverage policy to his present coverage
8. Madeline Martinez was widowed several years ago. Her husband worked
for many years and contributed into the Medicare system. He also left a
substantial estate which provides Madeline with an annual income of
approximately $130,000. Madeline, who has only worked part-time for
the last three years, will soon turn age 65 and hopes to enroll in Original
Medicare. She comes to you for advice. What should you tell her? -
CORRECT ANSWER : -You should tell Madeline that she will be able to
enroll in Medicare Part A without paying monthly premiums due to her
husband's long work record and participation in the Medicare system.
You should also tell Madeline that she will pay Part B premiums at more
than the standard lowest rate but less than the highest rate due her
substantial income
| LATEST UPDATES, COSTS,
MODULE CHANGES, STUDY
GUIDE, PRACTICE QUESTIONS,
SOLUTIONS, ANSWERS,
COMPLIANCE TIPS & HOW TO
PASS FAST
1. Mr. Schmidt would like to plan for retirement and has asked you what is
covered under Original Fee-for-Service (FFS) Medicare. What could you
tell him? - CORRECT ANSWER : -Part A, which covers hospital, skilled
nursing facility, hospice, and home health services and Part B, which
covers professional services such as those provided by a doctor are
covered under Original Medicare.
2. Mrs. Cook is an elderly retiree. Mrs. Cook has a low fixed income. What
could you tell Mrs. Cook that might be of assistance? - CORRECT
ANSWER : -She should contact her state Medicaid agency to see if she
, qualifies for one of the several programs that can help with Medicare
costs for which she is responsible.
3. Mr. Moy will soon turn age 65. He is slightly younger than his wife. Mr.
Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental insurance provides since his
health care needs are different from his wife's needs. What could you tell
Mr. Moy? - CORRECT ANSWER : -Medicare supplemental insurance
would help cover his Part A deductible and Part B coinsurance or
copayments in Original Fee-for-Service (FFS) Medicare as well as possibly
some services that Medicare does not cover
4. Mr. Vasquez is in good health and is preparing a budget in anticipation of
his retirement when he turns 66. He wants to understand the health care
costs he might be exposed to under Medicare is he were to require
hospitalization because of an illness. In general terms, what could you
tell him about his costs for inpatient hospital services under Original
Medicare? - CORRECT ANSWER : -Under Original Medicare, there is a
single deductible amount due for the first 60 days of any inpatient
, hospital stay, after which it converts into a per-day coinsurance amount
through day 90. After day 90, he would pay a daily amount up to 60 days
over his lifetime, after which he would be responsible for all costs
5. Mr. Wu is eligible for Medicare. He has limited financial resources but
failed to qualify for the Part D low-income subsidy. Where might he turn
for help with his prescription drug costs? - CORRECT ANSWER : -Mr. Wu
may still qualify for help in paying Part D costs through his State
Pharmaceutical Assistance program (SPAP)
6. Ms. Henderson believes that she will qualify for Medicare Coverage
when she turns 65, without paying any premiums, because she has been
working for 40 years and paying Medicare taxes. What should you tell
her? - CORRECT ANSWER : -To obtain Part B coverage, she must pay a
standard monthly premium, though it is higher for individuals with
higher income
7. Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is
currently enrolled in Medicare Parts A and B. Jerry has also purchased a
, Medicare Supplement (Medigap) plan which he has had for several
years. However, the plan does not provide drug benefits. How would you
advise Agent John Miller to proceed? - CORRECT ANSWER : -Tell
prospect Jerry Smith that he should consider adding a standalone Part D
prescription drug coverage policy to his present coverage
8. Madeline Martinez was widowed several years ago. Her husband worked
for many years and contributed into the Medicare system. He also left a
substantial estate which provides Madeline with an annual income of
approximately $130,000. Madeline, who has only worked part-time for
the last three years, will soon turn age 65 and hopes to enroll in Original
Medicare. She comes to you for advice. What should you tell her? -
CORRECT ANSWER : -You should tell Madeline that she will be able to
enroll in Medicare Part A without paying monthly premiums due to her
husband's long work record and participation in the Medicare system.
You should also tell Madeline that she will pay Part B premiums at more
than the standard lowest rate but less than the highest rate due her
substantial income
