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AHIP FINAL EXAM| ACTUAL EXAM
QUESTIONS WITH CORRECT
ANSWERS 2026
If you are to comply with Medicare's guidance regarding educational events,
which of the following would be acceptable activities? - correct-answer - You may
distribute business cards to individuals who request information on how to
contact you for further details on the plan(s) you represent.
One of your colleagues argues that it is better to focus your time and energy
exclusively on neighborhoods with single-family homes. He further argues that
their older owners are more likely to have higher incomes and purchase the
Medicare Advantage products you represent compared to those living in
apartment complexes. How should you respond? - correct-answer - This could be
considered discriminatory activity and prohibited practice.
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A Medicare beneficiary has walked into your office and requested that you sit
down with her and discuss her options under the Medicare Advantage program.
Before engaging in such a discussion, what should you do? - correct-answer - You
must have her sign a scope of appointment form, indicating which products she
wishes to discuss. You may then proceed with the discussion.
You will be holding a sales event soon, at which you would like to offer door
prizes to attendees. Under guidelines from the Medicare agency, what types of
gifts or prizes would not be allowed in this situation? - correct-answer - Gift cards
or gift certificates of $15 or less that can be readily converted to cash.
Agent Julia Horne has recently begun marketing Medicare Advantage and related
products aimed at meeting the needs of senior citizens. Client Mary Bean has
expressed interest in a Medicare Advantage plan. It is now the beginning of
September. If you were in Agent Horne's position, what would you do? - correct-
answer - Inquire whether the client qualifies for a special enrollment period, and
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if not, solicit an enrollment application once the annual open enrollment election
period begins on October 15th.
You are meeting with Mrs. Hahn in her home. On her scope of appointment form,
she asked to discuss Medicare Advantage plans. During the meeting, she asked to
discuss a stand-alone prescription drug plan. She is leaving the next day to visit
her family for a week in another state, so she needs to decide before she leaves.
What must happen before that additional discussion can take place? - correct-
answer - Since Mrs. Hahn specifically asked that you discuss the stand-alone Part
D plan, you may do so, as long as she signs a new scope of appointment form first,
indicating that she wants to discuss the Part D plan.
Mr. Livingston was still working when he first qualified for Medicare. At that time,
he had employer group coverage that was creditable. During his initial Part D
eligibility period, he decided not to enroll because he was satisfied with his drug
coverage. It is now a year later, and Mr. Livingston has lost his employer group
coverage within the last two weeks. How would you advise him? - correct-answer
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- Mr. Livingston should enroll in a Part D plan before he has a 63-day break in
coverage to avoid a premium penalty.
Who is most likely to benefit from the Medicare Prescription Payment Plan? -
correct-answer - Ryan, who suffered a heart attack at the beginning of the year
requiring him to take an expensive brand name blood thinner on a daily basis, as
well as an equally expensive injectable cholesterol medication on a bi-weekly
basis for which he incurs high out-of-pocket costs.
Mr. Wells gets by on a very small amount of fixed income. He has heard there
may be extra help paying for Part D prescription drugs for Medicare beneficiaries
with limited income. He wants to know whether he might qualify. What should
you tell him? - correct-answer - The extra help is available to beneficiaries whose
income and assets do not exceed the annual limits specified by the government.
AHIP FINAL EXAM| ACTUAL EXAM
QUESTIONS WITH CORRECT
ANSWERS 2026
If you are to comply with Medicare's guidance regarding educational events,
which of the following would be acceptable activities? - correct-answer - You may
distribute business cards to individuals who request information on how to
contact you for further details on the plan(s) you represent.
One of your colleagues argues that it is better to focus your time and energy
exclusively on neighborhoods with single-family homes. He further argues that
their older owners are more likely to have higher incomes and purchase the
Medicare Advantage products you represent compared to those living in
apartment complexes. How should you respond? - correct-answer - This could be
considered discriminatory activity and prohibited practice.
,2|Page
A Medicare beneficiary has walked into your office and requested that you sit
down with her and discuss her options under the Medicare Advantage program.
Before engaging in such a discussion, what should you do? - correct-answer - You
must have her sign a scope of appointment form, indicating which products she
wishes to discuss. You may then proceed with the discussion.
You will be holding a sales event soon, at which you would like to offer door
prizes to attendees. Under guidelines from the Medicare agency, what types of
gifts or prizes would not be allowed in this situation? - correct-answer - Gift cards
or gift certificates of $15 or less that can be readily converted to cash.
Agent Julia Horne has recently begun marketing Medicare Advantage and related
products aimed at meeting the needs of senior citizens. Client Mary Bean has
expressed interest in a Medicare Advantage plan. It is now the beginning of
September. If you were in Agent Horne's position, what would you do? - correct-
answer - Inquire whether the client qualifies for a special enrollment period, and
,3|Page
if not, solicit an enrollment application once the annual open enrollment election
period begins on October 15th.
You are meeting with Mrs. Hahn in her home. On her scope of appointment form,
she asked to discuss Medicare Advantage plans. During the meeting, she asked to
discuss a stand-alone prescription drug plan. She is leaving the next day to visit
her family for a week in another state, so she needs to decide before she leaves.
What must happen before that additional discussion can take place? - correct-
answer - Since Mrs. Hahn specifically asked that you discuss the stand-alone Part
D plan, you may do so, as long as she signs a new scope of appointment form first,
indicating that she wants to discuss the Part D plan.
Mr. Livingston was still working when he first qualified for Medicare. At that time,
he had employer group coverage that was creditable. During his initial Part D
eligibility period, he decided not to enroll because he was satisfied with his drug
coverage. It is now a year later, and Mr. Livingston has lost his employer group
coverage within the last two weeks. How would you advise him? - correct-answer
, 4|Page
- Mr. Livingston should enroll in a Part D plan before he has a 63-day break in
coverage to avoid a premium penalty.
Who is most likely to benefit from the Medicare Prescription Payment Plan? -
correct-answer - Ryan, who suffered a heart attack at the beginning of the year
requiring him to take an expensive brand name blood thinner on a daily basis, as
well as an equally expensive injectable cholesterol medication on a bi-weekly
basis for which he incurs high out-of-pocket costs.
Mr. Wells gets by on a very small amount of fixed income. He has heard there
may be extra help paying for Part D prescription drugs for Medicare beneficiaries
with limited income. He wants to know whether he might qualify. What should
you tell him? - correct-answer - The extra help is available to beneficiaries whose
income and assets do not exceed the annual limits specified by the government.
