AHIP FINAL EXAM 2027 — 350 UNIQUE
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
SECTION 1: MEDICARE BASICS (Parts A & B) Questions 1–70
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Question 1
Medicare Part A covers which of the following services?
A) Outpatient physician visits
B) Inpatient hospital stays, skilled nursing facility care, hospice, and some
home health services
C) Prescription drugs
D) Routine dental care
Correct Answer: B
Rationale: Medicare Part A (Hospital Insurance) covers inpatient hospital
stays, skilled nursing facility care, hospice care, and some home health
services. Part B covers outpatient physician visits, Part D covers prescription
drugs, and routine dental care is generally not covered by Original Medicare.
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Question 2
A beneficiary turning 65 who is already receiving Social Security benefits is:
A) Required to actively enroll in Medicare Part B during the General
Enrollment Period
B) Automatically enrolled in Medicare Part A and Part B
C) Only automatically enrolled in Medicare Part A
D) Not eligible for Medicare until age 67
Correct Answer: B
Rationale: Individuals who are already receiving Social Security benefits when
they turn 65 are automatically enrolled in both Medicare Part A and Part B.
They do not need to take additional action to enroll unless they wish to
decline Part B coverage.
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Question 3
What is the duration of the Initial Enrollment Period (IEP) for Medicare?
A) 3 months
B) 5 months
,C) 7 months
D) 12 months
Correct Answer: C
Rationale: The Initial Enrollment Period (IEP) begins 3 months before the
month of the individual's 65th birthday, includes the birthday month, and
ends 3 months after the birthday month—a total of 7 months. Enrolling
during this period ensures coverage begins on time and avoids late
enrollment penalties.
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Question 4
Mrs. Chen is 67 years old and did not enroll in Medicare Part B when she was
first eligible because she had coverage through her employer's group health
plan. She is now retiring and losing that coverage. What enrollment period
applies?
A) Initial Enrollment Period (IEP)
B) General Enrollment Period (GEP)
C) Special Enrollment Period (SEP)
D) Annual Election Period (AEP)
Correct Answer: C
Rationale: Individuals who have qualifying group health plan coverage based
on current employment (their own or a spouse's) may delay Part B enrollment
, without penalty. When that coverage ends, they qualify for a Special
Enrollment Period (SEP) to enroll in Part B.
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Question 5
Which of the following statements about Medicare Part B is correct?
A) Part B is free for all beneficiaries
B) Part B covers inpatient hospital services
C) Part B requires payment of a monthly premium
D) Part B covers prescription drugs
Correct Answer: C
Rationale: Medicare Part B (Medical Insurance) covers outpatient care,
physician services, and preventive services. Unlike Part A (which is premium-
free for most), Part B requires payment of a monthly premium. The premium
amount may vary based on income.
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Question 6
Mr. Rodriguez is 64 years old and has End-Stage Renal Disease (ESRD). Is he
eligible for Medicare?
A) No, Medicare eligibility begins at age 65
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
SECTION 1: MEDICARE BASICS (Parts A & B) Questions 1–70
---
Question 1
Medicare Part A covers which of the following services?
A) Outpatient physician visits
B) Inpatient hospital stays, skilled nursing facility care, hospice, and some
home health services
C) Prescription drugs
D) Routine dental care
Correct Answer: B
Rationale: Medicare Part A (Hospital Insurance) covers inpatient hospital
stays, skilled nursing facility care, hospice care, and some home health
services. Part B covers outpatient physician visits, Part D covers prescription
drugs, and routine dental care is generally not covered by Original Medicare.
,---
Question 2
A beneficiary turning 65 who is already receiving Social Security benefits is:
A) Required to actively enroll in Medicare Part B during the General
Enrollment Period
B) Automatically enrolled in Medicare Part A and Part B
C) Only automatically enrolled in Medicare Part A
D) Not eligible for Medicare until age 67
Correct Answer: B
Rationale: Individuals who are already receiving Social Security benefits when
they turn 65 are automatically enrolled in both Medicare Part A and Part B.
They do not need to take additional action to enroll unless they wish to
decline Part B coverage.
---
Question 3
What is the duration of the Initial Enrollment Period (IEP) for Medicare?
A) 3 months
B) 5 months
,C) 7 months
D) 12 months
Correct Answer: C
Rationale: The Initial Enrollment Period (IEP) begins 3 months before the
month of the individual's 65th birthday, includes the birthday month, and
ends 3 months after the birthday month—a total of 7 months. Enrolling
during this period ensures coverage begins on time and avoids late
enrollment penalties.
---
Question 4
Mrs. Chen is 67 years old and did not enroll in Medicare Part B when she was
first eligible because she had coverage through her employer's group health
plan. She is now retiring and losing that coverage. What enrollment period
applies?
A) Initial Enrollment Period (IEP)
B) General Enrollment Period (GEP)
C) Special Enrollment Period (SEP)
D) Annual Election Period (AEP)
Correct Answer: C
Rationale: Individuals who have qualifying group health plan coverage based
on current employment (their own or a spouse's) may delay Part B enrollment
, without penalty. When that coverage ends, they qualify for a Special
Enrollment Period (SEP) to enroll in Part B.
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Question 5
Which of the following statements about Medicare Part B is correct?
A) Part B is free for all beneficiaries
B) Part B covers inpatient hospital services
C) Part B requires payment of a monthly premium
D) Part B covers prescription drugs
Correct Answer: C
Rationale: Medicare Part B (Medical Insurance) covers outpatient care,
physician services, and preventive services. Unlike Part A (which is premium-
free for most), Part B requires payment of a monthly premium. The premium
amount may vary based on income.
---
Question 6
Mr. Rodriguez is 64 years old and has End-Stage Renal Disease (ESRD). Is he
eligible for Medicare?
A) No, Medicare eligibility begins at age 65
