2026 AHIP CERTIFICATION EXAM Actual Questions and Answers

2026 AHIP
CERTIFICATION EXAM
Actual Questions and Answers


What’s Inside?
 Actual AHIP 2026 Certification Exam questions with verified
and explained answers
 Fully aligned with the latest CMS & AHIP training modules
 Detailed coverage of all exam sections,
 Each question includes rationales and key references to reinforce
understanding
 Content designed to mirror the official AHIP
testing environment

,**1. Edward suffered from serious kidney disease. As a result, Edward be
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came eligible for Medicare coverage due to end-
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stage renal disease (ESRD). A close relative donated their kidney and E
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dward successfully underwent transplant surgery 12 months ago. Edw
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ard is now age 50 and asks you if his Medicare coverage will continue, w
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hat should you say?**
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A. His Medicare coverage will end 12 months after transplant surgery, re
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gardless of his age. gh gh gh




B. His Medicare coverage will continue as long as he receives follow-
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up care for the transplant.
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C. His Medicare coverage will end 36 months after the transplant unless he oth
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erwise qualifies. gh




D. His Medicare coverage ends immediately after transplant surgery.
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**Correct Answer: C. His Medicare coverage will end 36 months after the t
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ransplant unless he otherwise qualifies.** gh gh gh gh




**Expert Rationale:** For individuals eligible for Medicare due to ESRD, cov
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erage ends 36 months after a successful kidney transplant unless they qualify f
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or Medicare due to age or disability. Edward’s coverage will continue for 3 yea
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rs post-transplant unless he turns 65 or qualifies for disability.
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---


**2. Ms. Henderson believes that she will qualify for Medicare Coverage
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when she turns 65, without paying any premiums, because
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,she has been working for 40 years and paying Medicare taxes. What shou
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ld you tell her?**
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A. She is not eligible for any Medicare coverage.
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B. She will receive Medicare PartAwithout premiums, but must pay pre
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miums for Part B. gh gh gh




C. She will not need to pay any premiums for Part Aor Part B.
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D. She is only eligible for Medicare Part B.
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**Correct Answer: B. She will receive Medicare Part Awithout premiums,
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but must pay premiums for Part B.**
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**Expert Rationale:** Individuals with sufficient work credits (generally 40 qu
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arters) receive premium-
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free Part A at age 65. However, Part B requires a monthly premium, which is in
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come-
adjusted. This often causes confusion, but Part B premiums are always requir
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ed unless she qualifies for Medicaid or other coverage.
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---


**3. Ms. Lewis has aggressive cancer and would like to know if Medicare
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will cover hospice services in case she needs them. What should you tell
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her?**


A. Hospice is not covered under Original Medicare. gh gh gh gh gh gh




B. Hospice is covered under Medicare Part A. gh gh gh gh gh gh




C. Hospice is covered under Medicare Part B. gh gh gh gh gh gh

, D. Hospice is only covered if she has a MedicareAdvantage plan.
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**Correct Answer: B. Hospice is covered under Medicare Part A.**
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**Expert Rationale:** Hospice care is a benefit under PartAof Medicare, avai
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lable to terminally ill individuals who elect to focus on comfort care rather than
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curative treatment. Coverage includes pain relief, symptom management, an
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d support services.
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---


**4. Mr. Capadona would like to purchase a Medicare Advantage (MA) pla
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n and a Medigap plan to pick up costs not covered by that plan.
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What should you tell him?**
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A. He can enroll in both MAand Medigap plans.
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B. Medigap can only be used with Original Medicare, not MAplans.
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C. Medigap will cover costs not included by MAplans. gh gh gh gh gh gh gh gh




D. He does not need any plan.
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**Correct Answer: B. Medigap can only be used with Original Medicare,
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not MA plans.**
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**Expert Rationale:** Federal law prohibits the sale of Medigap policies to indi
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viduals enrolled in Medicare Advantage, since Medigap supplements only Ori
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ginal Medicare (Part A and Part B), not MedicareAdvantage plans.
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