Study Guide Exam Questions with
Boost your score with the 2027 AHIP Module 3 and Final Exam package. This study guide
includes 105 verified questions and correct answers for the AHIP Medicare training. Save
time, study with confidence, and pass your exam on the first try.
Product Highlights
• Total Questions: 105 verified Q&A
• Coverage: Module 3 and the comprehensive Final Exam
• Edition: 2027 updated curriculum
• Format: Instant digital download
Why Buy This Guide
• Guaranteed Accuracy: Every answer is checked for the 2027 test version.
• Save Time: Skip the long reading and focus on what matters.
• Pass Fast: Get the exact knowledge you need to finish quickly.
Quiz_________________?
** Able, Baker, and Charles are engaged in the marketing to and enrollment of beneficiaries
into Medicare health plans. Mr. Able is an independent agent paid directly by a health plan.
Ms. Baker is an independent agent paid through a field marketing organization (FMO). Mr.
Charles is an independent agent paid for his work by a third-party marketing organization
(TPMO). How do the CMS compensation rules apply to these three agents? -
Answer
1
, ** Baker and Charles are subject to CMS compensation rules because they are paid by third
parties. Able is not because he is paid directly by a health plan.
Quiz_________________?
** Mrs. Wang was primarily a homemaker and employed in jobs that provided taxable
income only sporadically. Her husband worked full-time throughout his long career and paid
Medicare taxes. She has heard that to qualify for Medicare Part A she has to have worked
and paid Medicare taxes for a sufficient time. What should you tell her? -
Answer
** Since her husband paid Medicare taxes during the entire time he was working, she will
automatically qualify for Medicare Part A without having to pay any premiums.
Quiz_________________?
** Ms. Choi has heard about "Original Fee-for-Service Medicare" and "Private Fee-for-
Service" plans. She wants to know what the difference is if any. What should you tell her? -
Answer
** PFFS plans are a type of Medicare Advantage plan offered by private companies.
Quiz_________________?
** Ms. Pittman has heard about a special needs plan (SNP) that one of her friends is enrolled
in and is interested in that product. She wants to be sure she also has coverage for
prescription drugs. Would she be able to obtain drug coverage if she enrolled in the SNP? -
Answer
** Yes. All SNPs are required to provide Part D coverage for prescription drugs.
Quiz_________________?
** Which of the following is/are most likely to be characterized as an involuntary
disenrollment from a Medicare Advantage (MA) plan?
2
, I. The enrollee dies.
II. An individual materially misrepresents information to a PDP sponsor regarding
reimbursement for third-party coverage.
III. It is determined that the member is not lawfully present in the United States.
IV. The member enrolls in another plan during the Annual Open Enrollment period. -
Answer
** I, II, and III only
Quiz_________________?
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? -
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.
Quiz_________________?
Agent Ethan Murphy has properly set up a sales appointment to meet with client John Cook
at Agent Murphy's office. At the agreed upon appointment time, Mr. Cook arrives with his
elderly neighbor - Clara Burton, who wants to learn about her Medicare Advantage options.
What should Agent Ethan Murphy do? -
Answer
After executing a scope of appointment (SOA) with Clara Burton, meet with John Cookand
Clara Burton to discuss their Medicare Advantage options.
Quiz_________________?
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
3
, Medicare Advantage plan. It is now the beginning of September. If you were in Agent
Horne's position, what would you do? -
Answer
Inquire whether the client qualifies for a special enrollment period, and if not, solicit an
enrollment application once the annual open enrollment election period begins on October
15th.
Quiz_________________?
Annie Mills will turn age 65 in August 2026. Annie intends to enroll in Original Medicare
Part A and Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan.
Annie's older neighbor John, has told her about the Medigap Plan F in which he is enrolled.
It not only provides foreign travel emergency benefits but also covers his Medicare Part B
deductible. Annie comes to you for advice. What should you tell her? -
Answer
You are sorry to disappoint Annie, but a Medigap F plan is no longer available to those who
turn 65 after January 1, 2020. Annie might instead consider other Medigap plans that offer
foreign travel benefits but do not cover the Part B deductible.
Quiz_________________?
Another agent working for your agency claims that because you are not employed by the
Medicare Advantage plans you represent, you are not subject to the same marketing
requirements as the plans themselves. How should you respond to such a statement? -
Answer
Your coworker is not correct. Marketing on behalf of a plan is considered marketing by the
plan and requires that all contracted and employed agents comply with all Medicare
marketing rules.
Quiz_________________?
Avery recently lost her employer's group health and drug coverage and now she wants to
enroll in a PPO that does not include drug coverage. What should you tell her about
obtaining drug coverage? -
4
Boost your score with the 2027 AHIP Module 3 and Final Exam package. This study guide
includes 105 verified questions and correct answers for the AHIP Medicare training. Save
time, study with confidence, and pass your exam on the first try.
Product Highlights
• Total Questions: 105 verified Q&A
• Coverage: Module 3 and the comprehensive Final Exam
• Edition: 2027 updated curriculum
• Format: Instant digital download
Why Buy This Guide
• Guaranteed Accuracy: Every answer is checked for the 2027 test version.
• Save Time: Skip the long reading and focus on what matters.
• Pass Fast: Get the exact knowledge you need to finish quickly.
Quiz_________________?
** Able, Baker, and Charles are engaged in the marketing to and enrollment of beneficiaries
into Medicare health plans. Mr. Able is an independent agent paid directly by a health plan.
Ms. Baker is an independent agent paid through a field marketing organization (FMO). Mr.
Charles is an independent agent paid for his work by a third-party marketing organization
(TPMO). How do the CMS compensation rules apply to these three agents? -
Answer
1
, ** Baker and Charles are subject to CMS compensation rules because they are paid by third
parties. Able is not because he is paid directly by a health plan.
Quiz_________________?
** Mrs. Wang was primarily a homemaker and employed in jobs that provided taxable
income only sporadically. Her husband worked full-time throughout his long career and paid
Medicare taxes. She has heard that to qualify for Medicare Part A she has to have worked
and paid Medicare taxes for a sufficient time. What should you tell her? -
Answer
** Since her husband paid Medicare taxes during the entire time he was working, she will
automatically qualify for Medicare Part A without having to pay any premiums.
Quiz_________________?
** Ms. Choi has heard about "Original Fee-for-Service Medicare" and "Private Fee-for-
Service" plans. She wants to know what the difference is if any. What should you tell her? -
Answer
** PFFS plans are a type of Medicare Advantage plan offered by private companies.
Quiz_________________?
** Ms. Pittman has heard about a special needs plan (SNP) that one of her friends is enrolled
in and is interested in that product. She wants to be sure she also has coverage for
prescription drugs. Would she be able to obtain drug coverage if she enrolled in the SNP? -
Answer
** Yes. All SNPs are required to provide Part D coverage for prescription drugs.
Quiz_________________?
** Which of the following is/are most likely to be characterized as an involuntary
disenrollment from a Medicare Advantage (MA) plan?
2
, I. The enrollee dies.
II. An individual materially misrepresents information to a PDP sponsor regarding
reimbursement for third-party coverage.
III. It is determined that the member is not lawfully present in the United States.
IV. The member enrolls in another plan during the Annual Open Enrollment period. -
Answer
** I, II, and III only
Quiz_________________?
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? -
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.
Quiz_________________?
Agent Ethan Murphy has properly set up a sales appointment to meet with client John Cook
at Agent Murphy's office. At the agreed upon appointment time, Mr. Cook arrives with his
elderly neighbor - Clara Burton, who wants to learn about her Medicare Advantage options.
What should Agent Ethan Murphy do? -
Answer
After executing a scope of appointment (SOA) with Clara Burton, meet with John Cookand
Clara Burton to discuss their Medicare Advantage options.
Quiz_________________?
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
3
, Medicare Advantage plan. It is now the beginning of September. If you were in Agent
Horne's position, what would you do? -
Answer
Inquire whether the client qualifies for a special enrollment period, and if not, solicit an
enrollment application once the annual open enrollment election period begins on October
15th.
Quiz_________________?
Annie Mills will turn age 65 in August 2026. Annie intends to enroll in Original Medicare
Part A and Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan.
Annie's older neighbor John, has told her about the Medigap Plan F in which he is enrolled.
It not only provides foreign travel emergency benefits but also covers his Medicare Part B
deductible. Annie comes to you for advice. What should you tell her? -
Answer
You are sorry to disappoint Annie, but a Medigap F plan is no longer available to those who
turn 65 after January 1, 2020. Annie might instead consider other Medigap plans that offer
foreign travel benefits but do not cover the Part B deductible.
Quiz_________________?
Another agent working for your agency claims that because you are not employed by the
Medicare Advantage plans you represent, you are not subject to the same marketing
requirements as the plans themselves. How should you respond to such a statement? -
Answer
Your coworker is not correct. Marketing on behalf of a plan is considered marketing by the
plan and requires that all contracted and employed agents comply with all Medicare
marketing rules.
Quiz_________________?
Avery recently lost her employer's group health and drug coverage and now she wants to
enroll in a PPO that does not include drug coverage. What should you tell her about
obtaining drug coverage? -
4
