1
AHIP FINAL EXAM QUESTIONS
WITH VERIFIED SOLUTIONS
2026/2027
When Emma first became eligible for Medicare, she enrolled in Original Medicare
(Parts A and B). She is now 67 and will turn 68 on July 1. She would now like to
enroll in a Medicare Advantage (MA) plan and approaches you about her options.
What advice would you give her? - correct-answer - She should remain in Original
Medicare until the annual election period running from October 15 to December
7, during which she can select an MA plan.
Mr. and Mrs. Orozco attended one of your sales presentations. They've asked you
to come to their home to clear up a few questions. During the presentation, Mrs.
Orozco feels tired and tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr. Orozco says that he wants to enroll both
himself and his wife. What should you do? - correct-answer - If she can do so, only
Mrs. Orozco can sign her enrollment form. Mrs. Orozco will have to wake up to
sign her form or do so at another time.
You are visiting Mr. Connor and his daughter at her request. He has advanced
Alzheimer's and is incapable of understanding the implications of choosing a
Medicare Advantage or prescription drug plan. Can his daughter fill out the
enrollment form and sign it for him? - correct-answer - Mr. Connor's daughter can
do so only if she is authorized under state law as a court-appointed legal
guardian, has a durable power of attorney for health care decisions, or is
authorized under state surrogate consent laws to make health decisions.
, 2
Mr. Blake is enrolled in his employer's group health plan and will be retiring soon.
He would like to know his options since he has decided to drop his retiree
coverage and is eligible for Medicare. What should you tell him? - correct-answer
- Mr. Blake can disenroll from his employer-sponsored coverage to elect a
Medicare Advantage or Part D plan within 2 months of his disenrollment.
Mrs. Farmer would like to enroll in a Medicare Cost plan that offers Part D
prescription drug coverage. She is coming to you for advice about when she can
enroll in a plan you have previously discussed. What should you tell her? - correct-
answer - Enrollment in Cost plans offering Part D coverage is available only during
enrollment periods under the Part D program, and Cost plans must accept
enrollments during these periods.
Mrs. Dunn would like her daughter, who lives in another state, to meet with you
during the Annual Election Period to help her complete her enrollment in a Part D
plan. She asked you when she should have her daughter plan to visit. What could
you tell her? - correct-answer - Her daughter should come in November.
Mr. Jerome Summers participated in Original Medicare (Parts A and B) for several
years before electing to enroll in a Medicare Savings Account (MSA) Medicare
Advantage Plan for the first time on November 1st during the Annual Election
Period. Almost immediately thereafter, Mr. Summers contacts you to tell you that
he regrets his decision and wants to change his election back to Original
Medicare. How would you advise him? - correct-answer - Mr. Summers may
revoke his election if he does it no later than December 15th of the same year. He
is allowed to do this because he has never elected an MA MSA plan.
, 3
Mrs. Delgado is currently enrolled in Original Medicare (Parts A and B), but she
has been working with Agent Hudson in the selection of a Medicare Advantage
(MA) plan. It is mid-September, and Mrs. Delgado is going on vacation. Agent
Hudson is considering suggesting that he and Mrs. Delgado complete the
application together before she leaves. He will then submit the paper application
before the start of the annual enrollment period (AEP). What would you say If you
were advising Agent Hudson? - correct-answer - This is a bad idea. Agents are
generally prohibited from soliciting or accepting an enrollment form before the
start of the AEP.
Ms. Sutton is enrolled in an MA-PD plan but will be moving out of the plan's
service area next month. She is worried that she will not be able to enroll in
another plan available in her new residence until the Annual Election Period.
What should you tell her? - correct-answer - She is eligible for a special election
period (SEP) that begins either the month before her permanent move, if the plan
is notified in advance, or the month she provides notice of the move, and this
period typically lasts an additional two months.
Which of the following individuals has enrolled in a plan based on a fixed
enrollment period? - correct-answer - Tran enrolls in a Medicare Advantage plan
during the Medicare Advantage Open Enrollment Period (MA OEP).
Mrs. Knight enrolled in an MA-PD plan during the Annual Election Period. In mid-
January of the following year, she wants to switch back to Original Medicare and
enroll in a stand-alone prescription drug plan. What should you tell her? - correct-
answer - During the MA Open Enrollment Period, from January 1 - March 31, she
may disenroll from the MA-PD plan into Original Medicare and may add a stand-
alone prescription drug plan.
AHIP FINAL EXAM QUESTIONS
WITH VERIFIED SOLUTIONS
2026/2027
When Emma first became eligible for Medicare, she enrolled in Original Medicare
(Parts A and B). She is now 67 and will turn 68 on July 1. She would now like to
enroll in a Medicare Advantage (MA) plan and approaches you about her options.
What advice would you give her? - correct-answer - She should remain in Original
Medicare until the annual election period running from October 15 to December
7, during which she can select an MA plan.
Mr. and Mrs. Orozco attended one of your sales presentations. They've asked you
to come to their home to clear up a few questions. During the presentation, Mrs.
Orozco feels tired and tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr. Orozco says that he wants to enroll both
himself and his wife. What should you do? - correct-answer - If she can do so, only
Mrs. Orozco can sign her enrollment form. Mrs. Orozco will have to wake up to
sign her form or do so at another time.
You are visiting Mr. Connor and his daughter at her request. He has advanced
Alzheimer's and is incapable of understanding the implications of choosing a
Medicare Advantage or prescription drug plan. Can his daughter fill out the
enrollment form and sign it for him? - correct-answer - Mr. Connor's daughter can
do so only if she is authorized under state law as a court-appointed legal
guardian, has a durable power of attorney for health care decisions, or is
authorized under state surrogate consent laws to make health decisions.
, 2
Mr. Blake is enrolled in his employer's group health plan and will be retiring soon.
He would like to know his options since he has decided to drop his retiree
coverage and is eligible for Medicare. What should you tell him? - correct-answer
- Mr. Blake can disenroll from his employer-sponsored coverage to elect a
Medicare Advantage or Part D plan within 2 months of his disenrollment.
Mrs. Farmer would like to enroll in a Medicare Cost plan that offers Part D
prescription drug coverage. She is coming to you for advice about when she can
enroll in a plan you have previously discussed. What should you tell her? - correct-
answer - Enrollment in Cost plans offering Part D coverage is available only during
enrollment periods under the Part D program, and Cost plans must accept
enrollments during these periods.
Mrs. Dunn would like her daughter, who lives in another state, to meet with you
during the Annual Election Period to help her complete her enrollment in a Part D
plan. She asked you when she should have her daughter plan to visit. What could
you tell her? - correct-answer - Her daughter should come in November.
Mr. Jerome Summers participated in Original Medicare (Parts A and B) for several
years before electing to enroll in a Medicare Savings Account (MSA) Medicare
Advantage Plan for the first time on November 1st during the Annual Election
Period. Almost immediately thereafter, Mr. Summers contacts you to tell you that
he regrets his decision and wants to change his election back to Original
Medicare. How would you advise him? - correct-answer - Mr. Summers may
revoke his election if he does it no later than December 15th of the same year. He
is allowed to do this because he has never elected an MA MSA plan.
, 3
Mrs. Delgado is currently enrolled in Original Medicare (Parts A and B), but she
has been working with Agent Hudson in the selection of a Medicare Advantage
(MA) plan. It is mid-September, and Mrs. Delgado is going on vacation. Agent
Hudson is considering suggesting that he and Mrs. Delgado complete the
application together before she leaves. He will then submit the paper application
before the start of the annual enrollment period (AEP). What would you say If you
were advising Agent Hudson? - correct-answer - This is a bad idea. Agents are
generally prohibited from soliciting or accepting an enrollment form before the
start of the AEP.
Ms. Sutton is enrolled in an MA-PD plan but will be moving out of the plan's
service area next month. She is worried that she will not be able to enroll in
another plan available in her new residence until the Annual Election Period.
What should you tell her? - correct-answer - She is eligible for a special election
period (SEP) that begins either the month before her permanent move, if the plan
is notified in advance, or the month she provides notice of the move, and this
period typically lasts an additional two months.
Which of the following individuals has enrolled in a plan based on a fixed
enrollment period? - correct-answer - Tran enrolls in a Medicare Advantage plan
during the Medicare Advantage Open Enrollment Period (MA OEP).
Mrs. Knight enrolled in an MA-PD plan during the Annual Election Period. In mid-
January of the following year, she wants to switch back to Original Medicare and
enroll in a stand-alone prescription drug plan. What should you tell her? - correct-
answer - During the MA Open Enrollment Period, from January 1 - March 31, she
may disenroll from the MA-PD plan into Original Medicare and may add a stand-
alone prescription drug plan.
