2027 AHIP Final Exam – Medicare
Certification – Actual Questions & Answers
(AHIP) Guarantee Pass (Updated Pdf)
1. What are the four parts of Medicare?
A. Part A, B, C, D
B. Part A, B, C, E
C. Part A, B, D, E
D. Part A, B, C, F
Correct Answer: A
Rationale: Medicare has four parts: Part A (Hospital Insurance), Part B (Medical
Insurance), Part C (Medicare Advantage), and Part D (Prescription Drug Coverage).
2. Who is eligible for Medicare?
A. Individuals age 65 or older
B. Individuals under 65 with certain disabilities
C. Individuals of any age with End-Stage Renal Disease (ESRD)
D. All of the above
Correct Answer: D
Rationale: Medicare is available to individuals age 65+, under 65 with disabilities, and
those of any age with ESRD.
3. Medicare Part A covers which of the following?
A. Inpatient hospital care
B. Skilled nursing facility care
C. Hospice care
D. All of the above
Correct Answer: D
Rationale: Part A covers inpatient hospital care, skilled nursing facility care, hospice, and
some home health care.
,4. Medicare Part B covers which of the following?
A. Outpatient services
B. Physician services
C. Preventive services
D. All of the above
Correct Answer: D
Rationale: Part B covers outpatient services, physician services, preventive services, and
some home health care.
5. Medicare Part D covers:
A. Prescription drugs
B. Inpatient hospital care
C. Outpatient services
D. Preventive services
Correct Answer: A
Rationale: Part D provides prescription drug coverage through private plans.
6. What is the Initial Enrollment Period (IEP) for Medicare?
A. 3 months before, the month of, and 3 months after the 65th birthday
B. 6 months before and 6 months after the 65th birthday
C. Only the month of the 65th birthday
D. 12 months before the 65th birthday
Correct Answer: A
Rationale: The Initial Enrollment Period is a 7-month window: 3 months before, the
month of, and 3 months after the 65th birthday.
7. What is the General Enrollment Period for Medicare Part B?
A. January 1 – March 31 each year
B. April 1 – June 30 each year
C. October 15 – December 7 each year
D. January 1 – February 14 each year
,Correct Answer: A
Rationale: The General Enrollment Period for Part B is January 1 through March 31 each
year.
8. What is the Annual Enrollment Period (AEP) for Medicare?
A. January 1 – March 31
B. April 1 – June 30
C. October 15 – December 7
D. January 1 – December 31
Correct Answer: C
Rationale: The Annual Enrollment Period is October 15 through December 7 each year.
9. What is the Medicare Open Enrollment Period (OEP)?
A. January 1 – March 31
B. October 15 – December 7
C. April 1 – June 30
D. January 1 – February 14
Correct Answer: A
Rationale: The Medicare Open Enrollment Period is January 1 through March 31 each
year.
10. What is the Special Enrollment Period (SEP)?
A. A period for enrolling in Medicare outside the standard enrollment periods
B. A period for disenrolling from Medicare
C. A period for changing Medicare Advantage plans only
D. A period for enrolling in Part D only
Correct Answer: A
Rationale: An SEP allows enrollment outside standard periods due to qualifying life
events.
11. Which of the following is a qualifying event for an SEP?
A. Moving to a new address
B. Losing employer coverage
, C. Becoming eligible for Medicaid
D. All of the above
Correct Answer: D
Rationale: All of these are qualifying events for an SEP.
12. What is the late enrollment penalty for Part B?
A. 10% of the Part B premium for each 12-month period of non-enrollment
B. 20% of the Part B premium for each 12-month period of non-enrollment
C. 5% of the Part B premium for each 12-month period of non-enrollment
D. 15% of the Part B premium for each 12-month period of non-enrollment
Correct Answer: A
Rationale: The late enrollment penalty for Part B is 10% of the premium for each 12-
month period of non-enrollment.
13. What is the late enrollment penalty for Part D?
A. 1% of the national base beneficiary premium for each month of non-enrollment
B. 2% of the national base beneficiary premium for each month of non-enrollment
C. 5% of the national base beneficiary premium for each month of non-enrollment
D. 10% of the national base beneficiary premium for each month of non-enrollment
Correct Answer: A
Rationale: The Part D late enrollment penalty is 1% of the national base beneficiary
premium for each month of non-enrollment.
14. Medicare Advantage plans are also known as:
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: C
Rationale: Medicare Advantage plans are Part C plans offered by private insurers.
15. Which of the following is true about Medicare Advantage plans?
Certification – Actual Questions & Answers
(AHIP) Guarantee Pass (Updated Pdf)
1. What are the four parts of Medicare?
A. Part A, B, C, D
B. Part A, B, C, E
C. Part A, B, D, E
D. Part A, B, C, F
Correct Answer: A
Rationale: Medicare has four parts: Part A (Hospital Insurance), Part B (Medical
Insurance), Part C (Medicare Advantage), and Part D (Prescription Drug Coverage).
2. Who is eligible for Medicare?
A. Individuals age 65 or older
B. Individuals under 65 with certain disabilities
C. Individuals of any age with End-Stage Renal Disease (ESRD)
D. All of the above
Correct Answer: D
Rationale: Medicare is available to individuals age 65+, under 65 with disabilities, and
those of any age with ESRD.
3. Medicare Part A covers which of the following?
A. Inpatient hospital care
B. Skilled nursing facility care
C. Hospice care
D. All of the above
Correct Answer: D
Rationale: Part A covers inpatient hospital care, skilled nursing facility care, hospice, and
some home health care.
,4. Medicare Part B covers which of the following?
A. Outpatient services
B. Physician services
C. Preventive services
D. All of the above
Correct Answer: D
Rationale: Part B covers outpatient services, physician services, preventive services, and
some home health care.
5. Medicare Part D covers:
A. Prescription drugs
B. Inpatient hospital care
C. Outpatient services
D. Preventive services
Correct Answer: A
Rationale: Part D provides prescription drug coverage through private plans.
6. What is the Initial Enrollment Period (IEP) for Medicare?
A. 3 months before, the month of, and 3 months after the 65th birthday
B. 6 months before and 6 months after the 65th birthday
C. Only the month of the 65th birthday
D. 12 months before the 65th birthday
Correct Answer: A
Rationale: The Initial Enrollment Period is a 7-month window: 3 months before, the
month of, and 3 months after the 65th birthday.
7. What is the General Enrollment Period for Medicare Part B?
A. January 1 – March 31 each year
B. April 1 – June 30 each year
C. October 15 – December 7 each year
D. January 1 – February 14 each year
,Correct Answer: A
Rationale: The General Enrollment Period for Part B is January 1 through March 31 each
year.
8. What is the Annual Enrollment Period (AEP) for Medicare?
A. January 1 – March 31
B. April 1 – June 30
C. October 15 – December 7
D. January 1 – December 31
Correct Answer: C
Rationale: The Annual Enrollment Period is October 15 through December 7 each year.
9. What is the Medicare Open Enrollment Period (OEP)?
A. January 1 – March 31
B. October 15 – December 7
C. April 1 – June 30
D. January 1 – February 14
Correct Answer: A
Rationale: The Medicare Open Enrollment Period is January 1 through March 31 each
year.
10. What is the Special Enrollment Period (SEP)?
A. A period for enrolling in Medicare outside the standard enrollment periods
B. A period for disenrolling from Medicare
C. A period for changing Medicare Advantage plans only
D. A period for enrolling in Part D only
Correct Answer: A
Rationale: An SEP allows enrollment outside standard periods due to qualifying life
events.
11. Which of the following is a qualifying event for an SEP?
A. Moving to a new address
B. Losing employer coverage
, C. Becoming eligible for Medicaid
D. All of the above
Correct Answer: D
Rationale: All of these are qualifying events for an SEP.
12. What is the late enrollment penalty for Part B?
A. 10% of the Part B premium for each 12-month period of non-enrollment
B. 20% of the Part B premium for each 12-month period of non-enrollment
C. 5% of the Part B premium for each 12-month period of non-enrollment
D. 15% of the Part B premium for each 12-month period of non-enrollment
Correct Answer: A
Rationale: The late enrollment penalty for Part B is 10% of the premium for each 12-
month period of non-enrollment.
13. What is the late enrollment penalty for Part D?
A. 1% of the national base beneficiary premium for each month of non-enrollment
B. 2% of the national base beneficiary premium for each month of non-enrollment
C. 5% of the national base beneficiary premium for each month of non-enrollment
D. 10% of the national base beneficiary premium for each month of non-enrollment
Correct Answer: A
Rationale: The Part D late enrollment penalty is 1% of the national base beneficiary
premium for each month of non-enrollment.
14. Medicare Advantage plans are also known as:
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: C
Rationale: Medicare Advantage plans are Part C plans offered by private insurers.
15. Which of the following is true about Medicare Advantage plans?
