AHIP FINAL EXAM TEST QUESTIONS
LATEST 2026/2027 ACTUAL EXAM
QUESTIONS WITH CORRECT ANSWERS
100% VERIFIED GRADED A+
1. Mrs.mWestmwearsmglassesmandmdenturesmandmhasmenjoyedmconsiderablempainmreliefmfromm
arthritismthroughmacupuncture.mShemismconcernedmaboutmwhethermormnotmMedicaremwillmc
overmthesemitemsmandmservices.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERmMedicaremdoesmnotmcovermacupuncture,mor,minmgeneral,mglassesmormd
entures.
2. Mr.mBickfordmdidmnotmquitemqualifymformthemextramhelpmlow-
incomemsubsidymundermthemMedicaremPartmDmPrescriptionmDrugmprogrammandmhemismwond
eringmifmtheremismanymothermoptionmhemhasmformobtainingmhelpmwithmhismconsiderablemdrug
mcosts.mWhatmshouldmyoumtellmhim?m-
mCORRECTmANSWERmHemcouldmcheckmwithmthemmanufacturersmofmhismmedicationsmtomsee
mifmtheymoffermanmassistancemprogrammtomhelpmpeoplemwithmlimitedmmeansmobtainmthemme
dicationsmtheymneed.mAlternatively,mhemcouldmcheckmtomseemwhethermhismstatemhasmamphar
macymassistancemprogrammtomhelpmhimmwithmhismexpenses.
3. Mr.mLombardimisminterestedminmamMedicaremAdvantagem(MA)mPPOmplanmthatmyoumrepresen
t.mItmismonemofmthreemplansmoperatedmbymthemsamemorganizationminmMr.mLombardi'smarea.m
ThemMAmPPOmplanmdoesmnotmincludemdrugmcoverage,mbutmthemothermtwomplansmdo.mMr.mL
ombardimlikesmthemPPOmplanmthatmdoesmnotmincludemdrugmcoveragemandmintendsmtomobtai
nmhismdrugmcoveragemthroughmamstand-
alonemMedicaremprescriptionmdrugmplan.mWhatmshouldmyoumtellmhimmaboutmthismsituation
?m-
mCORRECTmANSWERmHemcouldmenrollminmonemofmthemMAmplansmthatmincludemprescriptionm
drugmcoveragemormamMedigapmplanmandmamstand-
alonemprescriptionmdrugmplan,mbutmhemcannotmenrollminmthemMA-
onlymPPOmplanmandmamstand-alonemprescriptionmdrugmplan.
, 4. Mr.mTorresmhasmamsmallmsavingsmaccount.mHemwouldmlikemtompaymformhismmonthlymPartmDmp
remiumsmwithmanmautomaticmmonthlymwithdrawalmfrommhismsavingsmaccountmuntilmitmismex
hausted,mandmthenmhavemhismpremiumsmwithheldmfrommhismSocialmSecuritymcheck.mWhatms
houldmyoumtellmhim?m-
mCORRECTmANSWERmInmgeneral,mhemmustmselectmamsinglemPartmDmpremiummpaymentmmec
hanismmthatmwillmbemusedmthroughoutmthemyear.
5. AgentmJenningsmmakesmampresentationmonmMedicaremadvertisedmasmanmeducationalmevent
.mAgentmJenningsmdistributesmmaterialsmthatmaremsolelymeducationalminmnature.mHowever,m
shemgivesmambriefmpresentationmthatmmentionsmplan-
specificmpremiums.mIsmthismamprohibitedmactivitymatmanmeventmthatmhasmbeenmadvertisedma
smeducational?m-
mCORRECTmANSWERmYes.mWhenmanmeventmhasmbeenmadvertisedmasm"educational,"mdiscus
singmplan-specificmpremiumsmismimpermissible.
6. Mrs.mMulcahymismconcernedmthatmshemmaymnotmqualifymformenrollmentminmamMedicarempre
scriptionmdrugmplanmbecause,malthoughmshemismentitledmtomPartmA,mshemismnotmenrolledmun
dermMedicaremPartmB.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERmEveryonemwhomismentitledmtomPartmAmormenrolledmundermPartmBmismeli
giblemtomenrollminmamMedicaremprescriptionmdrugmplan.mAsmlongmasmMrs.mMulcahymismentitl
edmtomPartmA,mshemdoesmnotmneedmtomenrollmundermPartmBmbeforemenrollingminmamprescripti
onmdrugmplan.
7. Mr.mJacobmunderstandsmthatmtheremismamstandardmMedicaremPartmDmprescriptionmdrugmben
efit,mbutmwhenmhemlooksmatminformationmonmvariousmplansmavailableminmhismarea,mhemseesm
amwidemrangeminmwhatmtheymchargemformdeductibles,mpremiumsmandmcostmsharing.mHowmc
anmyoumexplainmthismtomhim?m-
mCORRECTmANSWERmMedicaremPartmDmdrugmplansmmaymhavemdifferentmbenefitmstructures
,mbutmonmaverage,mtheymmustmallmbematmleastmasmgoodmasmthemstandardmmodelmestablished
mbymthemgovernment.
8. Ms.mMooremplansmtomretiremwhenmshemturnsm65minmamfewmmonths.mShemisminmexcellentmhea
lthmandmwillmhavemconsiderablemincomemwhenmshemretires.mShemismconcernedmthatmherminc
omemwillmmakemitmimpossiblemformhermtomqualifymformMedicare.mWhatmcouldmyoumtellmhermt
LATEST 2026/2027 ACTUAL EXAM
QUESTIONS WITH CORRECT ANSWERS
100% VERIFIED GRADED A+
1. Mrs.mWestmwearsmglassesmandmdenturesmandmhasmenjoyedmconsiderablempainmreliefmfromm
arthritismthroughmacupuncture.mShemismconcernedmaboutmwhethermormnotmMedicaremwillmc
overmthesemitemsmandmservices.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERmMedicaremdoesmnotmcovermacupuncture,mor,minmgeneral,mglassesmormd
entures.
2. Mr.mBickfordmdidmnotmquitemqualifymformthemextramhelpmlow-
incomemsubsidymundermthemMedicaremPartmDmPrescriptionmDrugmprogrammandmhemismwond
eringmifmtheremismanymothermoptionmhemhasmformobtainingmhelpmwithmhismconsiderablemdrug
mcosts.mWhatmshouldmyoumtellmhim?m-
mCORRECTmANSWERmHemcouldmcheckmwithmthemmanufacturersmofmhismmedicationsmtomsee
mifmtheymoffermanmassistancemprogrammtomhelpmpeoplemwithmlimitedmmeansmobtainmthemme
dicationsmtheymneed.mAlternatively,mhemcouldmcheckmtomseemwhethermhismstatemhasmamphar
macymassistancemprogrammtomhelpmhimmwithmhismexpenses.
3. Mr.mLombardimisminterestedminmamMedicaremAdvantagem(MA)mPPOmplanmthatmyoumrepresen
t.mItmismonemofmthreemplansmoperatedmbymthemsamemorganizationminmMr.mLombardi'smarea.m
ThemMAmPPOmplanmdoesmnotmincludemdrugmcoverage,mbutmthemothermtwomplansmdo.mMr.mL
ombardimlikesmthemPPOmplanmthatmdoesmnotmincludemdrugmcoveragemandmintendsmtomobtai
nmhismdrugmcoveragemthroughmamstand-
alonemMedicaremprescriptionmdrugmplan.mWhatmshouldmyoumtellmhimmaboutmthismsituation
?m-
mCORRECTmANSWERmHemcouldmenrollminmonemofmthemMAmplansmthatmincludemprescriptionm
drugmcoveragemormamMedigapmplanmandmamstand-
alonemprescriptionmdrugmplan,mbutmhemcannotmenrollminmthemMA-
onlymPPOmplanmandmamstand-alonemprescriptionmdrugmplan.
, 4. Mr.mTorresmhasmamsmallmsavingsmaccount.mHemwouldmlikemtompaymformhismmonthlymPartmDmp
remiumsmwithmanmautomaticmmonthlymwithdrawalmfrommhismsavingsmaccountmuntilmitmismex
hausted,mandmthenmhavemhismpremiumsmwithheldmfrommhismSocialmSecuritymcheck.mWhatms
houldmyoumtellmhim?m-
mCORRECTmANSWERmInmgeneral,mhemmustmselectmamsinglemPartmDmpremiummpaymentmmec
hanismmthatmwillmbemusedmthroughoutmthemyear.
5. AgentmJenningsmmakesmampresentationmonmMedicaremadvertisedmasmanmeducationalmevent
.mAgentmJenningsmdistributesmmaterialsmthatmaremsolelymeducationalminmnature.mHowever,m
shemgivesmambriefmpresentationmthatmmentionsmplan-
specificmpremiums.mIsmthismamprohibitedmactivitymatmanmeventmthatmhasmbeenmadvertisedma
smeducational?m-
mCORRECTmANSWERmYes.mWhenmanmeventmhasmbeenmadvertisedmasm"educational,"mdiscus
singmplan-specificmpremiumsmismimpermissible.
6. Mrs.mMulcahymismconcernedmthatmshemmaymnotmqualifymformenrollmentminmamMedicarempre
scriptionmdrugmplanmbecause,malthoughmshemismentitledmtomPartmA,mshemismnotmenrolledmun
dermMedicaremPartmB.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERmEveryonemwhomismentitledmtomPartmAmormenrolledmundermPartmBmismeli
giblemtomenrollminmamMedicaremprescriptionmdrugmplan.mAsmlongmasmMrs.mMulcahymismentitl
edmtomPartmA,mshemdoesmnotmneedmtomenrollmundermPartmBmbeforemenrollingminmamprescripti
onmdrugmplan.
7. Mr.mJacobmunderstandsmthatmtheremismamstandardmMedicaremPartmDmprescriptionmdrugmben
efit,mbutmwhenmhemlooksmatminformationmonmvariousmplansmavailableminmhismarea,mhemseesm
amwidemrangeminmwhatmtheymchargemformdeductibles,mpremiumsmandmcostmsharing.mHowmc
anmyoumexplainmthismtomhim?m-
mCORRECTmANSWERmMedicaremPartmDmdrugmplansmmaymhavemdifferentmbenefitmstructures
,mbutmonmaverage,mtheymmustmallmbematmleastmasmgoodmasmthemstandardmmodelmestablished
mbymthemgovernment.
8. Ms.mMooremplansmtomretiremwhenmshemturnsm65minmamfewmmonths.mShemisminmexcellentmhea
lthmandmwillmhavemconsiderablemincomemwhenmshemretires.mShemismconcernedmthatmherminc
omemwillmmakemitmimpossiblemformhermtomqualifymformMedicare.mWhatmcouldmyoumtellmhermt