AHIP FINAL EXAM QUESTIONSLATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
1. PPO,mHMO,mMSA,mCostmPlan,mPFFSm-
mCORRECTmANSWERmTypesmofmMedicaremAdvantagemPlans
2. ServembothmMedicaremandmMedicaidmindividuals.mIncludemPartmDmcoverage.mIndividualsmso
metimesmreferredmtomasmdualmeligiblesm-mCORRECTmANSWERmMedicare-Medicaidmplans
3. TypemofmMedicaremhealthmplan.mHavemPartmBmtomenroll.mCanmjoinmanytimemplanmismaccepti
ngmnewmmembers.mAmnonmnetworkmprovidermwillmcanmchargemhighermcoinsurancesmandmd
euctibles.mDifferentmenrollment/disenrollmentmperiodsmapply.mCanmgetmPartmDmRxmcoverag
emifmavailable,mormapplymformamseparatemPDP.m-mCORRECTmANSWERmMedicaremCostmPlan
4. IndividualsmwithmESRDmmaymsignmupmatmanytime.mDatemonmwhichmcoveragembeginsmismthemf
ourthmmonthmaftermdialysismbegins.m-
mCORRECTmANSWERmMedicaremEntitlement/Enrollmentm-mPartmAm&mPartmB
5. IndividualsmwhomdomnotmenrollminmPartmBmwhenmfirstmeligiblemcanmenrollmduringmamGeneralm
EnrollmentmPeriod,mJanm1stmtomMarm31stmeachmyear.mCoveragembeginsmJulym1stmofmthatmye
ar.m-mCORRECTmANSWERmMedicaremEnrollmentmPeriod
6. IndividualsmwhomhavemgroupmhealthmcoveagemthroughmemployermmaymenrollminmPartmAman
d/ormPartmBmanytimemwhilemonmgroupmcoveragemduringmamSpecialmEnrollmentmPeriod.mOcc
ursmduringmthem8mmonthmperiodmfollowingmlastmmonthmofmgroupmcoverage.m-
mCORRECTmANSWERmMedicaremEnrollmentmPeriodm-mGroupmHealthmCoverage
7. Freemifmworkedm40mquartersmofmyourmlifemandmpaidmMedicaremtaxes.mPremiummism$240.00m
formindividualsmormspousesmwhompaidmMedicaremtaxesmform30m-
, m39mquarters.mPremiummism$437.00mformlessmthanm30mquarters.m-
mCORRECTmANSWERmMedicaremPartmAmPremium
8. Don'tmenrollminmPartmAmwhenmfistmeligible,mwillmpaymamlatempenaltymofmupmtom10%munlessme
nrollmduringmamSpecialmEnrollmentmPeriod.m-
mCORRECTmANSWERmMedicaremPartmAmPenalty
9. Inm2019,mthemstandardmmonthlympremiummism$135.50mormhighermdependingmonmincome.m
DeductedmfrommS.S.mcheckmormRailroadmRetirementmcheck.mDomnotmenrollmwhenmfirstmeligi
ble,mpremiummismincreasedm10%mformeachm12mmonthmperiodmnotmenrolled.mDeductiblemfor
m2019mism$185.00m-mCORRECTmANSWERmMedicaremPartmBmPremium
10. EntiledmtombenefitsmundermPartmAmANDmenrolledminmPartmB.m-
mCORRECTmANSWERmPartmCmMedicaremAdvantagemplans
11. EntitledmtombenefitsmundermPartmAmbutmnotmenrolledminmPartmB.mMustmbementitledmtomPartm
AmAND/ORmenrolledminmPartmB.m-mCORRECTmANSWERmPartmDmPrescriptionmDrugmbenefits
12. DomnotmqualifymformPartmDmLowmIncomemSubsidy,mbutmaremofmlimitedmmeans,mmaymqualifym
formhelpminmPartmDmcostsmthroughmStatemPharmaceuticalmAssistancemProgram.m-
mCORRECTmANSWERmPartmDmLowmIncomemSubsidy
13. $1364.00mdeductiblemformeachmbenefitmperiod.mDaysm1m-m60:m$0mcoinsurance.mDaysm61m-
m90:m$341.00mcoinsurancempermday.mdaysm91mandmbeyond:m$682.00mcoinsurancempermeach
m"lifetimemreservemday"maftermdaym90mformeachmbenefitmperiodm(upmtom60mdaysmovermamben
eficiarysmlifetime.mBeyondmlifetimemreservemdays,mallmcosts.m-
mCORRECTmANSWERmPartmAmBenefits
14. Blood,mhospice,mhomemhealthmcare,mskilledmnursingmandmrehabilitativemcaremonlymaftermam
3mdaymhospitalmstaymupmtom100mdaysminmambenefitmperiod.mInm2019,mwillmpaym$170.50mcoin
surancemformdaysm21m-
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
1. PPO,mHMO,mMSA,mCostmPlan,mPFFSm-
mCORRECTmANSWERmTypesmofmMedicaremAdvantagemPlans
2. ServembothmMedicaremandmMedicaidmindividuals.mIncludemPartmDmcoverage.mIndividualsmso
metimesmreferredmtomasmdualmeligiblesm-mCORRECTmANSWERmMedicare-Medicaidmplans
3. TypemofmMedicaremhealthmplan.mHavemPartmBmtomenroll.mCanmjoinmanytimemplanmismaccepti
ngmnewmmembers.mAmnonmnetworkmprovidermwillmcanmchargemhighermcoinsurancesmandmd
euctibles.mDifferentmenrollment/disenrollmentmperiodsmapply.mCanmgetmPartmDmRxmcoverag
emifmavailable,mormapplymformamseparatemPDP.m-mCORRECTmANSWERmMedicaremCostmPlan
4. IndividualsmwithmESRDmmaymsignmupmatmanytime.mDatemonmwhichmcoveragembeginsmismthemf
ourthmmonthmaftermdialysismbegins.m-
mCORRECTmANSWERmMedicaremEntitlement/Enrollmentm-mPartmAm&mPartmB
5. IndividualsmwhomdomnotmenrollminmPartmBmwhenmfirstmeligiblemcanmenrollmduringmamGeneralm
EnrollmentmPeriod,mJanm1stmtomMarm31stmeachmyear.mCoveragembeginsmJulym1stmofmthatmye
ar.m-mCORRECTmANSWERmMedicaremEnrollmentmPeriod
6. IndividualsmwhomhavemgroupmhealthmcoveagemthroughmemployermmaymenrollminmPartmAman
d/ormPartmBmanytimemwhilemonmgroupmcoveragemduringmamSpecialmEnrollmentmPeriod.mOcc
ursmduringmthem8mmonthmperiodmfollowingmlastmmonthmofmgroupmcoverage.m-
mCORRECTmANSWERmMedicaremEnrollmentmPeriodm-mGroupmHealthmCoverage
7. Freemifmworkedm40mquartersmofmyourmlifemandmpaidmMedicaremtaxes.mPremiummism$240.00m
formindividualsmormspousesmwhompaidmMedicaremtaxesmform30m-
, m39mquarters.mPremiummism$437.00mformlessmthanm30mquarters.m-
mCORRECTmANSWERmMedicaremPartmAmPremium
8. Don'tmenrollminmPartmAmwhenmfistmeligible,mwillmpaymamlatempenaltymofmupmtom10%munlessme
nrollmduringmamSpecialmEnrollmentmPeriod.m-
mCORRECTmANSWERmMedicaremPartmAmPenalty
9. Inm2019,mthemstandardmmonthlympremiummism$135.50mormhighermdependingmonmincome.m
DeductedmfrommS.S.mcheckmormRailroadmRetirementmcheck.mDomnotmenrollmwhenmfirstmeligi
ble,mpremiummismincreasedm10%mformeachm12mmonthmperiodmnotmenrolled.mDeductiblemfor
m2019mism$185.00m-mCORRECTmANSWERmMedicaremPartmBmPremium
10. EntiledmtombenefitsmundermPartmAmANDmenrolledminmPartmB.m-
mCORRECTmANSWERmPartmCmMedicaremAdvantagemplans
11. EntitledmtombenefitsmundermPartmAmbutmnotmenrolledminmPartmB.mMustmbementitledmtomPartm
AmAND/ORmenrolledminmPartmB.m-mCORRECTmANSWERmPartmDmPrescriptionmDrugmbenefits
12. DomnotmqualifymformPartmDmLowmIncomemSubsidy,mbutmaremofmlimitedmmeans,mmaymqualifym
formhelpminmPartmDmcostsmthroughmStatemPharmaceuticalmAssistancemProgram.m-
mCORRECTmANSWERmPartmDmLowmIncomemSubsidy
13. $1364.00mdeductiblemformeachmbenefitmperiod.mDaysm1m-m60:m$0mcoinsurance.mDaysm61m-
m90:m$341.00mcoinsurancempermday.mdaysm91mandmbeyond:m$682.00mcoinsurancempermeach
m"lifetimemreservemday"maftermdaym90mformeachmbenefitmperiodm(upmtom60mdaysmovermamben
eficiarysmlifetime.mBeyondmlifetimemreservemdays,mallmcosts.m-
mCORRECTmANSWERmPartmAmBenefits
14. Blood,mhospice,mhomemhealthmcare,mskilledmnursingmandmrehabilitativemcaremonlymaftermam
3mdaymhospitalmstaymupmtom100mdaysminmambenefitmperiod.mInm2019,mwillmpaym$170.50mcoin
surancemformdaysm21m-