AHIP FINAL EXAM LATEST 2026/2027
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
1. TypesmofmMedicaremAdvantagemPlansm-
mCORRECTmANSWERmPPO,mHMO,mMSA,mCostmPlan,mPFFS
2. Medicare-Medicaidmplansm-
mCORRECTmANSWERmServembothmMedicaremandmMedicaidmindividuals.mIncludemPartmDmco
verage.mIndividualsmsometimesmreferredmtomasmdualmeligibles
3. MedicaremCostmPlanm-
mCORRECTmANSWERmTypemofmMedicaremhealthmplan.mHavemPartmBmtomenroll.mCanmjoinmany
timemplanmismacceptingmnewmmembers.mAmnonmnetworkmprovidermwillmcanmchargemhigherm
coinsurancesmandmdeuctibles.mDifferentmenrollment/disenrollmentmperiodsmapply.mCanmge
tmPartmDmRxmcoveragemifmavailable,mormapplymformamseparatemPDP.
4. MedicaremEntitlement/Enrollmentm-mPartmAm&mPartmBm-
mCORRECTmANSWERmIndividualsmwithmESRDmmaymsignmupmatmanytime.mDatemonmwhichmcov
eragembeginsmismthemfourthmmonthmaftermdialysismbegins.
5. MedicaremEnrollmentmPeriodm-
mCORRECTmANSWERmIndividualsmwhomdomnotmenrollminmPartmBmwhenmfirstmeligiblemcanmenr
ollmduringmamGeneralmEnrollmentmPeriod,mJanm1stmtomMarm31stmeachmyear.mCoveragembegin
smJulym1stmofmthatmyear.
6. MedicaremEnrollmentmPeriodm-mGroupmHealthmCoveragem-
mCORRECTmANSWERmIndividualsmwhomhavemgroupmhealthmcoveagemthroughmemployermma
ymenrollminmPartmAmand/ormPartmBmanytimemwhilemonmgroupmcoveragemduringmamSpecialmEnr
ollmentmPeriod.mOccursmduringmthem8mmonthmperiodmfollowingmlastmmonthmofmgroupmcove
rage.
, 7. MedicaremPartmAmPremiumm-
mCORRECTmANSWERmFreemifmworkedm40mquartersmofmyourmlifemandmpaidmMedicaremtaxes.m
Premiummism$240.00mformindividualsmormspousesmwhompaidmMedicaremtaxesmform30m-
m39mquarters.mPremiummism$437.00mformlessmthanm30mquarters.
8. MedicaremPartmAmPenaltym-
mCORRECTmANSWERmDon'tmenrollminmPartmAmwhenmfistmeligible,mwillmpaymamlatempenaltymof
mupmtom10%munlessmenrollmduringmamSpecialmEnrollmentmPeriod.
9. MedicaremPartmBmPremiumm-
mCORRECTmANSWERmInm2019,mthemstandardmmonthlympremiummism$135.50mormhighermdep
endingmonmincome.mDeductedmfrommS.S.mcheckmormRailroadmRetirementmcheck.mDomnotmen
rollmwhenmfirstmeligible,mpremiummismincreasedm10%mformeachm12mmonthmperiodmnotmenrol
led.mDeductiblemform2019mism$185.00
10. PartmCmMedicaremAdvantagemplansm-
mCORRECTmANSWERmEntiledmtombenefitsmundermPartmAmANDmenrolledminmPartmB.
11. PartmDmPrescriptionmDrugmbenefitsm-
mCORRECTmANSWERmEntitledmtombenefitsmundermPartmAmbutmnotmenrolledminmPartmB.mMust
mbementitledmtomPartmAmAND/ORmenrolledminmPartmB.
12. PartmDmLowmIncomemSubsidym-
mCORRECTmANSWERmDomnotmqualifymformPartmDmLowmIncomemSubsidy,mbutmaremofmlimitedm
means,mmaymqualifymformhelpminmPartmDmcostsmthroughmStatemPharmaceuticalmAssistancem
Program.
13. PartmAmBenefitsm-
mCORRECTmANSWERm$1364.00mdeductiblemformeachmbenefitmperiod.mDaysm1m-
m60:m$0mcoinsurance.mDaysm61m-
m90:m$341.00mcoinsurancempermday.mdaysm91mandmbeyond:m$682.00mcoinsurancempermeach
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
1. TypesmofmMedicaremAdvantagemPlansm-
mCORRECTmANSWERmPPO,mHMO,mMSA,mCostmPlan,mPFFS
2. Medicare-Medicaidmplansm-
mCORRECTmANSWERmServembothmMedicaremandmMedicaidmindividuals.mIncludemPartmDmco
verage.mIndividualsmsometimesmreferredmtomasmdualmeligibles
3. MedicaremCostmPlanm-
mCORRECTmANSWERmTypemofmMedicaremhealthmplan.mHavemPartmBmtomenroll.mCanmjoinmany
timemplanmismacceptingmnewmmembers.mAmnonmnetworkmprovidermwillmcanmchargemhigherm
coinsurancesmandmdeuctibles.mDifferentmenrollment/disenrollmentmperiodsmapply.mCanmge
tmPartmDmRxmcoveragemifmavailable,mormapplymformamseparatemPDP.
4. MedicaremEntitlement/Enrollmentm-mPartmAm&mPartmBm-
mCORRECTmANSWERmIndividualsmwithmESRDmmaymsignmupmatmanytime.mDatemonmwhichmcov
eragembeginsmismthemfourthmmonthmaftermdialysismbegins.
5. MedicaremEnrollmentmPeriodm-
mCORRECTmANSWERmIndividualsmwhomdomnotmenrollminmPartmBmwhenmfirstmeligiblemcanmenr
ollmduringmamGeneralmEnrollmentmPeriod,mJanm1stmtomMarm31stmeachmyear.mCoveragembegin
smJulym1stmofmthatmyear.
6. MedicaremEnrollmentmPeriodm-mGroupmHealthmCoveragem-
mCORRECTmANSWERmIndividualsmwhomhavemgroupmhealthmcoveagemthroughmemployermma
ymenrollminmPartmAmand/ormPartmBmanytimemwhilemonmgroupmcoveragemduringmamSpecialmEnr
ollmentmPeriod.mOccursmduringmthem8mmonthmperiodmfollowingmlastmmonthmofmgroupmcove
rage.
, 7. MedicaremPartmAmPremiumm-
mCORRECTmANSWERmFreemifmworkedm40mquartersmofmyourmlifemandmpaidmMedicaremtaxes.m
Premiummism$240.00mformindividualsmormspousesmwhompaidmMedicaremtaxesmform30m-
m39mquarters.mPremiummism$437.00mformlessmthanm30mquarters.
8. MedicaremPartmAmPenaltym-
mCORRECTmANSWERmDon'tmenrollminmPartmAmwhenmfistmeligible,mwillmpaymamlatempenaltymof
mupmtom10%munlessmenrollmduringmamSpecialmEnrollmentmPeriod.
9. MedicaremPartmBmPremiumm-
mCORRECTmANSWERmInm2019,mthemstandardmmonthlympremiummism$135.50mormhighermdep
endingmonmincome.mDeductedmfrommS.S.mcheckmormRailroadmRetirementmcheck.mDomnotmen
rollmwhenmfirstmeligible,mpremiummismincreasedm10%mformeachm12mmonthmperiodmnotmenrol
led.mDeductiblemform2019mism$185.00
10. PartmCmMedicaremAdvantagemplansm-
mCORRECTmANSWERmEntiledmtombenefitsmundermPartmAmANDmenrolledminmPartmB.
11. PartmDmPrescriptionmDrugmbenefitsm-
mCORRECTmANSWERmEntitledmtombenefitsmundermPartmAmbutmnotmenrolledminmPartmB.mMust
mbementitledmtomPartmAmAND/ORmenrolledminmPartmB.
12. PartmDmLowmIncomemSubsidym-
mCORRECTmANSWERmDomnotmqualifymformPartmDmLowmIncomemSubsidy,mbutmaremofmlimitedm
means,mmaymqualifymformhelpminmPartmDmcostsmthroughmStatemPharmaceuticalmAssistancem
Program.
13. PartmAmBenefitsm-
mCORRECTmANSWERm$1364.00mdeductiblemformeachmbenefitmperiod.mDaysm1m-
m60:m$0mcoinsurance.mDaysm61m-
m90:m$341.00mcoinsurancempermday.mdaysm91mandmbeyond:m$682.00mcoinsurancempermeach