AHIP 2026 LATEST 2026/2027 ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED GRADED A+

AHIP 2026 LATEST 2026/2027 ACTUAL
EXAM QUESTIONS WITH CORRECT
ANSWERS 100% VERIFIED GRADED A+
1. Mr.mSchmidtmwouldmlikemtomplanmformretirementmandmhasmaskedmyoumwhatmismcoveredmund
ermOriginalmFee-for-Servicem(FFS)mMedicare.mWhatmcouldmyoumtellmhim?m-
mCORRECTmANSWERmPartmA,mwhichmcoversmhospital,mskilledmnursingmfacility,mhospice,mand


mhomemhealthmservicesmandmPartmB,mwhichmcoversmprofessionalmservicesmsuchmasmthosempr


ovidedmbymamdoctormaremcoveredmundermOriginalmMedicare.



2. Mrs.mCookmismanmelderlymretiree.mMrs.mCookmhasmamlowmfixedmincome.mWhatmcouldmyoumtel
lmMrs.mCookmthatmmightmbemofmassistance?m-
mCORRECTmANSWERmShemshouldmcontactmhermstatemMedicaidmagencymtomseemifmshemqualif


iesmformonemofmthemseveralmprogramsmthatmcanmhelpmwithmMedicaremcostsmformwhichmshemi
smresponsible.



3. Mr.mMoymwillmsoonmturnmagem65.mHemismslightlymyoungermthanmhismwife.mMr.mMoy'smwifemh
asmamMedicaremAdvantagemplan,mbutmhemwantsmtomunderstandmwhatmcoveragemMedicarem
Supplementalminsurancemprovidesmsincemhismhealthmcaremneedsmaremdifferentmfrommhismwi
fe'smneeds.mWhatmcouldmyoumtellmMr.mMoy?m-
mCORRECTmANSWERmMedicaremsupplementalminsurancemwouldmhelpmcovermhismPartmAmde


ductiblemandmPartmBmcoinsurancemormcopaymentsminmOriginalmFee-for-
Servicem(FFS)mMedicaremasmwellmasmpossiblymsomemservicesmthatmMedicaremdoesmnotmcove
r



4. Mr.mVasquezmisminmgoodmhealthmandmismpreparingmambudgetminmanticipationmofmhismretirem
entmwhenmhemturnsm66.mHemwantsmtomunderstandmthemhealthmcaremcostsmhemmightmbemexp
osedmtomundermMedicaremismhemweremtomrequiremhospitalizationmbecausemofmanmillness.mIn
mgeneralmterms,mwhatmcouldmyoumtellmhimmaboutmhismcostsmforminpatientmhospitalmservices


mundermOriginalmMedicare?m-


mCORRECTmANSWERmUndermOriginalmMedicare,mtheremismamsinglemdeductiblemamountmdue


mformthemfirstm60mdaysmofmanyminpatientmhospitalmstay,maftermwhichmitmconvertsmintomamper-


daymcoinsurancemamountmthroughmdaym90.mAftermdaym90,mhemwouldmpaymamdailymamountm
upmtom60mdaysmovermhismlifetime,maftermwhichmhemwouldmbemresponsiblemformallmcosts

,5. Mr.mWumismeligiblemformMedicare.mHemhasmlimitedmfinancialmresourcesmbutmfailedmtomqualif
ymformthemPartmDmlow-
incomemsubsidy.mWheremmightmhemturnmformhelpmwithmhismprescriptionmdrugmcosts?m-
mCORRECTmANSWERmMr.mWummaymstillmqualifymformhelpminmpayingmPartmDmcostsmthroughmh


ismStatemPharmaceuticalmAssistancemprogramm(SPAP)



6. Ms.mHendersonmbelievesmthatmshemwillmqualifymformMedicaremCoveragemwhenmshemturnsm6
5,mwithoutmpayingmanympremiums,mbecausemshemhasmbeenmworkingmform40myearsmandmpay
ingmMedicaremtaxes.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERmTomobtainmPartmBmcoverage,mshemmustmpaymamstandardmmonthlympre


mium,mthoughmitmismhighermformindividualsmwithmhighermincome



7. AgentmJohnmMillermismmeetingmwithmJerrymSmith,mamnewmprospect.mJerrymismcurrentlymenro
lledminmMedicaremPartsmAmandmB.mJerrymhasmalsompurchasedmamMedicaremSupplementm(Me
digap)mplanmwhichmhemhasmhadmformseveralmyears.mHowever,mthemplanmdoesmnotmprovidemd
rugmbenefits.mHowmwouldmyoumadvisemAgentmJohnmMillermtomproceed?m-
mCORRECTmANSWERmTellmprospectmJerrymSmithmthatmhemshouldmconsidermaddingmamstanda


lonemPartmDmprescriptionmdrugmcoveragempolicymtomhismpresentmcoverage



8. MadelinemMartinezmwasmwidowedmseveralmyearsmago.mHermhusbandmworkedmformmanymye
arsmandmcontributedmintomthemMedicaremsystem.mHemalsomleftmamsubstantialmestatemwhichm
providesmMadelinemwithmanmannualmincomemofmapproximatelym$130,000.mMadeline,mwho
mhasmonlymworkedmpart-


timemformthemlastmthreemyears,mwillmsoonmturnmagem65mandmhopesmtomenrollminmOriginalmM
edicare.mShemcomesmtomyoumformadvice.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERmYoumshouldmtellmMadelinemthatmshemwillmbemablemtomenrollminmMedic


aremPartmAmwithoutmpayingmmonthlympremiumsmduemtomhermhusband'smlongmworkmrecordm
andmparticipationminmthemMedicaremsystem.mYoumshouldmalsomtellmMadelinemthatmshemwillm
paymPartmBmpremiumsmatmmoremthanmthemstandardmlowestmratembutmlessmthanmthemhighest
mratemduemhermsubstantialmincome




9. Ms.mKumarmplansmtomretiremwhenmshemturnsm65minmamfewmmonths.mShemisminmexcellentmhea
lthmandmwillmhavemconsiderablemincomemwhenmshemretires.mShemismconcernedmthatmherminc

, omemwillmmakemitmimpossiblemformhermtomqualifymformMedicare.mWhatmcouldmyoumtellmhermt
omaddressmhermconcern?m-
mCORRECTmANSWERmMedicaremismamprogrammformpeoplemagem65mormoldermandmthosemund


ermagem65mwithmcertainmdisabilities,mend-
stagemrenalmdisease,mandmLoumGehrig'smdiseasemsomshemwillmbemeligiblemformMedicare



10. Edwardmsufferedmfrommseriousmkidneymdisease.mAsmamresult.mEdwardmbecamemeligiblemform
Medicaremcoveragemduemtomend-
stagemrenalmdiseasem(ESRD).mAmclosemrelativemdonatedmtheirmkidneymandmEdwardmsuccessf
ullymunderwentmtransplantmsurgerym12mmonthsmago.mEdwardmismnowmagem50mandmasksmyo
umifmhismMedicaremcoveragemwillmcontinue,mwhatmshouldmyoumsay?m-
mCORRECTmANSWERmIndividualsmeligiblemformMedicarembasedmonmESRDmgenerallymlosemeli


gibilitym36mmonthsmaftermthemmonthminmwhichmthemindividualmreceivesmamkidneymtransplan
tmunlessmtheymaremeligiblemformMedicaremonmanothermbasismsuchmasmagemormdisability.mEdw
ardmmay,mhowever,mremainmenrolledminmPartmBmbutmsolelymformcoveragemofmimmunosuppre
ssivemdrugsmifmhemhasmnomothermhealthmcaremcoveragemthatmwouldmcovermthemdrugs.



11. Mrs.mThomasmism66myearsmold,mhasmcoveragemundermanmemployermplan,mandmwillmretiremne
xtmyear.mShemheardmshemmustmenrollminmPartmBmatmthembeginningmofmthemyearmtomensuremn
omgapminmcoverage.mWhatmcanmyoumtellmher?m-
mCORRECTmANSWERmShemmaymenrollmatmanymtimemwhilemshemismcoveredmundermhermemplo


yermplan,mbutmshemwillmhavemamspecialmeight-
monthmenrollmentmperiodmaftermthemlastmmonthmonmhermemployermplanmthatmdiffersmfrom
mthemstandardmgeneralmenrollmentmperiod,mduringmwhichmshemmaymenrollminmMedicaremPa


rtmB.



12. Ms.mLewismhasmaggressivemcancermandmwouldmlikemtomknowmifmMedicaremwillmcovermhospic
emservicesminmcasemshemneedsmthem.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERmMedicaremcoversmhospicemservices,mandmtheymwillmbemavailablemformh


er



13. Mr.mBauermism49myearsmold,mbutmeighteenmmonthsmagomhemwasmdeclaredmdisabledmbymthem
SocialmSecuritymAdministrationmandmhasmbeenmreceivingmdisabilitympayments.mHemismwond
eringmwhethermhemcanmobtainmcoveragemundermMedicare.mWhatmshouldmyoumtellmhim?m-