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

AHIP 2026 FINAL EXAM LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
1.
Mr.mArias,mamnaturalizedmcitizen,mpreviouslymenrolledminmMedicaremPartmBmbutmhasmrecentl
ymstoppedmpayingmhismPartmBmpremium.mMr.mAriasmismstillmcoveredmbymPartmA.mHemwouldmli
kemtomenrollminmamMedicaremAdvantagem(MA)mplanmandmismstillmcoveredmbymPartmA.mWhatms
houldmyoumtellmhim?m-
mCORRECTmANSWERmHemismnotmeligiblemtomenrollminmamMedicaremAdvantagemplanmuntilmhe


mre-enrollsminmMedicaremPartmB.




2. Mrs.mJoy,magem65,mismentitledmtomPartmAmbutmhasmnotmyetmenrolledminmPartmB.mShemismconsid
eringmenrollingminmamMedicaremAdvantagemplanm(PartmC).mWhatmshouldmyoumadvisemhermto
mdombeforemshemcanmenrollminmamMedicaremAdvantagemplan?m-


mCORRECTmANSWERmTomjoinmamMedicaremAdvantagemplan,mshemalsommustmenrollminmPartmB


.



3. Mr.mKumarmismconsideringmamMedicaremAdvantagemHMOmandmhasmquestionsmaboutmhismab
ilitymtomaccessmproviders.mWhatmshouldmyoumtellmhim?m-
mCORRECTmANSWERmInmmostmMedicaremAdvantagemHMOs,mMr.mKumarmmustmgenerallymo


btainmhismservicesmonlymfrommprovidersmwithinmthemplan'smnetworkm(exceptminmanmemerge
ncymormwheremcaremismunavailablemwithinmthemnetwork).



4. Mrs.mRoblesmismconsideringmamMedicaremAdvantagemPPOmandmhasmquestionsmaboutmwhich
mprovidersmshemcanmgomtomformhermhealthmcare.mWhatmshouldmyoumtellmher?m-


mCORRECTmANSWERmMrs.mRoblesmcanmobtainmcaremfrommanymprovidermwhomparticipatesmi


nmOriginalmMedicare,mbutmgenerallymwillmhavemamhighermcost-
sharingmamountmifmshemseesmamprovidermwho/thatmismnotmampartmofmthemPPOmnetwork.



5. Mrs.mLestermismagem75mandmenjoysmamcomfortablembutmnotmextremelymhigh-
incomemlevel.mShemwishesmtomenrollminmanmMAmMSAmplanmthatmshemheardmaboutmfrommher

, mneighbor.mShemalsomwantsmtomhavemprescriptionmdrugmcoveragemsincemhermdoctormrecentl
ymprescribedmseveralmexpensivemmedications.mCurrently,mshemismenrolledminmOriginalmMedi
caremandmamstandalonemPartmDmplan.mHowmwouldmyoumadvisemMrs.mLester?m-
mCORRECTmANSWERmMrs.mLestermmaymenrollminmanmMAmMSAmplanmandmremainminmhermcur


rentmstandalonemPartmDmprescriptionmdrugmplan.



6. Mr.mDaltonmisminmexcellentmhealth,mlivesminmhismownmhome,mandmhasmamsizeablemincomemfr
ommhisminvestments.mHemhasmamfriendmenrolledminmamMedicaremAdvantagemSpecialmNeedsm
Planm(SNP).mHismfriendmhasmmentionedmthatmthemSNPmchargesmverymlowmcost-
sharingmamountsmandmMr.mDaltonmwouldmlikemtomjoinmthatmplan.mWhatmshouldmyoumtellmhi
m?m-
mCORRECTmANSWERmSNPsmlimitmenrollmentmtomcertainmsubpopulationsmofmbeneficiaries.m


Givenmhismcurrentmsituation,mhemismunlikelymtomqualifymandmwouldmnotmbemablemtomenrollmi
nmthemSNP.



7. Mr.mAndersonmwantsmtomknowmwhethermhemismeligiblemtomsignmupmformamPrivatemfee-for-
servicem(PFFS)mplan.mWhatmquestionsmwouldmyoumneedmtomaskmtomdeterminemhismeligibility
?m-
mCORRECTmANSWERmYoumwouldmneedmtomaskmMr.mAndersonmifmhemismentitledmtomPartmA,me


nrolledminmPartmB,mandmifmhemlivesminmthemPFFSmplan'smservicemarea.



8. HerbermNoblemismturningm65mnextmmonth,mHerbermlegallymenteredmthemUnitedmStatesmover
mtwentymyearsmagombutmismnotmamcitizen.mSincemhismentrymintomthemcountry,mHerbermhasmw


orkedmatmSmallcapmIncorporatedmandmcontributedmtomthemMedicaremsystem.mHerbermsuffe
rsmfrommdiabetes.mHemwillmsoonmretiremandmasksmyoumifmhemcanmenrollminmamMedicaremAdva
ntagemplanmthatmyoumrepresent.mHowmwouldmyoumrespond?m-
mCORRECTmANSWERmHerbermismeligiblemtomenrollminmMedicaremAdvantagemasmlongmasmhemi


smentitledmtomPartmAmandmenrolledminmPartmB.mHerbermshouldmgomtomthemSocialmSecuritymwe
bsitemtomenrollminmMedicaremPartmAmandmBmifmhemhasmnotmdonemsomalready.mOncemhemismen
rolled,mhemcanmchoosemamMedicaremAdvantagemplan.



9. WhichmofmthemfollowingmindividualsmismmostmlikelymtombemeligiblemtomenrollminmamPartmDmPla
n?m-