AHIP Final Exam
Medicare Training Practice Questions & Verified
Answers | Comprehensive AHIP Certification Exam
Review | 2026–2027
, Mr. Khan's employer has recently dropped comprehensive It means that he qualifies for a one-time opportunity to enroll in a Part D prescription
creditable prescription drug coverage that was offered to drug plan.
company retirees. The company told Mr. Khan that,
because he was affected by this change, he would qualify
for a special election period. Mr. Khan contacted you to
find out more about what this means. What can you tell
him?
Mr. Chambers suffers from diabetes which has gotten If there is a special needs plan (SNP) in Mr. Chambers's area that specializes in
progressively worse during the last year. He is currently caring for individuals with diabetes, he may enroll in the SNP at any time under a
enrolled in Original Medicare (Parts A and B) and a Part D special election period (SEP).
prescription drug plan and did not enroll in a Medicare
Advantage (MA) plan during the last annual open
enrollment period (AEP) which has just closed. Mr.
Chambers has heard certain MA plans might provide him
with more specialized coverage for his diabetes and wants
to know if he must wait until the next annual open
enrollment period (AEP) before enrolling in such a plan.
What should you tell him?
Which of the following individuals are likely to qualify for a II, III, and IV only
special election period (SEP) for either an MA or Part D
due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new
home within the same neighborhood in his existing plan's
service area.
II. Fiona (enrolled in MA and Part D) moves cross-country
to an area outside her existing plan's service area.
III. Gilbert moves into a plan service area where there is
now a Part D plan available to him from a service area
where no Part D plan was available.
IV. Henry makes a permanent move to a new state
providing him with new MA and Part D options
Mr. Washington is turning 65 next month and has asked He is currently in the Part D Initial Enrollment Period (IEP), and during this time, he
you what he can do, and when he must do it, with respect may make one Part D enrollment choice, including enrollment in a stand-alone Part
to enrolling in Part D. What could you tell him? D plan or an MA-PD plan.
Mrs. Fowler is moving and a friend told her she might It is a period, outside of the Annual Election Period, when a Medicare beneficiary
qualify for a "special election period" to enroll in a new can select a new or different Medicare Advantage and/or Part D prescription drug
Medicare Advantage plan. She contacted you to ask what plan. Typically, the special election period is beneficiary specific and results from
a special election period is. What could you tell her? events, such as when the beneficiary moves outside of the service area.
When Emma first became eligible for Medicare, she She should remain in Original Medicare until the annual election period running
enrolled in Original Medicare (Parts A and B). She is now from October 15 to December 7, during which she can select an MA plan.
67 and will turn 68 on July 1. She would now like to enroll
in a Medicare Advantage (MA) plan and approaches you
about her options. What advice would you give her?
Mr. and Mrs. Orozco attended one of your sales If she can do so, only Mrs. Orozco can sign her enrollment form. Mrs. Orozco will
presentations. They've asked you to come to their home to have to wake up to sign her form or do so at another time.
clear up a few questions. During the presentation, Mrs.
Orozco feels tired and tells you that her husband can finish
things up. She goes to bed. At the end of your discussion,
Mr. Orozco says that he wants to enroll both himself and
his wife. What should you do?
You are visiting Mr. Connor and his daughter at her Mr. Connor's daughter can do so only if she is authorized under state law as a
request. He has advanced Alzheimer's and is incapable of court-appointed legal guardian, has a durable power of attorney for health care
understanding the implications of choosing a Medicare decisions, or is authorized under state surrogate consent laws to make health
Advantage or prescription drug plan. Can his daughter fill decisions.
out the enrollment form and sign it for him?
Mr. Blake is enrolled in his employer's group health plan Mr. Blake can disenroll from his employer-sponsored coverage to elect a Medicare
and will be retiring soon. He would like to know his options Advantage or Part D plan within 2 months of his disenrollment.
since he has decided to drop his retiree coverage and is
eligible for Medicare. What should you tell him?
Medicare Training Practice Questions & Verified
Answers | Comprehensive AHIP Certification Exam
Review | 2026–2027
, Mr. Khan's employer has recently dropped comprehensive It means that he qualifies for a one-time opportunity to enroll in a Part D prescription
creditable prescription drug coverage that was offered to drug plan.
company retirees. The company told Mr. Khan that,
because he was affected by this change, he would qualify
for a special election period. Mr. Khan contacted you to
find out more about what this means. What can you tell
him?
Mr. Chambers suffers from diabetes which has gotten If there is a special needs plan (SNP) in Mr. Chambers's area that specializes in
progressively worse during the last year. He is currently caring for individuals with diabetes, he may enroll in the SNP at any time under a
enrolled in Original Medicare (Parts A and B) and a Part D special election period (SEP).
prescription drug plan and did not enroll in a Medicare
Advantage (MA) plan during the last annual open
enrollment period (AEP) which has just closed. Mr.
Chambers has heard certain MA plans might provide him
with more specialized coverage for his diabetes and wants
to know if he must wait until the next annual open
enrollment period (AEP) before enrolling in such a plan.
What should you tell him?
Which of the following individuals are likely to qualify for a II, III, and IV only
special election period (SEP) for either an MA or Part D
due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new
home within the same neighborhood in his existing plan's
service area.
II. Fiona (enrolled in MA and Part D) moves cross-country
to an area outside her existing plan's service area.
III. Gilbert moves into a plan service area where there is
now a Part D plan available to him from a service area
where no Part D plan was available.
IV. Henry makes a permanent move to a new state
providing him with new MA and Part D options
Mr. Washington is turning 65 next month and has asked He is currently in the Part D Initial Enrollment Period (IEP), and during this time, he
you what he can do, and when he must do it, with respect may make one Part D enrollment choice, including enrollment in a stand-alone Part
to enrolling in Part D. What could you tell him? D plan or an MA-PD plan.
Mrs. Fowler is moving and a friend told her she might It is a period, outside of the Annual Election Period, when a Medicare beneficiary
qualify for a "special election period" to enroll in a new can select a new or different Medicare Advantage and/or Part D prescription drug
Medicare Advantage plan. She contacted you to ask what plan. Typically, the special election period is beneficiary specific and results from
a special election period is. What could you tell her? events, such as when the beneficiary moves outside of the service area.
When Emma first became eligible for Medicare, she She should remain in Original Medicare until the annual election period running
enrolled in Original Medicare (Parts A and B). She is now from October 15 to December 7, during which she can select an MA plan.
67 and will turn 68 on July 1. She would now like to enroll
in a Medicare Advantage (MA) plan and approaches you
about her options. What advice would you give her?
Mr. and Mrs. Orozco attended one of your sales If she can do so, only Mrs. Orozco can sign her enrollment form. Mrs. Orozco will
presentations. They've asked you to come to their home to have to wake up to sign her form or do so at another time.
clear up a few questions. During the presentation, Mrs.
Orozco feels tired and tells you that her husband can finish
things up. She goes to bed. At the end of your discussion,
Mr. Orozco says that he wants to enroll both himself and
his wife. What should you do?
You are visiting Mr. Connor and his daughter at her Mr. Connor's daughter can do so only if she is authorized under state law as a
request. He has advanced Alzheimer's and is incapable of court-appointed legal guardian, has a durable power of attorney for health care
understanding the implications of choosing a Medicare decisions, or is authorized under state surrogate consent laws to make health
Advantage or prescription drug plan. Can his daughter fill decisions.
out the enrollment form and sign it for him?
Mr. Blake is enrolled in his employer's group health plan Mr. Blake can disenroll from his employer-sponsored coverage to elect a Medicare
and will be retiring soon. He would like to know his options Advantage or Part D plan within 2 months of his disenrollment.
since he has decided to drop his retiree coverage and is
eligible for Medicare. What should you tell him?
