AHIP 2027 Final Exam – Medicare
Certification – Actual Questions & Correct
Answers (AHIP) Guarantee Pass (Updated
Pdf)
Question 1
Larry Miller is an Original Medicare beneficiary with Parts A and B coverage. Larry is
admitted to Good Care Hospital in January with pneumonia and stays for three days
before being discharged. Six months later in July, Larry takes a bad fall and is
admitted to Good Care Hospital with a broken leg. After emergency surgery to repair
his broken leg, Larry is hospitalized for a week before being discharged home. In
December, Larry is admitted to Mount Wellness Hospital once again with a serious
case of the flu. For how many Part A deductibles will Larry be responsible for?
Question 9Answer
a.
Larry will be responsible for two Part A deductibles since he has been admitted to two
hospitals within the year.
b.
Larry will be responsible for 4 quarterly Part A deductibles.
c.
Larry will be responsible for just one annual Part A deductible.
d.
Larry will be responsible for three Part A deductibles.
Correct Answer
b.
Larry will be responsible for 4 quarterly Part A deductibles.
Page 1 of 255
,Question 2
Mr. Turner will soon turn age 65 and has come to you for advice as to what services
are provided under Original Medicare. What should you tell Mr. Turner that best
describes the health coverage provided to Medicare beneficiaries?
Question 6Answer
a.
Medicare Part B generally provides prescription drug coverage.
b.
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services.
c.
Benefits covered by Medicare Parts A and B include routine dental care, hearing aids,
and routine eye care.
d.
Medicare Part A generally covers medically necessary physicians and other health care
professional services.
Correct Answer
b.
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services.
Page 2 of 255
,Question 3
Mr. Livingston was still working when he first qualified for Medicare. At that time, he
had employer group coverage that was creditable. During his initial Part D eligibility
period, he decided not to enroll because he was satisfied with his drug coverage. It is
now a year later, and Mr. Livingston has lost his employer group coverage within the
last two weeks. How would you advise him?
Question 20Answer
a.
Mr. Livingston should immediately enroll in a Part D plan, but he can expect to pay a
premium penalty because he failed to enroll when first eligible.
b.
Mr. Livingston should enroll in a Part D plan before he has a 63-day break in coverage
to avoid a premium penalty.
c.
Mr. Livingston should seek to continue employer group coverage through COBRA
because it is likely to have superior benefits at a more reasonable price and provides
a permanent solution.
d.
Correct Answer
b.
Mr. Livingston should enroll in a Part D plan before he has a 63-day break in
coverage to avoid a premium penalty.
Page 3 of 255
, Question 4
Conrad is 64, retiring soon, and considering enrollment in his employer-sponsored
MA retiree group health plan that includes drug coverage with nominal copays. He
heard about a neighbor's MA-PD plan that you represent and because he takes
numerous prescription drugs, he is considering signing up for it. What should you tell
him?
Question 4Answer
a.
He should compare the benefits in his employer-sponsored retiree group health plan
with the benefits in his neighbor's MA-PD plan to determine which one will provide
sufficient coverage for his prescription needs.
b.
When possible, it is always the best option to have both the employer's plan and the
MA-PD, so he would have no out-of-pocket expenses.
c.
Generally, employers prefer retirees to enroll in a stand-alone PDP, so he should
consider that instead of the MA-PD.
d.
Generally, employers prefer retirees to have both the retiree group plan and the MA-
PD plan to fill in
Correct Answer
a.
He should compare the benefits in his employer-sponsored retiree group health
plan with the benefits in his neighbor's MA-PD plan to determine which one will
provide sufficient coverage for his prescription needs.
Page 4 of 255
Certification – Actual Questions & Correct
Answers (AHIP) Guarantee Pass (Updated
Pdf)
Question 1
Larry Miller is an Original Medicare beneficiary with Parts A and B coverage. Larry is
admitted to Good Care Hospital in January with pneumonia and stays for three days
before being discharged. Six months later in July, Larry takes a bad fall and is
admitted to Good Care Hospital with a broken leg. After emergency surgery to repair
his broken leg, Larry is hospitalized for a week before being discharged home. In
December, Larry is admitted to Mount Wellness Hospital once again with a serious
case of the flu. For how many Part A deductibles will Larry be responsible for?
Question 9Answer
a.
Larry will be responsible for two Part A deductibles since he has been admitted to two
hospitals within the year.
b.
Larry will be responsible for 4 quarterly Part A deductibles.
c.
Larry will be responsible for just one annual Part A deductible.
d.
Larry will be responsible for three Part A deductibles.
Correct Answer
b.
Larry will be responsible for 4 quarterly Part A deductibles.
Page 1 of 255
,Question 2
Mr. Turner will soon turn age 65 and has come to you for advice as to what services
are provided under Original Medicare. What should you tell Mr. Turner that best
describes the health coverage provided to Medicare beneficiaries?
Question 6Answer
a.
Medicare Part B generally provides prescription drug coverage.
b.
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services.
c.
Benefits covered by Medicare Parts A and B include routine dental care, hearing aids,
and routine eye care.
d.
Medicare Part A generally covers medically necessary physicians and other health care
professional services.
Correct Answer
b.
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services.
Page 2 of 255
,Question 3
Mr. Livingston was still working when he first qualified for Medicare. At that time, he
had employer group coverage that was creditable. During his initial Part D eligibility
period, he decided not to enroll because he was satisfied with his drug coverage. It is
now a year later, and Mr. Livingston has lost his employer group coverage within the
last two weeks. How would you advise him?
Question 20Answer
a.
Mr. Livingston should immediately enroll in a Part D plan, but he can expect to pay a
premium penalty because he failed to enroll when first eligible.
b.
Mr. Livingston should enroll in a Part D plan before he has a 63-day break in coverage
to avoid a premium penalty.
c.
Mr. Livingston should seek to continue employer group coverage through COBRA
because it is likely to have superior benefits at a more reasonable price and provides
a permanent solution.
d.
Correct Answer
b.
Mr. Livingston should enroll in a Part D plan before he has a 63-day break in
coverage to avoid a premium penalty.
Page 3 of 255
, Question 4
Conrad is 64, retiring soon, and considering enrollment in his employer-sponsored
MA retiree group health plan that includes drug coverage with nominal copays. He
heard about a neighbor's MA-PD plan that you represent and because he takes
numerous prescription drugs, he is considering signing up for it. What should you tell
him?
Question 4Answer
a.
He should compare the benefits in his employer-sponsored retiree group health plan
with the benefits in his neighbor's MA-PD plan to determine which one will provide
sufficient coverage for his prescription needs.
b.
When possible, it is always the best option to have both the employer's plan and the
MA-PD, so he would have no out-of-pocket expenses.
c.
Generally, employers prefer retirees to enroll in a stand-alone PDP, so he should
consider that instead of the MA-PD.
d.
Generally, employers prefer retirees to have both the retiree group plan and the MA-
PD plan to fill in
Correct Answer
a.
He should compare the benefits in his employer-sponsored retiree group health
plan with the benefits in his neighbor's MA-PD plan to determine which one will
provide sufficient coverage for his prescription needs.
Page 4 of 255
