AHIP MODULE 1 2026 EXAM
QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALE Q&A 2026|2027
AgentsxJohnsxMillersxissxmeetingsxwithsxJerrysxSmith,sxasxnewsxprospect.sxJerrysxissxcurrentl
ysxenrolledsxinsxMedicaresxPartssxAsxandsxB.sxJerrysxhassxalsosxpurchasedsxasxMedicaresxS
upplementsx(Medigap)sxplansxwhichsxhesxhassxhadsxforsxseveralsxyears.sxHowever,sxthesxpl
ansxdoessxnotsxprovidesxdrugsxbenefits.sxHowsxwouldsxyousxadvisesxAgentsxJohnsxMillersxto
sxproceed?sx-sxANSWERS-
TellsxprospectsxJerrysxSmithsxthatsxhesxshouldsxconsidersxaddingsxasxstandalonesxPartsxDsx
prescriptionsxdrugsxcoveragesxpolicysxtosxhissxpresentsxcoverage.
Mr.sxCapadonasxwouldsxlikesxtosxpurchasesxasxMedicaresxAdvantagesx(MA)sxplansxandsxasx
Medigapsxplansxtosxpicksxupsxcostssxnotsxcoveredsxbysxthatsxplan.sxWhatsxshouldsxyousxtellsx
him?sx-sxANSWERS-
ItsxissxillegalsxforsxyousxtosxsellsxMr.sxCapadonasxasxMedigapsxplansxifsxhesxissxenrolledsxinsxan
sxMAsxplan,sxandsxbesides,sxMedigapsxonlysxworkssxwithsxOriginalsxMedicare.
Ms.sxLewissxhassxaggressivesxcancersxandsxwouldsxlikesxtosxknowsxifsxMedicaresxwillsxcover
sxhospicesxservicessxinsxcasesxshesxneedssxthem.sxWhatsxshouldsxyousxtellsxher?sx-
sxANSWERS-
JuansxPerez,sxwhosxissxturningsxagesx65sxnextsxmonth,sxintendssxtosxworksxforsxseveralsxmo
resxyearssxatsxSmallcap,sxIncorporated.sxSmallcapsxhassxasxworkforcesxofsx15sxemployees
sxandsxofferssxemployer-
sponsoredsxhealthcaresxcoverage.sxJuansxissxasxnaturalizedsxcitizensxandsxhassxcontribute
dsxtosxthesxMedicaresxsystemsxforsxoversx20sxyears.sxJuansxaskssxyousxifsxhesxwillsxbesxentitl
edsxtosxMedicaresxandsxifsxhesxenrollssxhowsxthatsxwillsximpactsxhissxemployer-
sxsponsoredsxhealthcaresxcoverage.sxHowsxwouldsxyousxrespond?sx-sxANSWERS-
JuansxissxlikelysxtosxbesxeligiblesxforsxMedicaresxoncesxhesxturnssxagesx65sxandsxifsxhesxenroll
s,sxMedicaresxwouldsxbecomesxthesxprimarysxpayorsxofsxhissxhealthcaresxclaimssxandsxSm
allcapsxdoessxnotsxhavesxtosxcontinuesxtosxoffersxhimsxcoveragesxcomparablesxtosxthosesxu
ndersxagesx65sxundersxitssxemployer-
sponsoredsxgroupsxhealthsxplansxandsxwouldsxbecomesxasxsecondarysxpayor.
Mrs.sxEllissxrecentlysxturnedsx66sxandsxdecidedsxaftersxmanysxyearssxofsxworksxtosxretiresxan
dsxbeginsxreceivingsxSocialsxSecuritysxbenefits.sxShortlysxthereaftersxMrs.sxEllissxreceivedsx
asxlettersxinformingsxhersxthatsxshesxhadsxbeensxautomaticallysxenrolledsxinsxMedicaresxPar
tsxB.sxShesxwantssxtosxunderstandsxwhatsxthissxmeans.sxWhatsxshouldsxyousxtellsxMrs.sxEllis
?sx-sxANSWERS-
PartsxBsxprimarilysxcoverssxphysiciansxservices.sxShesxwillsxbesxpayingsxasxmonthlysxpremi
umsxand,sxexceptsxforsxmanysxpreventivesxandsxscreeningsxtests,sxgenerallysxwillsxhavesx2
0%sxco-paymentssxforsxthesesxservices,sxinsxadditionsxtosxansxannualsxdeductible.
QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALE Q&A 2026|2027
AgentsxJohnsxMillersxissxmeetingsxwithsxJerrysxSmith,sxasxnewsxprospect.sxJerrysxissxcurrentl
ysxenrolledsxinsxMedicaresxPartssxAsxandsxB.sxJerrysxhassxalsosxpurchasedsxasxMedicaresxS
upplementsx(Medigap)sxplansxwhichsxhesxhassxhadsxforsxseveralsxyears.sxHowever,sxthesxpl
ansxdoessxnotsxprovidesxdrugsxbenefits.sxHowsxwouldsxyousxadvisesxAgentsxJohnsxMillersxto
sxproceed?sx-sxANSWERS-
TellsxprospectsxJerrysxSmithsxthatsxhesxshouldsxconsidersxaddingsxasxstandalonesxPartsxDsx
prescriptionsxdrugsxcoveragesxpolicysxtosxhissxpresentsxcoverage.
Mr.sxCapadonasxwouldsxlikesxtosxpurchasesxasxMedicaresxAdvantagesx(MA)sxplansxandsxasx
Medigapsxplansxtosxpicksxupsxcostssxnotsxcoveredsxbysxthatsxplan.sxWhatsxshouldsxyousxtellsx
him?sx-sxANSWERS-
ItsxissxillegalsxforsxyousxtosxsellsxMr.sxCapadonasxasxMedigapsxplansxifsxhesxissxenrolledsxinsxan
sxMAsxplan,sxandsxbesides,sxMedigapsxonlysxworkssxwithsxOriginalsxMedicare.
Ms.sxLewissxhassxaggressivesxcancersxandsxwouldsxlikesxtosxknowsxifsxMedicaresxwillsxcover
sxhospicesxservicessxinsxcasesxshesxneedssxthem.sxWhatsxshouldsxyousxtellsxher?sx-
sxANSWERS-
JuansxPerez,sxwhosxissxturningsxagesx65sxnextsxmonth,sxintendssxtosxworksxforsxseveralsxmo
resxyearssxatsxSmallcap,sxIncorporated.sxSmallcapsxhassxasxworkforcesxofsx15sxemployees
sxandsxofferssxemployer-
sponsoredsxhealthcaresxcoverage.sxJuansxissxasxnaturalizedsxcitizensxandsxhassxcontribute
dsxtosxthesxMedicaresxsystemsxforsxoversx20sxyears.sxJuansxaskssxyousxifsxhesxwillsxbesxentitl
edsxtosxMedicaresxandsxifsxhesxenrollssxhowsxthatsxwillsximpactsxhissxemployer-
sxsponsoredsxhealthcaresxcoverage.sxHowsxwouldsxyousxrespond?sx-sxANSWERS-
JuansxissxlikelysxtosxbesxeligiblesxforsxMedicaresxoncesxhesxturnssxagesx65sxandsxifsxhesxenroll
s,sxMedicaresxwouldsxbecomesxthesxprimarysxpayorsxofsxhissxhealthcaresxclaimssxandsxSm
allcapsxdoessxnotsxhavesxtosxcontinuesxtosxoffersxhimsxcoveragesxcomparablesxtosxthosesxu
ndersxagesx65sxundersxitssxemployer-
sponsoredsxgroupsxhealthsxplansxandsxwouldsxbecomesxasxsecondarysxpayor.
Mrs.sxEllissxrecentlysxturnedsx66sxandsxdecidedsxaftersxmanysxyearssxofsxworksxtosxretiresxan
dsxbeginsxreceivingsxSocialsxSecuritysxbenefits.sxShortlysxthereaftersxMrs.sxEllissxreceivedsx
asxlettersxinformingsxhersxthatsxshesxhadsxbeensxautomaticallysxenrolledsxinsxMedicaresxPar
tsxB.sxShesxwantssxtosxunderstandsxwhatsxthissxmeans.sxWhatsxshouldsxyousxtellsxMrs.sxEllis
?sx-sxANSWERS-
PartsxBsxprimarilysxcoverssxphysiciansxservices.sxShesxwillsxbesxpayingsxasxmonthlysxpremi
umsxand,sxexceptsxforsxmanysxpreventivesxandsxscreeningsxtests,sxgenerallysxwillsxhavesx2
0%sxco-paymentssxforsxthesesxservices,sxinsxadditionsxtosxansxannualsxdeductible.