AHIP 2026 Exam – 2026/2027 Updated
Practice Questions & Answers | Medicare
Certification
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent
health and will have considerable income when she retires. She is concerned that
her income will make it impossible for her to qualify for Medicare. What could
you tell her? - correct answer-Medicare is a program for people age 65 or older &
those age under 65 with certain disabilities; ESRD, & ALS so she will be eligible for
Medicare.
Mrs. Chen will be 65 soon, has been a citizen for 12 years, has been employed
full-time, & paid taxes during the entire period. She is concerned that she will not
qualify for coverage under Part A because she was not born in the U.S. what
should you tell her? - correct answer-Most people who are citizens & age 65 and
older are covered under Part A by virtue of having paid Medicare taxes while
working, though some may be covered as a result of paying monthly premiums.
Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the healthcare costs he
might be exposed under Medicare if he were to require hospitalization as a result
of an illness. What could you tell him about his costs for inpatient hospital
services under OG Medicare? - correct answer-Under OG Medicare, there is a
single deductible amount due for the first 60 days of any inpatient hospital stay,
after which it converts into a per-day coinsurance amount through day 90. After
day 90, he would pay a daily amount up to 60 days over his lifetime, after which
he would be responsible for all costs.
, Mrs. Park is an elderly retiree and has a low fixed income. Would could you tell
Mrs. Park that may help her? - correct answer-She could contact her state
Medicaid to see if she qualifies for one of several programs that can help with
Medicare costs for which she is responsible.
Mr. Schmidt would like to plan for retirement and has asked you what is covered
under OG Medicare? What would you tell him? - correct answer-Part A covers
hospital, SNF, hospice, & home health services & Part B, which covers
professional services such as those provided by a doctor are covered under OG
Medicare
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief
from arthritis through massage therapy. She is concerned whether or not
Medicare will cover these items. What should you tell her? - correct answer-
Medicare does not cover massage therapy or in general glasses or dentures
Mr. A receives some help paying for his 2 generic prescr. drugs from his
employer's retiree coverage, but he wants to compare it to Part D PDP. He asks
you what costs he would generally encounter when enrolling into a standard
Medicare Pt D drug plan? what should you tell him? - correct answer-He would
generally pay a monthly premium, annual ded., & prescr. cost-sharing.
Mrs. P is 66 years old, has coverage under an employer plan, & will retire next
year. She heard she must enroll in Pt B at the beginning of the year to ensure no
gap in coverage. What can you tell her? - correct answer-She may enroll at
anytime while she is covered under her employer plan, but she will have an 8
month enrollment period after the last month her employer plan that differs from
the standard GEP, during which she may enroll in Med Pt B
Practice Questions & Answers | Medicare
Certification
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent
health and will have considerable income when she retires. She is concerned that
her income will make it impossible for her to qualify for Medicare. What could
you tell her? - correct answer-Medicare is a program for people age 65 or older &
those age under 65 with certain disabilities; ESRD, & ALS so she will be eligible for
Medicare.
Mrs. Chen will be 65 soon, has been a citizen for 12 years, has been employed
full-time, & paid taxes during the entire period. She is concerned that she will not
qualify for coverage under Part A because she was not born in the U.S. what
should you tell her? - correct answer-Most people who are citizens & age 65 and
older are covered under Part A by virtue of having paid Medicare taxes while
working, though some may be covered as a result of paying monthly premiums.
Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the healthcare costs he
might be exposed under Medicare if he were to require hospitalization as a result
of an illness. What could you tell him about his costs for inpatient hospital
services under OG Medicare? - correct answer-Under OG Medicare, there is a
single deductible amount due for the first 60 days of any inpatient hospital stay,
after which it converts into a per-day coinsurance amount through day 90. After
day 90, he would pay a daily amount up to 60 days over his lifetime, after which
he would be responsible for all costs.
, Mrs. Park is an elderly retiree and has a low fixed income. Would could you tell
Mrs. Park that may help her? - correct answer-She could contact her state
Medicaid to see if she qualifies for one of several programs that can help with
Medicare costs for which she is responsible.
Mr. Schmidt would like to plan for retirement and has asked you what is covered
under OG Medicare? What would you tell him? - correct answer-Part A covers
hospital, SNF, hospice, & home health services & Part B, which covers
professional services such as those provided by a doctor are covered under OG
Medicare
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief
from arthritis through massage therapy. She is concerned whether or not
Medicare will cover these items. What should you tell her? - correct answer-
Medicare does not cover massage therapy or in general glasses or dentures
Mr. A receives some help paying for his 2 generic prescr. drugs from his
employer's retiree coverage, but he wants to compare it to Part D PDP. He asks
you what costs he would generally encounter when enrolling into a standard
Medicare Pt D drug plan? what should you tell him? - correct answer-He would
generally pay a monthly premium, annual ded., & prescr. cost-sharing.
Mrs. P is 66 years old, has coverage under an employer plan, & will retire next
year. She heard she must enroll in Pt B at the beginning of the year to ensure no
gap in coverage. What can you tell her? - correct answer-She may enroll at
anytime while she is covered under her employer plan, but she will have an 8
month enrollment period after the last month her employer plan that differs from
the standard GEP, during which she may enroll in Med Pt B
