,AHIP Final Exam 2027 | 200+ Questions and Correct Answers
with Rationales | A+ Graded | Latest
Exam: AHIP Medicare + Fraud, Waste, and Abuse (FWA) Certification
Final Exam
Format: 50 multiple-choice questions | 2-hour time limit | Open-book
Passing Score: 90% (45 out of 50 correct)
Attempts: 3 allowed before repurchase required
Certification Opens: June 22, 2026
Standard Cost: $175 ($125 with carrier/FMO discount link)
Core Topics: Medicare Basics, Medicare Advantage (Part C), Medicare
Part D, Medigap, Enrollment Periods, CMS Marketing Guidelines, and
Fraud, Waste, and Abuse (FWA)
Section 1: Medicare Program Basics & Eligibility (Questions 1–40)
1. A client is turning 65 on June 15, 2027. When does their Initial
Enrollment Period (IEP) for Medicare begin and end?
A. June 1 to June 30, 2027
B. March 1 to September 30, 2027
C. April 1 to July 31, 2027
D. January 1 to December 31, 2027
Correct Answer: B
Rationale: The Initial Enrollment Period (IEP) is a 7-month window: 3
months before the month of the 65th birthday, the birthday month itself, and
3 months after. For a June birthday, the IEP runs from March 1 through
September 30. Option A is incorrect because it only covers the birthday
month. Option C is incorrect because it omits two months before and two
,months after. Option D is incorrect because it describes the calendar year,
not the IEP.
2. A client is 67 and currently has coverage through their employer's
group health plan with 100+ employees. They are considering
Medicare. What should you advise?
A. They must enroll in Part B immediately to avoid penalties
B. They can delay Part B without penalty while covered by the large
employer plan
C. They must enroll in Part A but can delay Part B
D. They should drop employer coverage and enroll in Medicare now
Correct Answer: B
Rationale: Individuals covered by an employer group health plan with 20+
employees can delay Part B enrollment without penalty. When the
employer coverage ends, they are eligible for a Special Enrollment Period.
Option A is incorrect because immediate enrollment is not required. Option
C is incorrect because Part A enrollment is not mandatory while working.
Option D is incorrect because dropping employer coverage is unnecessary.
3. Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
been employed full time, and paid taxes during that entire period. She
is concerned that she will not qualify for coverage under Part A
because she was not born in the United States. What should you tell
her?
A. All individuals who are citizens and age 65 or over will be covered under
Part A
B. Individuals who are citizens and age 65 or over and are covered under
Part A must pay a monthly premium for that coverage
C. Individuals who are citizens and age 65 or over and wish to be covered
under Part A must enroll in a Medicare Advantage Plan
D. Most individuals who are citizens and age 65 or over 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
Correct Answer: D
Rationale: Most individuals who are citizens and age 65 or older are
covered under Part A by virtue of having paid Medicare taxes while
working. Those without sufficient work history may be covered as a result of
paying monthly premiums. Option A is incorrect because citizenship alone
does not guarantee premium-free Part A. Option B is incorrect because not
all beneficiaries pay a premium. Option C is incorrect because Medicare
Advantage is not required for Part A coverage.
4. Mr. Davis is 52 years old and has recently been diagnosed with end-
stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should
you tell him?
A. He cannot sign up for Medicare until he reaches age 65
B. He may sign up for Medicare at any time; however, coverage usually
begins on the fourth month after dialysis treatments start
C. He must wait 12 months after starting dialysis before he can enroll
D. He is only eligible for Medicare if he receives a kidney transplant
Correct Answer: B
Rationale: Individuals with ESRD may sign up for Medicare at any time.
Coverage usually begins on the fourth month after dialysis treatments start.
Option A is incorrect because ESRD qualifies for Medicare regardless of
age. Option C is incorrect because the waiting period is 3 months, not 12.
Option D is incorrect because dialysis patients are eligible even without a
transplant.
5. Mrs. Johnson, a U.S. citizen, turned 65 in March 2026. She has
worked for 35 quarters in Medicare-covered employment. What is her
Medicare Part A eligibility status?
with Rationales | A+ Graded | Latest
Exam: AHIP Medicare + Fraud, Waste, and Abuse (FWA) Certification
Final Exam
Format: 50 multiple-choice questions | 2-hour time limit | Open-book
Passing Score: 90% (45 out of 50 correct)
Attempts: 3 allowed before repurchase required
Certification Opens: June 22, 2026
Standard Cost: $175 ($125 with carrier/FMO discount link)
Core Topics: Medicare Basics, Medicare Advantage (Part C), Medicare
Part D, Medigap, Enrollment Periods, CMS Marketing Guidelines, and
Fraud, Waste, and Abuse (FWA)
Section 1: Medicare Program Basics & Eligibility (Questions 1–40)
1. A client is turning 65 on June 15, 2027. When does their Initial
Enrollment Period (IEP) for Medicare begin and end?
A. June 1 to June 30, 2027
B. March 1 to September 30, 2027
C. April 1 to July 31, 2027
D. January 1 to December 31, 2027
Correct Answer: B
Rationale: The Initial Enrollment Period (IEP) is a 7-month window: 3
months before the month of the 65th birthday, the birthday month itself, and
3 months after. For a June birthday, the IEP runs from March 1 through
September 30. Option A is incorrect because it only covers the birthday
month. Option C is incorrect because it omits two months before and two
,months after. Option D is incorrect because it describes the calendar year,
not the IEP.
2. A client is 67 and currently has coverage through their employer's
group health plan with 100+ employees. They are considering
Medicare. What should you advise?
A. They must enroll in Part B immediately to avoid penalties
B. They can delay Part B without penalty while covered by the large
employer plan
C. They must enroll in Part A but can delay Part B
D. They should drop employer coverage and enroll in Medicare now
Correct Answer: B
Rationale: Individuals covered by an employer group health plan with 20+
employees can delay Part B enrollment without penalty. When the
employer coverage ends, they are eligible for a Special Enrollment Period.
Option A is incorrect because immediate enrollment is not required. Option
C is incorrect because Part A enrollment is not mandatory while working.
Option D is incorrect because dropping employer coverage is unnecessary.
3. Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
been employed full time, and paid taxes during that entire period. She
is concerned that she will not qualify for coverage under Part A
because she was not born in the United States. What should you tell
her?
A. All individuals who are citizens and age 65 or over will be covered under
Part A
B. Individuals who are citizens and age 65 or over and are covered under
Part A must pay a monthly premium for that coverage
C. Individuals who are citizens and age 65 or over and wish to be covered
under Part A must enroll in a Medicare Advantage Plan
D. Most individuals who are citizens and age 65 or over 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
Correct Answer: D
Rationale: Most individuals who are citizens and age 65 or older are
covered under Part A by virtue of having paid Medicare taxes while
working. Those without sufficient work history may be covered as a result of
paying monthly premiums. Option A is incorrect because citizenship alone
does not guarantee premium-free Part A. Option B is incorrect because not
all beneficiaries pay a premium. Option C is incorrect because Medicare
Advantage is not required for Part A coverage.
4. Mr. Davis is 52 years old and has recently been diagnosed with end-
stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should
you tell him?
A. He cannot sign up for Medicare until he reaches age 65
B. He may sign up for Medicare at any time; however, coverage usually
begins on the fourth month after dialysis treatments start
C. He must wait 12 months after starting dialysis before he can enroll
D. He is only eligible for Medicare if he receives a kidney transplant
Correct Answer: B
Rationale: Individuals with ESRD may sign up for Medicare at any time.
Coverage usually begins on the fourth month after dialysis treatments start.
Option A is incorrect because ESRD qualifies for Medicare regardless of
age. Option C is incorrect because the waiting period is 3 months, not 12.
Option D is incorrect because dialysis patients are eligible even without a
transplant.
5. Mrs. Johnson, a U.S. citizen, turned 65 in March 2026. She has
worked for 35 quarters in Medicare-covered employment. What is her
Medicare Part A eligibility status?
