P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
AHIP Module 3 Certification
Exam Questions & Answers
2026/2027 Detailed Exam
Preparation Edition
(Rationales)
Verified Answers Exam Ready With Rationales 27 QUESTIONS
DOCUMENT OVERVIEW
This document provides 27 comprehensive questions and answers related to Medicare
prescription drug plans, each accompanied by detailed rationales. It directly aligns with the
subject of Medicare Part D coverage and eligibility. This resource is ideal for certification
preparation and in-depth review of key concepts.
TOPICS
Medicare Part D Fundamentals Q1–Q7
Part D Coverage and Costs Q8–Q14
Part D Plan Management Q15–Q19
Part D Enrollment and Eligibility Q20–Q24
Other Coverage and Part D Q25–Q27
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 27
Mr. Carlini has heard that Medicare prescription drug plans are only offered through private
companies under a program known as Medicare Advantage (MA), not by the government. He
likes Original Medicare and does not want to sign up for an MA product, but he also wants
prescription drug coverage. What should you tell him?
ANSWER
b. Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug
plan through a private company that has contracted with the government to provide only such
drug coverage to eligible Medicare beneficiaries. Correct
RATIONALE
Original Medicare beneficiaries can obtain prescription drug coverage through standalone
Medicare Prescription Drug Plans (PDPs). These plans are offered by private insurance companies
that contract with Medicare. This allows individuals to keep Original Medicare while adding Part D
drug benefits.
Q2 QUESTION 2 OF 27
Which of the following statements about Medicare Part D are correct?
I. Part D plans must enroll any eligible beneficiary who applies regardless of health status
except in limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may
choose to have one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part
D benefits through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone PDP
or through their plan.
ANSWER
b. I, II, and III only Correct
Page 2
AHIP Module 3 Certification
Exam Questions & Answers
2026/2027 Detailed Exam
Preparation Edition
(Rationales)
Verified Answers Exam Ready With Rationales 27 QUESTIONS
DOCUMENT OVERVIEW
This document provides 27 comprehensive questions and answers related to Medicare
prescription drug plans, each accompanied by detailed rationales. It directly aligns with the
subject of Medicare Part D coverage and eligibility. This resource is ideal for certification
preparation and in-depth review of key concepts.
TOPICS
Medicare Part D Fundamentals Q1–Q7
Part D Coverage and Costs Q8–Q14
Part D Plan Management Q15–Q19
Part D Enrollment and Eligibility Q20–Q24
Other Coverage and Part D Q25–Q27
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 27
Mr. Carlini has heard that Medicare prescription drug plans are only offered through private
companies under a program known as Medicare Advantage (MA), not by the government. He
likes Original Medicare and does not want to sign up for an MA product, but he also wants
prescription drug coverage. What should you tell him?
ANSWER
b. Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug
plan through a private company that has contracted with the government to provide only such
drug coverage to eligible Medicare beneficiaries. Correct
RATIONALE
Original Medicare beneficiaries can obtain prescription drug coverage through standalone
Medicare Prescription Drug Plans (PDPs). These plans are offered by private insurance companies
that contract with Medicare. This allows individuals to keep Original Medicare while adding Part D
drug benefits.
Q2 QUESTION 2 OF 27
Which of the following statements about Medicare Part D are correct?
I. Part D plans must enroll any eligible beneficiary who applies regardless of health status
except in limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may
choose to have one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part
D benefits through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone PDP
or through their plan.
ANSWER
b. I, II, and III only Correct
Page 2
