AHIP FINAL EXAM QUESTIONS AND ANSWERS (2025/2026) (VERIFIED ANSWERS) ASSURED SUCCESS
Mrs. West wears glasses and Medicare does not cover acupuncture, or, in general, glasses or
dentures and has enjoyed dentures.
considerable pain relief
from arthritis through
acupuncture. She is
concerned about whether
or not Medicare will cover
these items and services.
What
should you tell her?
Mr. Bickford did not quite He could check with the manufacturers of his
qualify for the extra help medications to see if they offer an assistance program
low-income subsidy under to help people with limited means obtain the
the Medicare Part D medications they need. Alternatively, he could check to
Prescription Drug see whether his state has a pharmacy assistance
program and he is program to help him with his expenses.
wondering if there is any
other option he has for
obtaining help with his
considerable drug costs.
What should you tell
him?
Mr. Lombardi is interested He could enroll in one of the MA plans that include
in a Medicare Advantage prescription drug coverage or a Medigap plan and a
(MA) PPO plan that you stand-alone prescription drug plan, but he cannot
represent. It is one of three enroll in the MA-only PPO plan and a stand-alone
plans operated by the same prescription drug plan.
organization in Mr.
Lombardi's area. The MA
PPO plan does not
include
,drug coverage, but the other
two plans do. Mr. Lombardi
likes the PPO plan that
does not include drug
coverage and intends to
obtain his drug coverage
through a stand- alone
Medicare prescription
drug plan.
What should you tell him
about this situation?
, Mr. Torres has a small In general, he must select a single Part D premium
savings account. He would payment mechanism that will be used throughout the
like to pay for his monthly year.
Part D
premiums with an automatic
monthly
withdrawal from his savings
account until it is
exhausted, and then have
his premiums withheld
from his Social Security
check.
What should you tell him?
Agent Jennings makes a Yes. When an event has been advertised as
presentation on Medicare "educational," discussing plan-specific premiums is
advertised as an impermissible.
educational event. Agent
Jennings distributes
materials that are solely
educational in nature.
However, she gives a brief
presentation that mentions
plan-specific premiums. Is
this a prohibited activity at an
event that has
been advertised as
educational?
Mrs. Mulcahy is concerned Everyone who is entitled to Part A or enrolled under
that she may not qualify Part B is eligible to enroll in a Medicare prescription
for enrollment in a drug plan. As long as Mrs. Mulcahy is entitled to Part
Medicare prescription drug A, she does not need to enroll under Part B before
plan because, although enrolling in a prescription drug plan.
Mrs. West wears glasses and Medicare does not cover acupuncture, or, in general, glasses or
dentures and has enjoyed dentures.
considerable pain relief
from arthritis through
acupuncture. She is
concerned about whether
or not Medicare will cover
these items and services.
What
should you tell her?
Mr. Bickford did not quite He could check with the manufacturers of his
qualify for the extra help medications to see if they offer an assistance program
low-income subsidy under to help people with limited means obtain the
the Medicare Part D medications they need. Alternatively, he could check to
Prescription Drug see whether his state has a pharmacy assistance
program and he is program to help him with his expenses.
wondering if there is any
other option he has for
obtaining help with his
considerable drug costs.
What should you tell
him?
Mr. Lombardi is interested He could enroll in one of the MA plans that include
in a Medicare Advantage prescription drug coverage or a Medigap plan and a
(MA) PPO plan that you stand-alone prescription drug plan, but he cannot
represent. It is one of three enroll in the MA-only PPO plan and a stand-alone
plans operated by the same prescription drug plan.
organization in Mr.
Lombardi's area. The MA
PPO plan does not
include
,drug coverage, but the other
two plans do. Mr. Lombardi
likes the PPO plan that
does not include drug
coverage and intends to
obtain his drug coverage
through a stand- alone
Medicare prescription
drug plan.
What should you tell him
about this situation?
, Mr. Torres has a small In general, he must select a single Part D premium
savings account. He would payment mechanism that will be used throughout the
like to pay for his monthly year.
Part D
premiums with an automatic
monthly
withdrawal from his savings
account until it is
exhausted, and then have
his premiums withheld
from his Social Security
check.
What should you tell him?
Agent Jennings makes a Yes. When an event has been advertised as
presentation on Medicare "educational," discussing plan-specific premiums is
advertised as an impermissible.
educational event. Agent
Jennings distributes
materials that are solely
educational in nature.
However, she gives a brief
presentation that mentions
plan-specific premiums. Is
this a prohibited activity at an
event that has
been advertised as
educational?
Mrs. Mulcahy is concerned Everyone who is entitled to Part A or enrolled under
that she may not qualify Part B is eligible to enroll in a Medicare prescription
for enrollment in a drug plan. As long as Mrs. Mulcahy is entitled to Part
Medicare prescription drug A, she does not need to enroll under Part B before
plan because, although enrolling in a prescription drug plan.
