AHIP Exam
Latest (2025/2026) Complete Questions and Correct
Answers Complete GRADED A+
•
Contains ht250+ htQuestions ht&
htAnswers
1. Mrs. htBurton htis hta htretiree htwith htsubstantial htincome. htShe htis
htenrolled htin htan htMA-PD htplan htand htwas htdisappointed htwith htthe
htservice htshe htreceived htfrom hther htprimary htcare htphysician
htbecause htshe htwas httold htshe htwould hthave htto htwait htfive htweeks
htto htget htan htappointment htwhen htshe htwas htfeeling htill. htShe htcalled
htyou htto htask htwhat htshe htcould htdo htso htshe htwould htnot hthave htto
htput htup htwith htsuch htpoor htaccess htto htcare. htWhat htcould htyou
httell hther?
Ans>> ht: htShe htcould htfile hta htgrievance htwith hther htplan htto htcomplain
htabout htthe htlack htof httimeliness htin htgetting htan htappointment.
2. Edward htIP htsuffered htfrom htserious htkidney htdisease. htAs hta
htresult. htEdward htbe- htcame hteligible htfor htMedicare htcoverage
htdue htto htend-stage htrenal htdisease ht(ESRD). htA htclose htrelative
htdonated httheir htkidney htand htEdward htsuccessfully htunderwent
httransplant htsurgery ht12 htmonths htago. htEdward htis htnow htage ht50
1 ht/ ht
78
,htand htasks htyou htif hthis htMedicare htcoverage htwill htcontinue,
htwhat htshould htyou htsay?
Ans>>: htIndividuals hteligible htfor htMedicare htbased hton htESRD htgenerally
htlose hteligibility ht36 htmonths htafter htthe htmonth htin htwhich htthe
htindividual htreceives hta htkidney httransplant htunless htthey htare hteligible htfor
htMedicare hton htanother htbasis htsuch htas htage htor htdisability. htEdward htmay,
hthowever, htremain htenrolled htin htPart htB htbut htsolely htfor htcoverage htof
htimmunosuppressive htdrugs htif hthe hthas htno htother hthealth htcare htcoverage
htthat htwould htcover htthe htdrugs.
3. Mildred htSavage htenrolled htin htAllcare htMedicare htAdvantage htplan
htseveral htyears htago. htMildred htrecently htlearned htthat htshe htis
htsuffering htfrom htinoperable htcancer htand hthas htjust hta htfew
htmonths htto htlive. htShe htwould htlike htto htspend htthese htfinal
htmonths htin hthospice htcare. htMildred's htfamily htasks htyou htwhether
hthospice htbenefits htwill htbe htpaid htfor htunder htthe htAllcare htMedicare
htAdvantage htplan. htWhat htshould htyou htsay?
Ans>>: htMildred htmay htremain htenrolled htin htAllcare htand htmake hta
hthospice htelection. htHospice htbenefits htwill htbe htpaid htfor htby htOriginal
htMedicare htunder htPart htA htand htAllcare htwill htcontinue htto htpay htfor
htany htnon-hospice htservices.
4. Mr. htDiaz htcontinued htworking htwith hthis htcompany htand htwas
htinsured htunder hthis htemployer's htgroup htplan htuntil hthe htreached
htage ht68. htHe hthas htheard htthat htthere htis hta htpremium htpenalty
htfor htthose htwho htdid htnot htsign htup htfor htPart htB htwhen htfirst
hteligible htand htwants htto htknow hthow htmuch hthe htwill hthave htto
htpay. htWhat htshould htyou httell hthim?
Ans>>: htMr. htDiaz htwill htnot htpay htany htpenalty htbecause hthe hthad
htcontinuous htcoverage htunder hthis htemployer's htplan.
5. Mr. htMoy's htwife hthas hta htMedicare htAdvantage htplan, htbut hthe
htwants htto htunder- htstand htwhat htcoverage htMedicare
htSupplemental htInsurance htprovides htsince hthis hthealth htcare
htneeds htare htdifferent htfrom hthis htwife's htneeds. htWhat htcould htyou
httell htMr. htMoy?
Ans>>: htMedicare htSupplemental htInsurance htwould hthelp htcover hthis
2 ht/ ht
78
,htPart htA htand htPart htB htdeductibles htor htcoinsurance htin htOriginal
htFee-for-Service ht(FFS) htMedicare htas htwell htas htpossibly htsome
htservices htthat htMedicare htdoes htnot htcover.
6. Mrs. htChen htwill htbe ht65 htsoon, hthas htbeen hta htcitizen htfor
httwelve htyears, hthas htbeen htemployed htfull httime, htand htpaid httaxes
htduring htthat htentire htperiod. htShe htis htconcerned
3 ht/ ht
78
, that htshe htwill htnot htqualify htfor htcoverage htunder htpart htA htbecause
htshe htwas htnot htborn htin htthe htUnited htStates. htWhat htshould htyou
httell hther?
Ans>>: htMost htindividuals htwho htare htcitizens htand htage ht65 htor htover
htare htcovered htunder htPart htA htby htvirtue htof hthaving htpaid htMedicare
httaxes htwhile htworking, htthough htsome htmay htbe htcovered htas hta
htresult htof htpaying htmonthly htpremiums.
7. Mr. htBauer htis ht49 htyears htold, htbut hteighteen htmonths htago hthe
htwas htdeclared htdis- htabled htby htthe htSocial htSecurity
htAdministration htand hthas htbeen htreceiving htdisability htpayments.
htHe htis htwondering htwhether hthe htcan htobtain htcoverage htunder
htMedicare. htWhat htshould htyou httell hthim?
Ans>>: htAfter htreceiving htsuch htdisability htpayments htfor ht24 htmonths, hthe
htwill htbe htautomatically htenrolled htin htMedicare, htregardless htof htage.
8. Mr. htXi htwill htsoon htturn htage ht65 htand hthas htcome htto htyou
htfor htadvice htas htto htwhat htservices htare htprovided htunder htOriginal
htMedicare. htWhat htshould htyou httell htMr. htXi htthat htbest htdescribes
htthe hthealth htcoverage htprovided htto htMedicare htbeneficiaries?: htBen-
hteficiaries htunder htOriginal htMedicare hthave htno htcost-sharing htfor htmost
htpreventive htservices htwhich htinclude htimmunizations htsuch htas htannual
htflu htshots.
9. Mrs. htPeaH is ht66 htyears htold, hthas htcoverage htunder htan htemployer
htplan, htand htwill htretire htnext htyear. htShe htheard htshe htmust htenroll
htin htPart htB htat htthe htbeginning htof htthe htyear htto htensure htno
htgap htin htcoverage. htWhat htcan htyou httell hther?
Ans>>: htShe htmay htenroll htat htany httime htwhile htshe htis htcovered htunder
hther htemployer htplan, htbut htshe htwill hthave hta htspecial hteight-month
htenrollment htperiod htafter htthe htlast htmonth hton hther htemployer htplan
htthat htdiffers htfrom htthe htstandard htgeneral htenrollment htperiod, htduring
htwhich htshe htmay htenroll htin htMedicare htPart htB.
10. Mr. htDavis htis ht52 htyears htold htand hthas htrecently htbeen
htdiagnosed htwith htend-stage htrenal htdisease ht(ESRD) htand htwill
4 ht/ ht
78
Latest (2025/2026) Complete Questions and Correct
Answers Complete GRADED A+
•
Contains ht250+ htQuestions ht&
htAnswers
1. Mrs. htBurton htis hta htretiree htwith htsubstantial htincome. htShe htis
htenrolled htin htan htMA-PD htplan htand htwas htdisappointed htwith htthe
htservice htshe htreceived htfrom hther htprimary htcare htphysician
htbecause htshe htwas httold htshe htwould hthave htto htwait htfive htweeks
htto htget htan htappointment htwhen htshe htwas htfeeling htill. htShe htcalled
htyou htto htask htwhat htshe htcould htdo htso htshe htwould htnot hthave htto
htput htup htwith htsuch htpoor htaccess htto htcare. htWhat htcould htyou
httell hther?
Ans>> ht: htShe htcould htfile hta htgrievance htwith hther htplan htto htcomplain
htabout htthe htlack htof httimeliness htin htgetting htan htappointment.
2. Edward htIP htsuffered htfrom htserious htkidney htdisease. htAs hta
htresult. htEdward htbe- htcame hteligible htfor htMedicare htcoverage
htdue htto htend-stage htrenal htdisease ht(ESRD). htA htclose htrelative
htdonated httheir htkidney htand htEdward htsuccessfully htunderwent
httransplant htsurgery ht12 htmonths htago. htEdward htis htnow htage ht50
1 ht/ ht
78
,htand htasks htyou htif hthis htMedicare htcoverage htwill htcontinue,
htwhat htshould htyou htsay?
Ans>>: htIndividuals hteligible htfor htMedicare htbased hton htESRD htgenerally
htlose hteligibility ht36 htmonths htafter htthe htmonth htin htwhich htthe
htindividual htreceives hta htkidney httransplant htunless htthey htare hteligible htfor
htMedicare hton htanother htbasis htsuch htas htage htor htdisability. htEdward htmay,
hthowever, htremain htenrolled htin htPart htB htbut htsolely htfor htcoverage htof
htimmunosuppressive htdrugs htif hthe hthas htno htother hthealth htcare htcoverage
htthat htwould htcover htthe htdrugs.
3. Mildred htSavage htenrolled htin htAllcare htMedicare htAdvantage htplan
htseveral htyears htago. htMildred htrecently htlearned htthat htshe htis
htsuffering htfrom htinoperable htcancer htand hthas htjust hta htfew
htmonths htto htlive. htShe htwould htlike htto htspend htthese htfinal
htmonths htin hthospice htcare. htMildred's htfamily htasks htyou htwhether
hthospice htbenefits htwill htbe htpaid htfor htunder htthe htAllcare htMedicare
htAdvantage htplan. htWhat htshould htyou htsay?
Ans>>: htMildred htmay htremain htenrolled htin htAllcare htand htmake hta
hthospice htelection. htHospice htbenefits htwill htbe htpaid htfor htby htOriginal
htMedicare htunder htPart htA htand htAllcare htwill htcontinue htto htpay htfor
htany htnon-hospice htservices.
4. Mr. htDiaz htcontinued htworking htwith hthis htcompany htand htwas
htinsured htunder hthis htemployer's htgroup htplan htuntil hthe htreached
htage ht68. htHe hthas htheard htthat htthere htis hta htpremium htpenalty
htfor htthose htwho htdid htnot htsign htup htfor htPart htB htwhen htfirst
hteligible htand htwants htto htknow hthow htmuch hthe htwill hthave htto
htpay. htWhat htshould htyou httell hthim?
Ans>>: htMr. htDiaz htwill htnot htpay htany htpenalty htbecause hthe hthad
htcontinuous htcoverage htunder hthis htemployer's htplan.
5. Mr. htMoy's htwife hthas hta htMedicare htAdvantage htplan, htbut hthe
htwants htto htunder- htstand htwhat htcoverage htMedicare
htSupplemental htInsurance htprovides htsince hthis hthealth htcare
htneeds htare htdifferent htfrom hthis htwife's htneeds. htWhat htcould htyou
httell htMr. htMoy?
Ans>>: htMedicare htSupplemental htInsurance htwould hthelp htcover hthis
2 ht/ ht
78
,htPart htA htand htPart htB htdeductibles htor htcoinsurance htin htOriginal
htFee-for-Service ht(FFS) htMedicare htas htwell htas htpossibly htsome
htservices htthat htMedicare htdoes htnot htcover.
6. Mrs. htChen htwill htbe ht65 htsoon, hthas htbeen hta htcitizen htfor
httwelve htyears, hthas htbeen htemployed htfull httime, htand htpaid httaxes
htduring htthat htentire htperiod. htShe htis htconcerned
3 ht/ ht
78
, that htshe htwill htnot htqualify htfor htcoverage htunder htpart htA htbecause
htshe htwas htnot htborn htin htthe htUnited htStates. htWhat htshould htyou
httell hther?
Ans>>: htMost htindividuals htwho htare htcitizens htand htage ht65 htor htover
htare htcovered htunder htPart htA htby htvirtue htof hthaving htpaid htMedicare
httaxes htwhile htworking, htthough htsome htmay htbe htcovered htas hta
htresult htof htpaying htmonthly htpremiums.
7. Mr. htBauer htis ht49 htyears htold, htbut hteighteen htmonths htago hthe
htwas htdeclared htdis- htabled htby htthe htSocial htSecurity
htAdministration htand hthas htbeen htreceiving htdisability htpayments.
htHe htis htwondering htwhether hthe htcan htobtain htcoverage htunder
htMedicare. htWhat htshould htyou httell hthim?
Ans>>: htAfter htreceiving htsuch htdisability htpayments htfor ht24 htmonths, hthe
htwill htbe htautomatically htenrolled htin htMedicare, htregardless htof htage.
8. Mr. htXi htwill htsoon htturn htage ht65 htand hthas htcome htto htyou
htfor htadvice htas htto htwhat htservices htare htprovided htunder htOriginal
htMedicare. htWhat htshould htyou httell htMr. htXi htthat htbest htdescribes
htthe hthealth htcoverage htprovided htto htMedicare htbeneficiaries?: htBen-
hteficiaries htunder htOriginal htMedicare hthave htno htcost-sharing htfor htmost
htpreventive htservices htwhich htinclude htimmunizations htsuch htas htannual
htflu htshots.
9. Mrs. htPeaH is ht66 htyears htold, hthas htcoverage htunder htan htemployer
htplan, htand htwill htretire htnext htyear. htShe htheard htshe htmust htenroll
htin htPart htB htat htthe htbeginning htof htthe htyear htto htensure htno
htgap htin htcoverage. htWhat htcan htyou httell hther?
Ans>>: htShe htmay htenroll htat htany httime htwhile htshe htis htcovered htunder
hther htemployer htplan, htbut htshe htwill hthave hta htspecial hteight-month
htenrollment htperiod htafter htthe htlast htmonth hton hther htemployer htplan
htthat htdiffers htfrom htthe htstandard htgeneral htenrollment htperiod, htduring
htwhich htshe htmay htenroll htin htMedicare htPart htB.
10. Mr. htDavis htis ht52 htyears htold htand hthas htrecently htbeen
htdiagnosed htwith htend-stage htrenal htdisease ht(ESRD) htand htwill
4 ht/ ht
78
