AHIP 2026 OVER 500 EXAM QUESTIONS AND
CORRECT ANSWERS .GAURANTEED A+
BEST PRACTICE EXAM
AHIP 2026 OVER 500 EXAM QUESTIONS AND
CORRECT ANSWERS .GAURANTEED A+
BEST PRACTICE EXAM
1. **Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which services Original Medicare will
cover if the criteria are met. What could you tell her?**
- Original Medicare covers ambulance services.
2. **Mrs. Duarte is enrolled in Original Medicare Parts A and B. She
reviewed her Medicare Summary Notice (MSN) and disagrees with a partial
denial. What advice would you give her?**
- Mrs. Duarte should file an appeal of this initial determination within 120
days of receiving the MSN.
3. **Mrs. Geisler's neighbor advised her to review her Part D options during
the annual Medicare enrollment period. What could you tell her about Part
D?**
- Part D covers prescription drugs, and she should review premiums,
formulary, and cost-sharing to see if there have been changes.
,4. **Mrs. Park is an elderly retiree with a low fixed income. What could you
tell her that might help?**
- She should contact her state Medicaid agency to see if she qualifies for
programs that help with Medicare costs.
5. **Mrs. Quinn, upon turning 66, received automatic enrollment in
Medicare Part B. What does this mean?**
- Part B primarily covers physician services. She will pay a monthly
premium and generally have 20% co-payments, plus an annual deductible.
6. **Anita Magri, turning age 65, plans to enroll in Original Medicare and a
Medigap plan. She heard about Medigap Plan F. What should you advise
her?**
- Medigap Plan F is no longer available to those turning 65 after January
1, 2020. She might consider other Medigap plans with foreign travel
benefits but that do not cover the Part B deductible.
7. **Mr. Singh wants drug coverage but not a Medicare Advantage plan.
What should you tell him?**
- He can enroll in a stand-alone prescription drug plan and keep Original
Medicare (Parts A and B).
8. **Mrs. Chen is soon turning 65, has been employed, and paid Medicare
taxes. Will she qualify for Part A?**
- Most individuals who are citizens and over 65 are covered under Part A
because of paying Medicare taxes, though some may pay premiums.
,9. **Mr. Xi, soon turning 65, asks what services Original Medicare provides.
What is the best description?**
- Beneficiaries under Original Medicare have no cost-sharing for most
preventive services.
10. **Mr. Barker, expecting minimal out-of-pocket costs, was surprised by
large charges. What can you tell him?**
- You can review the plan’s appeal process to help him request a review
of the coverage decision.
11. **Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan
without drug coverage. What should you tell him about combining it with a
drug plan?**
- He can enroll in an MA plan that includes drugs or Original Medicare
with a Medigap and standalone Part D; he cannot have the MA-only PPO
plan plus a separate drug plan.
12. **Mr. Lopez wants to know about plan options under Medicare
Advantage. What should you tell him?**
- There are plans such as HMOs, PPOs, PFFS, and MSAs available
through Medicare Advantage.
13. **Mr. Kelly wants to know if he is eligible for a PFFS plan. What
questions should you ask?**
- Is he entitled to Part A, enrolled in Part B, and does he live in the plan’s
service area?
, 14. **Mr. Wells wants to understand the difference between Original
Medicare and Medicare Advantage. What is the correct description?**
- Medicare Advantage is a way to get all Original Medicare benefits
through private insurance companies.
15. **Mrs. Lyons is healthy, lives independently, and is interested in a
Medical Savings Account (MSA). What important information should she
know?**
- MSAs cover Parts A and B benefits but not Part D; she can enroll in a
separate prescription drug plan.
16. **Mrs. Chou likes a PFFS plan without drug coverage and wants to
enroll in a stand-alone drug plan. What should you advise?**
- She can enroll in both a PFFS plan and a standalone Medicare
prescription drug plan.
17. **Mrs. Radford asks about special eligibility requirements for Medicare
Advantage. What should you tell her?**
- She must be entitled to Part A and enrolled in Part B.
18. **Dr. Elizabeth Brennan accepts the terms of the ABC PFFS plan but
does not contract with it. How much can she charge?**
- She can charge up to the amount specified in the plan’s terms, which
may include balance billing up to 15% of the Medicare rate.
19. **Mrs. Lopez, enrolled in a cost plan, lost her previous employer
coverage and wants to enroll in Part D. What should you tell her?**
CORRECT ANSWERS .GAURANTEED A+
BEST PRACTICE EXAM
AHIP 2026 OVER 500 EXAM QUESTIONS AND
CORRECT ANSWERS .GAURANTEED A+
BEST PRACTICE EXAM
1. **Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which services Original Medicare will
cover if the criteria are met. What could you tell her?**
- Original Medicare covers ambulance services.
2. **Mrs. Duarte is enrolled in Original Medicare Parts A and B. She
reviewed her Medicare Summary Notice (MSN) and disagrees with a partial
denial. What advice would you give her?**
- Mrs. Duarte should file an appeal of this initial determination within 120
days of receiving the MSN.
3. **Mrs. Geisler's neighbor advised her to review her Part D options during
the annual Medicare enrollment period. What could you tell her about Part
D?**
- Part D covers prescription drugs, and she should review premiums,
formulary, and cost-sharing to see if there have been changes.
,4. **Mrs. Park is an elderly retiree with a low fixed income. What could you
tell her that might help?**
- She should contact her state Medicaid agency to see if she qualifies for
programs that help with Medicare costs.
5. **Mrs. Quinn, upon turning 66, received automatic enrollment in
Medicare Part B. What does this mean?**
- Part B primarily covers physician services. She will pay a monthly
premium and generally have 20% co-payments, plus an annual deductible.
6. **Anita Magri, turning age 65, plans to enroll in Original Medicare and a
Medigap plan. She heard about Medigap Plan F. What should you advise
her?**
- Medigap Plan F is no longer available to those turning 65 after January
1, 2020. She might consider other Medigap plans with foreign travel
benefits but that do not cover the Part B deductible.
7. **Mr. Singh wants drug coverage but not a Medicare Advantage plan.
What should you tell him?**
- He can enroll in a stand-alone prescription drug plan and keep Original
Medicare (Parts A and B).
8. **Mrs. Chen is soon turning 65, has been employed, and paid Medicare
taxes. Will she qualify for Part A?**
- Most individuals who are citizens and over 65 are covered under Part A
because of paying Medicare taxes, though some may pay premiums.
,9. **Mr. Xi, soon turning 65, asks what services Original Medicare provides.
What is the best description?**
- Beneficiaries under Original Medicare have no cost-sharing for most
preventive services.
10. **Mr. Barker, expecting minimal out-of-pocket costs, was surprised by
large charges. What can you tell him?**
- You can review the plan’s appeal process to help him request a review
of the coverage decision.
11. **Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan
without drug coverage. What should you tell him about combining it with a
drug plan?**
- He can enroll in an MA plan that includes drugs or Original Medicare
with a Medigap and standalone Part D; he cannot have the MA-only PPO
plan plus a separate drug plan.
12. **Mr. Lopez wants to know about plan options under Medicare
Advantage. What should you tell him?**
- There are plans such as HMOs, PPOs, PFFS, and MSAs available
through Medicare Advantage.
13. **Mr. Kelly wants to know if he is eligible for a PFFS plan. What
questions should you ask?**
- Is he entitled to Part A, enrolled in Part B, and does he live in the plan’s
service area?
, 14. **Mr. Wells wants to understand the difference between Original
Medicare and Medicare Advantage. What is the correct description?**
- Medicare Advantage is a way to get all Original Medicare benefits
through private insurance companies.
15. **Mrs. Lyons is healthy, lives independently, and is interested in a
Medical Savings Account (MSA). What important information should she
know?**
- MSAs cover Parts A and B benefits but not Part D; she can enroll in a
separate prescription drug plan.
16. **Mrs. Chou likes a PFFS plan without drug coverage and wants to
enroll in a stand-alone drug plan. What should you advise?**
- She can enroll in both a PFFS plan and a standalone Medicare
prescription drug plan.
17. **Mrs. Radford asks about special eligibility requirements for Medicare
Advantage. What should you tell her?**
- She must be entitled to Part A and enrolled in Part B.
18. **Dr. Elizabeth Brennan accepts the terms of the ABC PFFS plan but
does not contract with it. How much can she charge?**
- She can charge up to the amount specified in the plan’s terms, which
may include balance billing up to 15% of the Medicare rate.
19. **Mrs. Lopez, enrolled in a cost plan, lost her previous employer
coverage and wants to enroll in Part D. What should you tell her?**
