AHIP TESTING
(Updated for 2025-2026) Real Exam
Pack – Questions & Verified Answers
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Trusted by thousands of students and professionals worldwide
Trusted by thousands of students and professionals worldwide Page 1 of 52
, AHIP Testing (Updated for 2025-2026) Real Exam Pack – Questions & Verified Answers
Question 1
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will
have considerable income when she retires. She is concerned that her income will make it
impossible for her to qualify for Medicare. What could you tell her to address her concern?
Correct Answer
Medicare is a program for people age 65 or older and those under age 65 with certain disabilities,
end stage renal disease or Lou Gehrig's disease, so she will be eligible for Medicare
Question 2
Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original
Fee-for-Service (FFS) Medicare? What could you tell him?
Correct Answer
Part A, which covers hospital, skilled nursing facility, hospice and home health services and Part B,
which covers professional services such as those provided by a doctor are covered under Original
Medicare.
Question 3
Mr. Hernandez is concerned that if he signs up for a Medicare Advantage plan, the health plan may,
at some time in the future, reduce his benefits below what is available in Original Medicare. What
should you tell him about his concern?
Correct Answer
Medicare health plans must cover all benefits available under Medicare Part A and Part B. Many
also cover Part D prescription drugs.
Question 4
Mrs. Raskin is a widow who will attain aged 65 and enroll in Medicare in just a few weeks. She
concerned about having prescription drug coverage. Which of the following statements provides
the best advice?
Correct Answer
Prescription drug coverage can be obtained by enrolling in a Medicare Advantage plan that
includes Part D coverage.
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, AHIP Testing (Updated for 2025-2026) Real Exam Pack – Questions & Verified Answers
Question 5
Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to
the benefit package of a Medicare Health Plan before she starts looking at specific plans. What
could you tell her?
Correct Answer
Medicare Health Plans may offer extra benefits that Original Medicare does not offer such as
vision, hearing, and dental services and must include a maximum out-of-pocket limit on Part A
and Part B services.
Question 6
Mr. Meoni's wife has a Medicare Advantage plan, but he wants to understand what coverage
Medicare Supplemental Insurance provides since his health care needs are different from his wife's
needs. What could you tell Mr.Meoni?
Correct Answer
Medicare Supplemental Insurance would help cover his Part A and Part B cost sharing in Original
Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover.
Question 7
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?
Correct Answer
Most individuals who are citizens and over age 65 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.
Question 8
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security
Administration and has been receiving disability payments. He is wondering whether he can obtain
coverage under Medicare. What should you tell him?
Correct Answer
After receiving such disability payments for 24 months, he will be automatically enrolled in
Medicare, regardless of age.
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, AHIP Testing (Updated for 2025-2026) Real Exam Pack – Questions & Verified Answers
Question 9
Mr. Davis is 49 years old and has been receiving disability benefits from the Social Security
Administration for 12 months. Can you sell him a Medicare Advantage or Part D Prescription Drug
policy?
Correct Answer
No, he cannot purchase a Medicare Advantage or Part D policy because he has not received
Social Security or Railroad Retirement disability benefits for 24 months.
Question 10
Ms. Henderson believes that she will qualify for Medicare coverage when she turns 65, without
paying any premiums, because she has been working for 40 years and paying Medicare taxes. What
should you tell her?
Correct Answer
In order to obtain Part B coverage, she must pay a standard monthly premium, though it is higher
for individuals with higher incomes.
Question 11
Mr. Diaz continued working with his company and was insured under his employer's group plan
until he reached age 68. He has heard that there is a premium penalty for those who did not sign
up for Part B when first eligible and wants to know how much he will have to pay. What should you
tell him?
Correct Answer
Mr. Diaz will not pay any penalty because he had continuous coverage under his employer's plan.
Question 12
Mrs. Peňa is 66 years old, has coverage under an employer plan and will retire next year. She heard
she must enroll in Part B at the beginning of the year to ensure no gap in coverage. What can you
tell her?
Correct Answer
She may enroll at any time while she is covered under her employer plan, but she will have a
special eight-month enrollment period that differs from the standard general enrollment period,
during which she may enroll in Medicare Part B.
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