AHIP FINAL EXAM TEST QUESTIONS AND CORRECT ANSWERS
(2026/2027) (VERIFIED ANSWERS) ASSURED SUCCESS
Mrs.RWestRwearsRglassesRandRdenturesRandRhasRenjoyedRconsiderableRpainRreliefRfromRarthritisRth
roughRacupuncture.RSheRisRconcernedRaboutRwhetherRorRnotRMedicareRwillRcoverRtheseRitemsRand
Rservices.RWhatRshouldRyouRtellRher?R-RCORRECTRANSWERSR-
MedicareRdoesRnotRcoverRacupuncture,Ror,RinRgeneral,RglassesRorRdentures.
Mr.RBickfordRdidRnotRquiteRqualifyRforRtheRextraRhelpRlow-
incomeRsubsidyRunderRtheRMedicareRPartRDRPrescriptionRDrugRprogramRandRheRisRwonderingRifRth
ereRisRanyRotherRoptionRheRhasRforRobtainingRhelpRwithRhisRconsiderableRdrugRcosts.RWhatRshouldRy
ouRtellRhim?R-RCORRECTRANSWERSR-
HeRcouldRcheckRwithRtheRmanufacturersRofRhisRmedicationsRtoRseeRifRtheyRofferRanRassistanceRprog
ramRtoRhelpRpeopleRwithRlimitedRmeansRobtainRtheRmedicationsRtheyRneed.RAlternatively,RheRcoul
dRcheckRtoRseeRwhetherRhisRstateRhasRaRpharmacyRassistanceRprogramRtoRhelpRhimRwithRhisRexpens
es.
Mr.RLombardiRisRinterestedRinRaRMedicareRAdvantageR(MA)RPPORplanRthatRyouRrepresent.RItRisRoneR
ofRthreeRplansRoperatedRbyRtheRsameRorganizationRinRMr.RLombardi'sRarea.RTheRMARPPORplanRdoes
RnotRincludeRdrugRcoverage,RbutRtheRotherRtwoRplansRdo.RMr.RLombardiRlikesRtheRPPORplanRthatRdo
esRnotRincludeRdrugRcoverageRandRintendsRtoRobtainRhisRdrugRcoverageRthroughRaRstand-
aloneRMedicareRprescriptionRdrugRplan.RWhatRshouldRyouRtellRhimRaboutRthisRsituation?R-
RCORRECTRANSWERSR-
HeRcouldRenrollRinRoneRofRtheRMARplansRthatRincludeRprescriptionRdrugRcoverageRorRaRMedigapRpla
nRandRaRstand-aloneRprescriptionRdrugRplan,RbutRheRcannotRenrollRinRtheRMA-
onlyRPPORplanRandRaRstand-aloneRprescriptionRdrugRplan.
Mr.RTorresRhasRaRsmallRsavingsRaccount.RHeRwouldRlikeRtoRpayRforRhisRmonthlyRPartRDRpremiumsRwit
hRanRautomaticRmonthlyRwithdrawalRfromRhisRsavingsRaccountRuntilRitRisRexhausted,RandRthenRhave
RhisRpremiumsRwithheldRfromRhisRSocialRSecurityRcheck.RWhatRshouldRyouRtellRhim?R-
RCORRECTRANSWERSR-
InRgeneral,RheRmustRselectRaRsingleRPartRDRpremiumRpaymentRmechanismRthatRwillRbeRusedRthroug
houtRtheRyear.
, AgentRJenningsRmakesRaRpresentationRonRMedicareRadvertisedRasRanReducationalRevent.RAgentRJe
nningsRdistributesRmaterialsRthatRareRsolelyReducationalRinRnature.RHowever,RsheRgivesRaRbriefRpre
sentationRthatRmentionsRplan-
specificRpremiums.RIsRthisRaRprohibitedRactivityRatRanReventRthatRhasRbeenRadvertisedRasReducation
al?R-RCORRECTRANSWERSR-
Yes.RWhenRanReventRhasRbeenRadvertisedRasR"educational,"RdiscussingRplan-
specificRpremiumsRisRimpermissible.
Mrs.RMulcahyRisRconcernedRthatRsheRmayRnotRqualifyRforRenrollmentRinRaRMedicareRprescriptionRd
rugRplanRbecause,RalthoughRsheRisRentitledRtoRPartRA,RsheRisRnotRenrolledRunderRMedicareRPartRB.R
WhatRshouldRyouRtellRher?R-RCORRECTRANSWERSR-
EveryoneRwhoRisRentitledRtoRPartRARorRenrolledRunderRPartRBRisReligibleRtoRenrollRinRaRMedicareRpre
scriptionRdrugRplan.RAsRlongRasRMrs.RMulcahyRisRentitledRtoRPartRA,RsheRdoesRnotRneedRtoRenrollRun
derRPartRBRbeforeRenrollingRinRaRprescriptionRdrugRplan.
Mr.RJacobRunderstandsRthatRthereRisRaRstandardRMedicareRPartRDRprescriptionRdrugRbenefit,RbutRw
henRheRlooksRatRinformationRonRvariousRplansRavailableRinRhisRarea,RheRseesRaRwideRrangeRinRwhatRt
heyRchargeRforRdeductibles,RpremiumsRandRcostRsharing.RHowRcanRyouRexplainRthisRtoRhim?R-
RCORRECTRANSWERSR-
MedicareRPartRDRdrugRplansRmayRhaveRdifferentRbenefitRstructures,RbutRonRaverage,RtheyRmustRallR
beRatRleastRasRgoodRasRtheRstandardRmodelRestablishedRbyRtheRgovernment.
Ms.RMooreRplansRtoRretireRwhenRsheRturnsR65RinRaRfewRmonths.RSheRisRinRexcellentRhealthRandRwillR
haveRconsiderableRincomeRwhenRsheRretires.RSheRisRconcernedRthatRherRincomeRwillRmakeRitRimpo
ssibleRforRherRtoRqualifyRforRMedicare.RWhatRcouldRyouRtellRherRtoRaddressRherRconcern?R-
RCORRECTRANSWERSR-
MedicareRisRaRprogramRforRpeopleRageR65RorRolderRandRthoseRunderRageR65RwithRcertainRdisabilitie
s,RendRstageRrenalRdiseaseRorRLouRGehrig'sRdisease,RsoRsheRwillRbeReligibleRforRMedicare.
AgentRArmstrongRisRemployedRbyRXYZRAgency,RwhichRisRunderRcontractRwithRABCRHealthRPlan,RaRM
edicareRAdvantageR(MA)RplanRthatRoffersRplansRinRmultipleRstates.RXYZRAgencyRmaintainsRaRwebsit
eRmarketingRtheRMARplansRwithRwhichRitRhasRcontracts.RAgentRArmstrongRfollowsRupRwithRindividu
alsRwhoRrequestRmoreRinformationRaboutRABCRMARplansRviaRtheRwebsiteRandRtriesRtoRpersuadeRth
(2026/2027) (VERIFIED ANSWERS) ASSURED SUCCESS
Mrs.RWestRwearsRglassesRandRdenturesRandRhasRenjoyedRconsiderableRpainRreliefRfromRarthritisRth
roughRacupuncture.RSheRisRconcernedRaboutRwhetherRorRnotRMedicareRwillRcoverRtheseRitemsRand
Rservices.RWhatRshouldRyouRtellRher?R-RCORRECTRANSWERSR-
MedicareRdoesRnotRcoverRacupuncture,Ror,RinRgeneral,RglassesRorRdentures.
Mr.RBickfordRdidRnotRquiteRqualifyRforRtheRextraRhelpRlow-
incomeRsubsidyRunderRtheRMedicareRPartRDRPrescriptionRDrugRprogramRandRheRisRwonderingRifRth
ereRisRanyRotherRoptionRheRhasRforRobtainingRhelpRwithRhisRconsiderableRdrugRcosts.RWhatRshouldRy
ouRtellRhim?R-RCORRECTRANSWERSR-
HeRcouldRcheckRwithRtheRmanufacturersRofRhisRmedicationsRtoRseeRifRtheyRofferRanRassistanceRprog
ramRtoRhelpRpeopleRwithRlimitedRmeansRobtainRtheRmedicationsRtheyRneed.RAlternatively,RheRcoul
dRcheckRtoRseeRwhetherRhisRstateRhasRaRpharmacyRassistanceRprogramRtoRhelpRhimRwithRhisRexpens
es.
Mr.RLombardiRisRinterestedRinRaRMedicareRAdvantageR(MA)RPPORplanRthatRyouRrepresent.RItRisRoneR
ofRthreeRplansRoperatedRbyRtheRsameRorganizationRinRMr.RLombardi'sRarea.RTheRMARPPORplanRdoes
RnotRincludeRdrugRcoverage,RbutRtheRotherRtwoRplansRdo.RMr.RLombardiRlikesRtheRPPORplanRthatRdo
esRnotRincludeRdrugRcoverageRandRintendsRtoRobtainRhisRdrugRcoverageRthroughRaRstand-
aloneRMedicareRprescriptionRdrugRplan.RWhatRshouldRyouRtellRhimRaboutRthisRsituation?R-
RCORRECTRANSWERSR-
HeRcouldRenrollRinRoneRofRtheRMARplansRthatRincludeRprescriptionRdrugRcoverageRorRaRMedigapRpla
nRandRaRstand-aloneRprescriptionRdrugRplan,RbutRheRcannotRenrollRinRtheRMA-
onlyRPPORplanRandRaRstand-aloneRprescriptionRdrugRplan.
Mr.RTorresRhasRaRsmallRsavingsRaccount.RHeRwouldRlikeRtoRpayRforRhisRmonthlyRPartRDRpremiumsRwit
hRanRautomaticRmonthlyRwithdrawalRfromRhisRsavingsRaccountRuntilRitRisRexhausted,RandRthenRhave
RhisRpremiumsRwithheldRfromRhisRSocialRSecurityRcheck.RWhatRshouldRyouRtellRhim?R-
RCORRECTRANSWERSR-
InRgeneral,RheRmustRselectRaRsingleRPartRDRpremiumRpaymentRmechanismRthatRwillRbeRusedRthroug
houtRtheRyear.
, AgentRJenningsRmakesRaRpresentationRonRMedicareRadvertisedRasRanReducationalRevent.RAgentRJe
nningsRdistributesRmaterialsRthatRareRsolelyReducationalRinRnature.RHowever,RsheRgivesRaRbriefRpre
sentationRthatRmentionsRplan-
specificRpremiums.RIsRthisRaRprohibitedRactivityRatRanReventRthatRhasRbeenRadvertisedRasReducation
al?R-RCORRECTRANSWERSR-
Yes.RWhenRanReventRhasRbeenRadvertisedRasR"educational,"RdiscussingRplan-
specificRpremiumsRisRimpermissible.
Mrs.RMulcahyRisRconcernedRthatRsheRmayRnotRqualifyRforRenrollmentRinRaRMedicareRprescriptionRd
rugRplanRbecause,RalthoughRsheRisRentitledRtoRPartRA,RsheRisRnotRenrolledRunderRMedicareRPartRB.R
WhatRshouldRyouRtellRher?R-RCORRECTRANSWERSR-
EveryoneRwhoRisRentitledRtoRPartRARorRenrolledRunderRPartRBRisReligibleRtoRenrollRinRaRMedicareRpre
scriptionRdrugRplan.RAsRlongRasRMrs.RMulcahyRisRentitledRtoRPartRA,RsheRdoesRnotRneedRtoRenrollRun
derRPartRBRbeforeRenrollingRinRaRprescriptionRdrugRplan.
Mr.RJacobRunderstandsRthatRthereRisRaRstandardRMedicareRPartRDRprescriptionRdrugRbenefit,RbutRw
henRheRlooksRatRinformationRonRvariousRplansRavailableRinRhisRarea,RheRseesRaRwideRrangeRinRwhatRt
heyRchargeRforRdeductibles,RpremiumsRandRcostRsharing.RHowRcanRyouRexplainRthisRtoRhim?R-
RCORRECTRANSWERSR-
MedicareRPartRDRdrugRplansRmayRhaveRdifferentRbenefitRstructures,RbutRonRaverage,RtheyRmustRallR
beRatRleastRasRgoodRasRtheRstandardRmodelRestablishedRbyRtheRgovernment.
Ms.RMooreRplansRtoRretireRwhenRsheRturnsR65RinRaRfewRmonths.RSheRisRinRexcellentRhealthRandRwillR
haveRconsiderableRincomeRwhenRsheRretires.RSheRisRconcernedRthatRherRincomeRwillRmakeRitRimpo
ssibleRforRherRtoRqualifyRforRMedicare.RWhatRcouldRyouRtellRherRtoRaddressRherRconcern?R-
RCORRECTRANSWERSR-
MedicareRisRaRprogramRforRpeopleRageR65RorRolderRandRthoseRunderRageR65RwithRcertainRdisabilitie
s,RendRstageRrenalRdiseaseRorRLouRGehrig'sRdisease,RsoRsheRwillRbeReligibleRforRMedicare.
AgentRArmstrongRisRemployedRbyRXYZRAgency,RwhichRisRunderRcontractRwithRABCRHealthRPlan,RaRM
edicareRAdvantageR(MA)RplanRthatRoffersRplansRinRmultipleRstates.RXYZRAgencyRmaintainsRaRwebsit
eRmarketingRtheRMARplansRwithRwhichRitRhasRcontracts.RAgentRArmstrongRfollowsRupRwithRindividu
alsRwhoRrequestRmoreRinformationRaboutRABCRMARplansRviaRtheRwebsiteRandRtriesRtoRpersuadeRth