AHIP FINAL EXAM PREP 2026 | COMPLETE
STUDY GUIDE & PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,Mr. Wu is eligible for Medicare. He has limited financial Mr. Wu may still qualify for help in paying Part D costs through his State
resources but failed to qualify for the Part D low- Pharmaceutical Assistance Program.
income subsidy. Where might he turn for help with his
prescription drug costs?
Mr. Bauer is 49 years old, but eighteen months ago he After receiving such disability payments for 24 months, he will be automatically
was declared disabled by the Social Security enrolled in Medicare, regardless of age.
Administration and has been receiving disability
payments. He is wondering whether he can obtain
coverage under Medicare. What should you tell him?
Mildred Savage enrolled in Allcare Medicare Mildred may remain enrolled in Allcare and make a hospice election. Hospice
Advantage plan several years ago. Mildred recently benefits will be paid for by Original Medicare under Part A and Allcare will
learned that she is suffering from inoperable cancer continue to pay for any non-hospice services.
and has just a few months to live. She would like to
spend these final months in hospice care. Mildred's
family asks you whether hospice benefits will be paid
for under the Allcare Medicare Advantage plan. What
should you say?
,Mr. Schmidt would like to plan for retirement and has Part A, which covers hospital, skilled nursing facility, hospice, and home health
asked you what is covered under Original Fee-for- services and Part B, which covers professional services such as those provided
Service (FFS) Medicare. What could you tell him? by a doctor are covered under Original Medicare.
Agent John Miller is meeting with Jerry Smith, a new Tell prospect Jerry Smith that he should consider adding a standalone Part D
prospect. Jerry is currently enrolled in Medicare Parts A prescription drug coverage policy to his present coverage.
and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for several years.
However, the plan does not provide drug benefits. How
would you advise Agent John Miller to proceed?
Mr. Davis is 52 years old and has recently been He may sign-up for Medicare at any time however coverage usually begins on
diagnosed with end-stage renal disease (ESRD) and will the fourth month after dialysis treatments start.
soon begin dialysis. He is wondering if he can obtain
coverage under Medicare. What should you tell him?
Mr. Diaz continued working with his company and was Mr. Diaz will not pay any penalty because he had continuous coverage under
insured under his employer's group plan until he his employer's plan.
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?
, Madeline Martinez was widowed several years ago. Her You should tell Madeline that she will be able to enroll in Medicare Part A
husband worked for many years and contributed into without paying monthly premiums due to her husband's long work record and
the Medicare system. He also left a substantial estate participation in the Medicare system. You should also tell Madeline that she will
which provides Madeline with an annual income of pay Part B premiums at more than the standard lowest rate but less than the
approximately $130,000. Madeline, who has only highest rate due her substantial income.
worked part-time for the last three years, will soon turn
age 65 and hopes to enroll in Original Medicare. She
comes to you for advice. What should you tell her?
Edward IP suffered from serious kidney disease. As a Individuals eligible for Medicare based on ESRD generally lose eligibility 36
result. Edward became eligible for Medicare coverage months after the month in which the individual receives a kidney transplant
due to end-stage renal disease (ESRD). A close relative unless they are eligible for Medicare on another basis such as age or disability.
donated their kidney and Edward successfully Edward may, however, remain enrolled in Part B but solely for coverage of
underwent transplant surgery 12 months ago. Edward is immunosuppressive drugs if he has no other health care coverage that would
now age 50 and asks you if his Medicare coverage will cover the drugs.
continue, what should you say?
Mrs. Peňa is 66 years old, has coverage under an She may enroll at any time while she is covered under her employer plan, but
employer plan, and will retire next year. She heard she she will have a special eight-month enrollment period after the last month on
must enroll in Part B at the beginning of the year to her employer plan that differs from the standard general enrollment period,
ensure no gap in coverage. What can you tell her? during which she may enroll in Medicare Part B.
STUDY GUIDE & PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,Mr. Wu is eligible for Medicare. He has limited financial Mr. Wu may still qualify for help in paying Part D costs through his State
resources but failed to qualify for the Part D low- Pharmaceutical Assistance Program.
income subsidy. Where might he turn for help with his
prescription drug costs?
Mr. Bauer is 49 years old, but eighteen months ago he After receiving such disability payments for 24 months, he will be automatically
was declared disabled by the Social Security enrolled in Medicare, regardless of age.
Administration and has been receiving disability
payments. He is wondering whether he can obtain
coverage under Medicare. What should you tell him?
Mildred Savage enrolled in Allcare Medicare Mildred may remain enrolled in Allcare and make a hospice election. Hospice
Advantage plan several years ago. Mildred recently benefits will be paid for by Original Medicare under Part A and Allcare will
learned that she is suffering from inoperable cancer continue to pay for any non-hospice services.
and has just a few months to live. She would like to
spend these final months in hospice care. Mildred's
family asks you whether hospice benefits will be paid
for under the Allcare Medicare Advantage plan. What
should you say?
,Mr. Schmidt would like to plan for retirement and has Part A, which covers hospital, skilled nursing facility, hospice, and home health
asked you what is covered under Original Fee-for- services and Part B, which covers professional services such as those provided
Service (FFS) Medicare. What could you tell him? by a doctor are covered under Original Medicare.
Agent John Miller is meeting with Jerry Smith, a new Tell prospect Jerry Smith that he should consider adding a standalone Part D
prospect. Jerry is currently enrolled in Medicare Parts A prescription drug coverage policy to his present coverage.
and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for several years.
However, the plan does not provide drug benefits. How
would you advise Agent John Miller to proceed?
Mr. Davis is 52 years old and has recently been He may sign-up for Medicare at any time however coverage usually begins on
diagnosed with end-stage renal disease (ESRD) and will the fourth month after dialysis treatments start.
soon begin dialysis. He is wondering if he can obtain
coverage under Medicare. What should you tell him?
Mr. Diaz continued working with his company and was Mr. Diaz will not pay any penalty because he had continuous coverage under
insured under his employer's group plan until he his employer's plan.
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?
, Madeline Martinez was widowed several years ago. Her You should tell Madeline that she will be able to enroll in Medicare Part A
husband worked for many years and contributed into without paying monthly premiums due to her husband's long work record and
the Medicare system. He also left a substantial estate participation in the Medicare system. You should also tell Madeline that she will
which provides Madeline with an annual income of pay Part B premiums at more than the standard lowest rate but less than the
approximately $130,000. Madeline, who has only highest rate due her substantial income.
worked part-time for the last three years, will soon turn
age 65 and hopes to enroll in Original Medicare. She
comes to you for advice. What should you tell her?
Edward IP suffered from serious kidney disease. As a Individuals eligible for Medicare based on ESRD generally lose eligibility 36
result. Edward became eligible for Medicare coverage months after the month in which the individual receives a kidney transplant
due to end-stage renal disease (ESRD). A close relative unless they are eligible for Medicare on another basis such as age or disability.
donated their kidney and Edward successfully Edward may, however, remain enrolled in Part B but solely for coverage of
underwent transplant surgery 12 months ago. Edward is immunosuppressive drugs if he has no other health care coverage that would
now age 50 and asks you if his Medicare coverage will cover the drugs.
continue, what should you say?
Mrs. Peňa is 66 years old, has coverage under an She may enroll at any time while she is covered under her employer plan, but
employer plan, and will retire next year. She heard she she will have a special eight-month enrollment period after the last month on
must enroll in Part B at the beginning of the year to her employer plan that differs from the standard general enrollment period,
ensure no gap in coverage. What can you tell her? during which she may enroll in Medicare Part B.
