AHIP Final Exam Test Questions and Answers
AHIP Final Exam Test Questions and Verified Answers
2026/2027 | Latest Medicare Certification Exam Study
Guide | A+ Guaranteed Pass
Mr. Davis is 52 years old and has recently been diagnosed with end-stage
renal disease(ESRD) and will soon begin dialysis. He is wondering if he can
obtain coverage under Medicare. What should you tell him?correct answers
He may sign-up for Medicare at any time however coverage usually begins on
the fourth month after dialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for several
more years atSmallcap, Incorporated. Smallcap has a workforce of15
employees and offers employer-sponsored healthcare coverage. Juan is a
naturalized citizen and has contributed to the Medicare system for over 20
years. Juan asks you if he will be entitled to Medicare and if he enrolls how
that will impact his employer-sponsored healthcare coverage. How would
you respond?correct answers Juan is likely to be eligible for Medicare once
he turns age 65 and if he enrolls Medicare would become theprimary
payor of his healthcare claims and Smallcap does not have to continue to
offer him coverage comparable to those under age 65 under its employer-
sponsored group health plan.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs aredifferent from his wife's needs. What could you tell Mr.
Moy?correct answersMedicareSupplemental Insurance would help cover his
Part A and Part B deductibles or coinsurance in Original Fee-for-Service (FFS)
, AHIP Final Exam Test Questions and Answers
Medicare as well as possibly some services that Medicare does not cover.
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire
, AHIP Final Exam Test Questions and Answers
next year. She heard she must enroll in Part B at the beginning of the year to
ensure no gapin coverage. What can you tell her?correct answersShe may
enroll at any time while she is covered under her employer plan, but she
will have a special eight-month enrollment period after the last month on
her employer plan that differs from the standard general enrollment period,
during which she may enroll in Medicare Part B.
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 qualifyfor coverage under part A because she was not born
in the United States. What shouldyou tell her?correct answersMost
individuals who are citizens and age 65 or over 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.
, AHIP Final Exam Test Questions and Answers
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as
well, but it provides no drug coverage. She would like to keep the coverage
she has but replace her existing Medigap plan with one that provides drug
coverage. What should you tell her?correct answersMrs. Gonzalez cannot
purchase a Medigap plan that covers drugs,but she could keep her Medigap
policy and enroll in a Part D prescription drug plan.
Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through massage therapy. She is concerned about
whether or not Medicare willcover these items and services. What should
you tell her?correct answersMedicare does not cover massage therapy, or,
in general, glasses or dentures.
Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the health care costs he
might be exposed tounder Medicare if he were to require hospitalization as a
result of an illness. In general terms, what could you tell him about his costs
for inpatient hospital services
under Original Medicare?correct answersUnder Original Medicare, there is a
single deductible amount due for the first 60 days of any inpatient hospital
stay, after which it converts into a per-day coinsurance amount through day
90. After day 90, he would paya daily amount up to 60 days over his lifetime,
after which he would be responsible for all costs.
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 answersTo
obtain
AHIP Final Exam Test Questions and Verified Answers
2026/2027 | Latest Medicare Certification Exam Study
Guide | A+ Guaranteed Pass
Mr. Davis is 52 years old and has recently been diagnosed with end-stage
renal disease(ESRD) and will soon begin dialysis. He is wondering if he can
obtain coverage under Medicare. What should you tell him?correct answers
He may sign-up for Medicare at any time however coverage usually begins on
the fourth month after dialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for several
more years atSmallcap, Incorporated. Smallcap has a workforce of15
employees and offers employer-sponsored healthcare coverage. Juan is a
naturalized citizen and has contributed to the Medicare system for over 20
years. Juan asks you if he will be entitled to Medicare and if he enrolls how
that will impact his employer-sponsored healthcare coverage. How would
you respond?correct answers Juan is likely to be eligible for Medicare once
he turns age 65 and if he enrolls Medicare would become theprimary
payor of his healthcare claims and Smallcap does not have to continue to
offer him coverage comparable to those under age 65 under its employer-
sponsored group health plan.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs aredifferent from his wife's needs. What could you tell Mr.
Moy?correct answersMedicareSupplemental Insurance would help cover his
Part A and Part B deductibles or coinsurance in Original Fee-for-Service (FFS)
, AHIP Final Exam Test Questions and Answers
Medicare as well as possibly some services that Medicare does not cover.
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire
, AHIP Final Exam Test Questions and Answers
next year. She heard she must enroll in Part B at the beginning of the year to
ensure no gapin coverage. What can you tell her?correct answersShe may
enroll at any time while she is covered under her employer plan, but she
will have a special eight-month enrollment period after the last month on
her employer plan that differs from the standard general enrollment period,
during which she may enroll in Medicare Part B.
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 qualifyfor coverage under part A because she was not born
in the United States. What shouldyou tell her?correct answersMost
individuals who are citizens and age 65 or over 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.
, AHIP Final Exam Test Questions and Answers
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as
well, but it provides no drug coverage. She would like to keep the coverage
she has but replace her existing Medigap plan with one that provides drug
coverage. What should you tell her?correct answersMrs. Gonzalez cannot
purchase a Medigap plan that covers drugs,but she could keep her Medigap
policy and enroll in a Part D prescription drug plan.
Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through massage therapy. She is concerned about
whether or not Medicare willcover these items and services. What should
you tell her?correct answersMedicare does not cover massage therapy, or,
in general, glasses or dentures.
Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the health care costs he
might be exposed tounder Medicare if he were to require hospitalization as a
result of an illness. In general terms, what could you tell him about his costs
for inpatient hospital services
under Original Medicare?correct answersUnder Original Medicare, there is a
single deductible amount due for the first 60 days of any inpatient hospital
stay, after which it converts into a per-day coinsurance amount through day
90. After day 90, he would paya daily amount up to 60 days over his lifetime,
after which he would be responsible for all costs.
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 answersTo
obtain
