2026 AHIP CERTIFICATION EXAM Actual Questions and Answers

2026 AHIP
CERTIFICATION EXAM
Actual Questions and Answers


What’s Inside?
 Actual AHIP 2026 Certification Exam questions with verified
and explained answers
 Fully aligned with the latest CMS & AHIP training modules
 Detailed coverage of all exam sections,
 Each question includes rationales and key references to reinforce
understanding
 Content designed to mirror the official AHIP
testing environment

,**1. Edward suffered from serious kidney disease.As a result, Edward
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became eligible for Medicare coverage due to end-stage renal disease
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(ESRD). A close relative donated their kidney and Edward successfully
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underwent transplant surgery 12 months ago. Edward is now age 50 and
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asks you if his Medicare coverage will continue, what should you say?**
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A. His Medicarecoveragewill end 12 months aftertransplantsurgery,
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regardless of his age.
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B. His Medicare coverage will continue as long as he receives follow-up care
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for the transplant.
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C. His Medicare coverage will end 36 months after the transplant unless he
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otherwise qualifies.
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D. HisMedicarecoverageends immediately aftertransplant surgery.
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**CorrectAnswer: C. His Medicare coverage will end 36 months after the
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transplant unless he otherwise qualifies.**
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**Expert Rationale:** For individuals eligible for Medicare due to ESRD,
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coverage ends 36 months after a successful kidney transplant unless they
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qualify for Medicare due to age or disability. Edward’s coverage will continue
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for 3 years post-transplant unless he turns 65 or qualifies for disability.
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**2. Ms. Henderson believes that she will qualify for Medicare Coverage
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when she turns 65, without paying any premiums, because
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,she has been working for 40 years and paying Medicare taxes. What
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should you tell her?**
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A. Sheis not eligible for any Medicare coverage.
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B. She will receive Medicare PartAwithout premiums, but must pay
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premiums for Part B.
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C. She will not need to pay any premiums for PartAor Part B.
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D. Sheis only eligible for Medicare Part B.
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**CorrectAnswer: B. She will receive Medicare PartAwithout premiums,
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but must pay premiums for Part B.**
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**Expert Rationale:** Individuals with sufficient work credits (generally 40
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quarters) receive premium-free Part Aat age 65. However, Part B requires a
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monthly premium, which is income-adjusted. This often causes confusion, but
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Part B premiums are always required unless she qualifies for Medicaid or other
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coverage.
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**3. Ms. Lewis has aggressive cancer and would like to know if Medicare
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will cover hospice services in case she needs them. What should you tell
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her?**
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A. Hospiceis not covered under Original Medicare. qw qw qw qw qw qw




B. Hospice is covered under MedicarePartA. qw qw qw qw qw w
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C. Hospiceis covered under MedicarePart B. qw qw qw qw qw qw

, D. Hospiceis only covered if she has a MedicareAdvantage plan. qw qw qw qw qw qw qw qw w
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**CorrectAnswer: B. Hospice is covered under Medicare PartA.**
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**Expert Rationale:** Hospicecare is a benefit under PartAof Medicare,
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available to terminally ill individuals who elect to focus on comfort care rather
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than curative treatment. Coverage includes pain relief, symptom
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management, and support services.
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**4. Mr. Capadona would liketo purchase a MedicareAdvantage (MA) plan
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and a Medigap plan to pick up costs not covered by that plan.
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What should you tell him?**
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A. Hecan enroll in both MAand Medigap plans.
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B. Medigapcan only be used with Original Medicare, not MAplans. qw qw qw qw qw qw qw qw qw w
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C. Medigapwill cover costs not included by MAplans. w
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D. He does not need any plan.
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**CorrectAnswer: B. Medigap can only be usedwith Original Medicare,
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not MA plans.**
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**Expert Rationale:** Federal law prohibits the sale of Medigap policies to
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individuals enrolled in Medicare Advantage, since Medigap supplements only
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Original Medicare (PartAand Part B), not MedicareAdvantage plans.
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