AHIP FINAL EXAM
Practice Questions, Verified Answers & Certification
Review (Updated 2025–2026) | Medicare Training Exam
Prep | Complete PDF Study Guide | A+ Review
THIS EXAM INCLUDES:
• ✅ Comprehensive Practice Questions
• ✅ Verified Answers with Detailed Explanations
• ✅ AHIP Medicare Certification Exam Preparation
• ✅ Medicare Parts A, B, C & D Review
• ✅ Compliance, Ethics & FWA Coverage
• ✅ Ideal for Certification & Annual Recertification
• ✅ Instant Digital PDF Study Resource
• ✅ A+ Exam Prep Guide
,AHIP Final Exam Practice Questions, Verified Answers &
Certification Review (Updated 2025–2026) | Medicare
Training Exam Prep | Complete PDF Study Guide | A+
Review
Question 1
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition. However,
she and her physicians feel that after her lengthy hospital stay, she
will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a
skilled nursing facility?
Correct Answer: Medicare will cover Mrs. Shield's skilled nursing services
provided during the first 20 days of her stay, after which she would have a
copay until she has been in the facility for 100 days.
Rationale: Original Medicare provides coverage for skilled nursing facility
(SNF) care with specific cost-sharing. Days 1-20 are covered in full with no
copayment. Days 21-100 require a daily coinsurance amount. After day 100,
Medicare provides no coverage, and the beneficiary is responsible for all
costs. Understanding this structure helps beneficiaries plan for potential
out-of-pocket expenses.
,Question 2
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 will cover these items and services.
What should you tell her?
Correct Answer: Medicare does not cover massage therapy, or, in general,
glasses or dentures.
Rationale: Original Medicare has specific exclusions for certain items and
services. Routine eye exams and eyeglasses are generally not covered
(except for cataract surgery). Dentures are not covered by Original
Medicare. Massage therapy is considered alternative or complementary
medicine and is not covered. Beneficiaries should be aware of these
limitations to avoid unexpected out-of-pocket costs.
Question 3
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?
Correct Answer: She should contact her state Medicaid agency to see if
she qualifies for one of several programs that can help with Medicare costs
for which she is responsible.
Rationale: Low-income Medicare beneficiaries may qualify for programs
that help with Medicare costs, including Medicaid, Medicare Savings
Programs (MSPs), and the Part D Low-Income Subsidy (Extra Help). Each
, state has different eligibility requirements, so contacting the state Medicaid
agency is the appropriate first step.
Question 4
Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare
it to a Part D prescription drug plan. He asks you what costs he would
generally expect to encounter when enrolling into a standard
Medicare Part D prescription drug plan. What should you tell him?
Correct Answer: He generally would pay a monthly premium, annual
deductible, and per-prescription cost-sharing.
Rationale: Standard Medicare Part D plans have multiple cost components:
a monthly premium paid to the plan, an annual deductible (which may vary
by plan), and cost-sharing for each prescription (copayments or
coinsurance). Some plans may offer reduced cost-sharing or no deductible,
but these are the standard elements of Part D coverage.
Question 5
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?
Practice Questions, Verified Answers & Certification
Review (Updated 2025–2026) | Medicare Training Exam
Prep | Complete PDF Study Guide | A+ Review
THIS EXAM INCLUDES:
• ✅ Comprehensive Practice Questions
• ✅ Verified Answers with Detailed Explanations
• ✅ AHIP Medicare Certification Exam Preparation
• ✅ Medicare Parts A, B, C & D Review
• ✅ Compliance, Ethics & FWA Coverage
• ✅ Ideal for Certification & Annual Recertification
• ✅ Instant Digital PDF Study Resource
• ✅ A+ Exam Prep Guide
,AHIP Final Exam Practice Questions, Verified Answers &
Certification Review (Updated 2025–2026) | Medicare
Training Exam Prep | Complete PDF Study Guide | A+
Review
Question 1
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition. However,
she and her physicians feel that after her lengthy hospital stay, she
will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a
skilled nursing facility?
Correct Answer: Medicare will cover Mrs. Shield's skilled nursing services
provided during the first 20 days of her stay, after which she would have a
copay until she has been in the facility for 100 days.
Rationale: Original Medicare provides coverage for skilled nursing facility
(SNF) care with specific cost-sharing. Days 1-20 are covered in full with no
copayment. Days 21-100 require a daily coinsurance amount. After day 100,
Medicare provides no coverage, and the beneficiary is responsible for all
costs. Understanding this structure helps beneficiaries plan for potential
out-of-pocket expenses.
,Question 2
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 will cover these items and services.
What should you tell her?
Correct Answer: Medicare does not cover massage therapy, or, in general,
glasses or dentures.
Rationale: Original Medicare has specific exclusions for certain items and
services. Routine eye exams and eyeglasses are generally not covered
(except for cataract surgery). Dentures are not covered by Original
Medicare. Massage therapy is considered alternative or complementary
medicine and is not covered. Beneficiaries should be aware of these
limitations to avoid unexpected out-of-pocket costs.
Question 3
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?
Correct Answer: She should contact her state Medicaid agency to see if
she qualifies for one of several programs that can help with Medicare costs
for which she is responsible.
Rationale: Low-income Medicare beneficiaries may qualify for programs
that help with Medicare costs, including Medicaid, Medicare Savings
Programs (MSPs), and the Part D Low-Income Subsidy (Extra Help). Each
, state has different eligibility requirements, so contacting the state Medicaid
agency is the appropriate first step.
Question 4
Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare
it to a Part D prescription drug plan. He asks you what costs he would
generally expect to encounter when enrolling into a standard
Medicare Part D prescription drug plan. What should you tell him?
Correct Answer: He generally would pay a monthly premium, annual
deductible, and per-prescription cost-sharing.
Rationale: Standard Medicare Part D plans have multiple cost components:
a monthly premium paid to the plan, an annual deductible (which may vary
by plan), and cost-sharing for each prescription (copayments or
coinsurance). Some plans may offer reduced cost-sharing or no deductible,
but these are the standard elements of Part D coverage.
Question 5
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?
