AHIP 159 Exam Questions with 100% Correct Answers
Latest update 2026 Exam prep
1. If a new Medicare beneficiary is considering a Medigap plan after MACRA's
implementation, which plan options should they be aware of regarding Part B
deductible coverage?
They should be aware that plans covering the Part B deductible are
not available to them.
They can choose any Medigap plan without restrictions.
They should consider plans that offer additional benefits not covered
by Medicare.
They can enroll in any Medigap plan that covers the Part B deductible.
2. Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but
has recently stopped paying his Part B premium. Mr. Castillo is still covered
by Part A. He would like to enroll in a Medicare Advantage (MA) plan and is
still covered by Part A. What should you tell him?
He is not eligible to enroll in a Medicare Advantage plan until he re-
enrolls in Medicare Part B.
He can enroll in a Medicare Advantage plan if he has dropped Part B
less than 90 days ago.
He can enroll in a Medicare Advantage plan but it will pay only the
benefits associated with Medicare Part A.
He is not eligible to enroll in a Medicare Advantage as a naturalized
citizen.
3. Why has Medicare chosen to remove Social Security numbers from identity
cards?
To enhance privacy and reduce the risk of identity theft.
, To make it easier to remember the number.
To simplify the card design.
To comply with state regulations.
4. If Mrs. Kelly decides to enroll in a Medicare Advantage plan (Part C) without
enrolling in Part B, what potential issue might she face?
She will be eligible for additional benefits not covered by Medicare.
She will automatically be enrolled in Part D.
She may not have access to the full range of services covered by
the Medicare Advantage plan.
She will receive a penalty for not enrolling in Part A.
5. What impact, if any, will the Medicare Access and CHIP Reauthorization Act
of 2015 (MACRA) have upon Medigap plans?
The Part A deductible will no longer be covered for individuals newly
eligible for Medicare starting January 1, 2020.
MACRA provides funding to help individuals age 59 and above enroll
in Medigap plans.
The Part A deductible is no longer covered under Medigap plans for
all enrollees staring January 1, 2020.
The Part B deductible will no longer be covered for individuals
newly eligible for Medicare starting January 1, 2020.
6. Describe how Medigap plans complement Original Medicare for
beneficiaries.
Medigap plans are mandatory for all Medicare beneficiaries.
, Medigap plans provide additional benefits not included in Original
Medicare.
Medigap plans help cover out-of-pocket costs like deductibles and
co-payments that Original Medicare does not cover.
Medigap plans replace Original Medicare coverage entirely.
7. What type of services does Original Fee-for-Service (FFS) Medicare typically
cover?
Vision care and long-term care
Hospital stays, doctor visits, and preventive services
Only hospital stays and surgeries
Prescription drugs and dental care
8. If Mr. Denton, who is 52 years old and has ESRD, wants to enroll in Medicare,
what steps should he take to ensure he receives coverage?
He should wait until he turns 65 to apply for Medicare.
He should consult with a financial advisor before applying for
Medicare.
He should only consider Medicare Advantage plans.
He should apply for Medicare as soon as he is eligible due to his
ESRD diagnosis.
9. Describe the coverage differences between Original Medicare and Medicare
Advantage plans regarding dental and vision services.
Both Original Medicare and Medicare Advantage cover dental and
vision services equally.
, Original Medicare covers dental and vision services, while Medicare
Advantage does not.
Medicare Advantage plans only cover dental services.
Original Medicare generally does not cover dental and vision
services, while Medicare Advantage plans may offer additional
coverage for these services.
10. 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? Choose
one answer.
In order to obtain Part B coverage, she must pay a standard
monthly premium, though it is higher for individuals with higher
incomes.
She is correct that she will not have to pay a premium because State
programs cover the cost of Part B premiums for all Medicare
beneficiaries.
She is correct because she will be covered under Part A, without
paying premiums and she has worked for 40 years so she will not
have to pay Part B premiums.
Medicare beneficiaries only pay a Part B premium if they are enrolled
in a Medicare Health Plan.
11. Mr. Meoni's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs are different from his wife's needs. What could you tell Mr.
Meoni? Choose one answer.
Medicare Supplemental Insurance would cover his long-term care
services.
Latest update 2026 Exam prep
1. If a new Medicare beneficiary is considering a Medigap plan after MACRA's
implementation, which plan options should they be aware of regarding Part B
deductible coverage?
They should be aware that plans covering the Part B deductible are
not available to them.
They can choose any Medigap plan without restrictions.
They should consider plans that offer additional benefits not covered
by Medicare.
They can enroll in any Medigap plan that covers the Part B deductible.
2. Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but
has recently stopped paying his Part B premium. Mr. Castillo is still covered
by Part A. He would like to enroll in a Medicare Advantage (MA) plan and is
still covered by Part A. What should you tell him?
He is not eligible to enroll in a Medicare Advantage plan until he re-
enrolls in Medicare Part B.
He can enroll in a Medicare Advantage plan if he has dropped Part B
less than 90 days ago.
He can enroll in a Medicare Advantage plan but it will pay only the
benefits associated with Medicare Part A.
He is not eligible to enroll in a Medicare Advantage as a naturalized
citizen.
3. Why has Medicare chosen to remove Social Security numbers from identity
cards?
To enhance privacy and reduce the risk of identity theft.
, To make it easier to remember the number.
To simplify the card design.
To comply with state regulations.
4. If Mrs. Kelly decides to enroll in a Medicare Advantage plan (Part C) without
enrolling in Part B, what potential issue might she face?
She will be eligible for additional benefits not covered by Medicare.
She will automatically be enrolled in Part D.
She may not have access to the full range of services covered by
the Medicare Advantage plan.
She will receive a penalty for not enrolling in Part A.
5. What impact, if any, will the Medicare Access and CHIP Reauthorization Act
of 2015 (MACRA) have upon Medigap plans?
The Part A deductible will no longer be covered for individuals newly
eligible for Medicare starting January 1, 2020.
MACRA provides funding to help individuals age 59 and above enroll
in Medigap plans.
The Part A deductible is no longer covered under Medigap plans for
all enrollees staring January 1, 2020.
The Part B deductible will no longer be covered for individuals
newly eligible for Medicare starting January 1, 2020.
6. Describe how Medigap plans complement Original Medicare for
beneficiaries.
Medigap plans are mandatory for all Medicare beneficiaries.
, Medigap plans provide additional benefits not included in Original
Medicare.
Medigap plans help cover out-of-pocket costs like deductibles and
co-payments that Original Medicare does not cover.
Medigap plans replace Original Medicare coverage entirely.
7. What type of services does Original Fee-for-Service (FFS) Medicare typically
cover?
Vision care and long-term care
Hospital stays, doctor visits, and preventive services
Only hospital stays and surgeries
Prescription drugs and dental care
8. If Mr. Denton, who is 52 years old and has ESRD, wants to enroll in Medicare,
what steps should he take to ensure he receives coverage?
He should wait until he turns 65 to apply for Medicare.
He should consult with a financial advisor before applying for
Medicare.
He should only consider Medicare Advantage plans.
He should apply for Medicare as soon as he is eligible due to his
ESRD diagnosis.
9. Describe the coverage differences between Original Medicare and Medicare
Advantage plans regarding dental and vision services.
Both Original Medicare and Medicare Advantage cover dental and
vision services equally.
, Original Medicare covers dental and vision services, while Medicare
Advantage does not.
Medicare Advantage plans only cover dental services.
Original Medicare generally does not cover dental and vision
services, while Medicare Advantage plans may offer additional
coverage for these services.
10. 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? Choose
one answer.
In order to obtain Part B coverage, she must pay a standard
monthly premium, though it is higher for individuals with higher
incomes.
She is correct that she will not have to pay a premium because State
programs cover the cost of Part B premiums for all Medicare
beneficiaries.
She is correct because she will be covered under Part A, without
paying premiums and she has worked for 40 years so she will not
have to pay Part B premiums.
Medicare beneficiaries only pay a Part B premium if they are enrolled
in a Medicare Health Plan.
11. Mr. Meoni's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs are different from his wife's needs. What could you tell Mr.
Meoni? Choose one answer.
Medicare Supplemental Insurance would cover his long-term care
services.
