[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
AHIP Final Exam Test Questions & Answers,
Updated 2026/2027 Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
50 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 50 verified questions with correct answers focused on Medicare plans and
regulations. Each question is designed to enhance understanding of Medicare Advantage, prescription drug
coverage, and enrollment periods, making it suitable for certification preparation and review in the field of
healthcare administration.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Explores general knowledge and specifics related to Medicare
Medicare Advantage Overview Advantage plans. 5 Qs 10.0%
Covers details regarding Medicare Part D prescription drug
Prescription Drug Coverage plans and their enrollment. 5 Qs 10.0%
Enrollment Periods and Discusses the various enrollment periods including Special
Eligibility Election Periods (SEPs) and qualifications for Medicare. 5 Qs 10.0%
Focuses on the understanding and application of Medical
Medical Savings Accounts Savings Accounts (MSAs) within Medicare. 5 Qs 10.0%
Examines the coverage details of Original Medicare (Parts A
Original Medicare Coverage and B) and related services. 5 Qs 10.0%
Agent Responsibilities and Addresses the roles and regulations governing agents who
Regulations sell Medicare-related plans. 5 Qs 10.0%
Retirement Planning and Discusses how retirement impacts Medicare enrollment and
Medicare coverage options. 5 Qs 10.0%
Focuses on ethical considerations and best practices during
Client Interactions and Ethics client interactions regarding Medicare. 5 Qs 10.0%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 17
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Medicare and Medicaid Explores the interaction between Medicare and Medicaid,
Relationship including eligibility and coverage. 5 Qs 10.0%
Covers management strategies for prescription drug coverage
Drug Coverage Management under Medicare. 5 Qs 10.0%
Total Exam Coverage 10 Integrated Topic Modules 50 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 17
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: MEDICARE ADVANTAGE OVERVIEW
5 Questions • 10.0% of Exam • Explores general knowledge and specifics related to Medicare Advantage plans.
QUESTION 1
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent.
It is one of three plans operated by the same organization in Mr. Lombardi's area. The
MA PPO plan does not include drug coverage, but the other two plans do. Mr. Lombardi
likes the PPO plan that does not include drug coverage and intends to obtain his drug
coverage through a stand-alone Medicare prescription drug plan. What should you tell
him about this situation?
Correct Answer: He could enroll in one of the MA plans that include prescription drug coverage or a Medigap
plan and a standalone prescription drug plan, but he cannot enroll in the MA-only PPO plan and a stand-alone
prescription drug plan.
QUESTION 2
Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health
Plan, a Medicare Advantage (MA) plan that offers plans in multiple states. XYZ Agency
maintains a website marketing the MA plans with which it has contracts. Agent
Armstrong follows up with individuals who request more information about ABC MA
plans via the website and tries to persuade them to enroll in ABC plans. What statement
best describes the marketing and compliance rules that apply to Agent Armstrong?
Correct Answer: Agent Armstrong needs to be licensed and appointed in every state in which beneficiaries
to whom he markets ABC MA plans are located.
QUESTION 3
Alice is enrolled in a MA-PD plan. She makes a permanent move across the country and
wonders what her options are for continuing MA-PD coverage. What would you say to
her in regard to a special enrollment period (SEP)?
Correct Answer: She is likely to qualify for a SEP. She can choose an effective date of up to three months
after the month in which the enrollment form is received by the new plan, but the effective date may not be
earlier than the date of her permanent move.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 17
AHIP Final Exam Test Questions & Answers,
Updated 2026/2027 Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
50 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 50 verified questions with correct answers focused on Medicare plans and
regulations. Each question is designed to enhance understanding of Medicare Advantage, prescription drug
coverage, and enrollment periods, making it suitable for certification preparation and review in the field of
healthcare administration.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Explores general knowledge and specifics related to Medicare
Medicare Advantage Overview Advantage plans. 5 Qs 10.0%
Covers details regarding Medicare Part D prescription drug
Prescription Drug Coverage plans and their enrollment. 5 Qs 10.0%
Enrollment Periods and Discusses the various enrollment periods including Special
Eligibility Election Periods (SEPs) and qualifications for Medicare. 5 Qs 10.0%
Focuses on the understanding and application of Medical
Medical Savings Accounts Savings Accounts (MSAs) within Medicare. 5 Qs 10.0%
Examines the coverage details of Original Medicare (Parts A
Original Medicare Coverage and B) and related services. 5 Qs 10.0%
Agent Responsibilities and Addresses the roles and regulations governing agents who
Regulations sell Medicare-related plans. 5 Qs 10.0%
Retirement Planning and Discusses how retirement impacts Medicare enrollment and
Medicare coverage options. 5 Qs 10.0%
Focuses on ethical considerations and best practices during
Client Interactions and Ethics client interactions regarding Medicare. 5 Qs 10.0%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 17
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Medicare and Medicaid Explores the interaction between Medicare and Medicaid,
Relationship including eligibility and coverage. 5 Qs 10.0%
Covers management strategies for prescription drug coverage
Drug Coverage Management under Medicare. 5 Qs 10.0%
Total Exam Coverage 10 Integrated Topic Modules 50 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 17
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: MEDICARE ADVANTAGE OVERVIEW
5 Questions • 10.0% of Exam • Explores general knowledge and specifics related to Medicare Advantage plans.
QUESTION 1
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent.
It is one of three plans operated by the same organization in Mr. Lombardi's area. The
MA PPO plan does not include drug coverage, but the other two plans do. Mr. Lombardi
likes the PPO plan that does not include drug coverage and intends to obtain his drug
coverage through a stand-alone Medicare prescription drug plan. What should you tell
him about this situation?
Correct Answer: He could enroll in one of the MA plans that include prescription drug coverage or a Medigap
plan and a standalone prescription drug plan, but he cannot enroll in the MA-only PPO plan and a stand-alone
prescription drug plan.
QUESTION 2
Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health
Plan, a Medicare Advantage (MA) plan that offers plans in multiple states. XYZ Agency
maintains a website marketing the MA plans with which it has contracts. Agent
Armstrong follows up with individuals who request more information about ABC MA
plans via the website and tries to persuade them to enroll in ABC plans. What statement
best describes the marketing and compliance rules that apply to Agent Armstrong?
Correct Answer: Agent Armstrong needs to be licensed and appointed in every state in which beneficiaries
to whom he markets ABC MA plans are located.
QUESTION 3
Alice is enrolled in a MA-PD plan. She makes a permanent move across the country and
wonders what her options are for continuing MA-PD coverage. What would you say to
her in regard to a special enrollment period (SEP)?
Correct Answer: She is likely to qualify for a SEP. She can choose an effective date of up to three months
after the month in which the enrollment form is received by the new plan, but the effective date may not be
earlier than the date of her permanent move.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 17
