[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
AHIP 2024 Final Exam Questions &
Answers, Updated 2026/2027 Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
49 Questions 13 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 49 verified questions with correct answers related to Medicare Advantage, annual
election periods, and prescription drug coverage. Each question is crafted to enhance understanding of
Medicare policies and practices, making it suitable for exam preparation, certification review, and
comprehensive study for those working in health insurance.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
This topic covers the fundamentals and operational details of
Medicare Advantage Plans Medicare Advantage plans. 6 Qs 12.2%
Prescription Drug Coverage This topic focuses on the specifics of Medicare Part D and its
(Part D) implications for beneficiaries. 4 Qs 8.2%
Enrollment Periods and This topic addresses the various enrollment periods and
Eligibility eligibility criteria for Medicare beneficiaries. 5 Qs 10.2%
Medigap and Supplemental This topic explores Medigap plans and additional coverage
Coverage options for Medicare beneficiaries. 4 Qs 8.2%
This topic discusses marketing guidelines and ethical
Marketing and Sales Practices considerations in selling Medicare plans. 5 Qs 10.2%
Special Enrollment Periods This topic examines circumstances under which beneficiaries
(SEPs) qualify for Special Enrollment Periods. 4 Qs 8.2%
This topic compares benefits between Original Medicare and
Comparative Plan Benefits Medicare Advantage plans. 3 Qs 6.1%
This topic addresses how Medicare coordinates benefits with
Coordination of Benefits other insurance coverage. 3 Qs 6.1%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 17
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Low-Income Assistance This topic covers programs available to assist low-income
Programs Medicare beneficiaries. 3 Qs 6.1%
This topic discusses provider networks available through
Health Care Provider Networks various Medicare Advantage plans. 3 Qs 6.1%
Health Coverage for Disabled This topic focuses on Medicare coverage for individuals who
Individuals are disabled. 3 Qs 6.1%
Retirement Planning and This topic involves considerations for Medicare enrollment
Medicare within the context of retirement planning. 3 Qs 6.1%
This topic encompasses general knowledge about Medicare
General Medicare Knowledge programs and services. 3 Qs 6.1%
Total Exam Coverage 13 Integrated Topic Modules 49 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 PLANS
6 Questions • 12.2% of Exam • This topic covers the fundamentals and operational details of Medicare Advantage plans.
QUESTION 1
Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail and
asks you for advice as to whether this is possible. What should you tell her?
Correct Answer: Marketing representatives may initiate electronic contact through e-mail but an opt-out
process must be provided.
QUESTION 2
Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently
enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for several years. However, the plan does not provide
drug benefits. How would you advise Agent John Miller to proceed?
Correct Answer: Tell prospect Jerry Smith that he should consider adding a standalone Part D prescription
drug coverage policy to his present coverage.
QUESTION 3
Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service
(PFFS) plan. All types of PFFS plans are available in her area. Which options could Mrs.
Roberts consider before selecting a PFFS plan?
Correct Answer: A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combines medical
benefits and Part D prescription drug coverage, a PFFS plan offering only medical benefits, or a PFFS plan in
combination with a stand-alone prescription drug plan.
QUESTION 4
Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which
providers she can go to for her health care. What should you tell her?
Correct Answer: Mrs. Ramos can obtain care from any provider who participates in Original Medicare, but
generally will have a higher cost-sharing amount if she sees a provider who/that is not a part of the PPO
network.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 17
AHIP 2024 Final Exam Questions &
Answers, Updated 2026/2027 Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
49 Questions 13 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 49 verified questions with correct answers related to Medicare Advantage, annual
election periods, and prescription drug coverage. Each question is crafted to enhance understanding of
Medicare policies and practices, making it suitable for exam preparation, certification review, and
comprehensive study for those working in health insurance.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
This topic covers the fundamentals and operational details of
Medicare Advantage Plans Medicare Advantage plans. 6 Qs 12.2%
Prescription Drug Coverage This topic focuses on the specifics of Medicare Part D and its
(Part D) implications for beneficiaries. 4 Qs 8.2%
Enrollment Periods and This topic addresses the various enrollment periods and
Eligibility eligibility criteria for Medicare beneficiaries. 5 Qs 10.2%
Medigap and Supplemental This topic explores Medigap plans and additional coverage
Coverage options for Medicare beneficiaries. 4 Qs 8.2%
This topic discusses marketing guidelines and ethical
Marketing and Sales Practices considerations in selling Medicare plans. 5 Qs 10.2%
Special Enrollment Periods This topic examines circumstances under which beneficiaries
(SEPs) qualify for Special Enrollment Periods. 4 Qs 8.2%
This topic compares benefits between Original Medicare and
Comparative Plan Benefits Medicare Advantage plans. 3 Qs 6.1%
This topic addresses how Medicare coordinates benefits with
Coordination of Benefits other insurance coverage. 3 Qs 6.1%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 17
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Low-Income Assistance This topic covers programs available to assist low-income
Programs Medicare beneficiaries. 3 Qs 6.1%
This topic discusses provider networks available through
Health Care Provider Networks various Medicare Advantage plans. 3 Qs 6.1%
Health Coverage for Disabled This topic focuses on Medicare coverage for individuals who
Individuals are disabled. 3 Qs 6.1%
Retirement Planning and This topic involves considerations for Medicare enrollment
Medicare within the context of retirement planning. 3 Qs 6.1%
This topic encompasses general knowledge about Medicare
General Medicare Knowledge programs and services. 3 Qs 6.1%
Total Exam Coverage 13 Integrated Topic Modules 49 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 PLANS
6 Questions • 12.2% of Exam • This topic covers the fundamentals and operational details of Medicare Advantage plans.
QUESTION 1
Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail and
asks you for advice as to whether this is possible. What should you tell her?
Correct Answer: Marketing representatives may initiate electronic contact through e-mail but an opt-out
process must be provided.
QUESTION 2
Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently
enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for several years. However, the plan does not provide
drug benefits. How would you advise Agent John Miller to proceed?
Correct Answer: Tell prospect Jerry Smith that he should consider adding a standalone Part D prescription
drug coverage policy to his present coverage.
QUESTION 3
Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service
(PFFS) plan. All types of PFFS plans are available in her area. Which options could Mrs.
Roberts consider before selecting a PFFS plan?
Correct Answer: A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combines medical
benefits and Part D prescription drug coverage, a PFFS plan offering only medical benefits, or a PFFS plan in
combination with a stand-alone prescription drug plan.
QUESTION 4
Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which
providers she can go to for her health care. What should you tell her?
Correct Answer: Mrs. Ramos can obtain care from any provider who participates in Original Medicare, but
generally will have a higher cost-sharing amount if she sees a provider who/that is not a part of the PPO
network.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 17
