AHIP PRACTICE EXAM 2023 WITH 0VER 100 QUESTIONS
AND THE MOST RECENT UPDATED ANSWERS 2024 GRADED
A+
1. Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under
Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to
Medicare beneficiaries?: Medicare Part B generally covers medically necessary physician and other
health care professional services.
2. Mr. Diaz continued working with his company and was insured under his employer's group plan
until reached age 68. He has heard that there is a premium penalty for those who did not sign up for Part
B when first eligible and wants to know how much he will have to pay. What should you tell him?: Mr
Diaz will not pay any penalty because he had continuous coverage under his employer's plan
3. Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the part
D low-income subsidy. Where might he turn for help with his prescription drug costs?: Mr. Wu may still
qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program
4. Edward IP suffered from serious kidney disease. As a result, Edward became eligible for Medicare
coverage due to end-stage renal disease. A close relative donated their kidney and Edward successfully
underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if his Medicare
coverage will continue, what should you say?: Individuals eligible for Medicare based on ESRD generally
lose eligibility 36 months after the month in which the individual receives a kidney transplant
,5. Anthony Retirement Benefits on his 65th birthday. He was interested in obtaining Medicare
coverage and is eligible for premium-free Part A. Before he could enroll in Medicare, his entire area was
impacted by a hurricane causing massive flooding and severe wind damage. The Federal government
declared this to be a natural disaster which has recently ended. During this period Anthony's initial
enrollment period expired. Anthony asks you how he can now obtain Medicare coverage. What should
you say?: Anthony is eligible for a SEP because he missed an enrollment period due to the impact of the
Federally declared disaster. This SEP will allow Anthony to enroll in Part B up to 6 months after the end
of the emergency declaration. Anthony may enroll in premium-free Part A at any time and his Part A
coverage will be retroactive for up to 6 months
6. Shirly Thomas was enrolled in Medicaid during the Public Health Emergency. This coverage has
recently been terminated due to the end of the PHE. While Shirley was enrolled in Medicaid, she missed
an opportunity to enroll in Medicare and now wants Part B. Which of the following statements best
describes Shirley's ability to now enroll in Medicare Part B?: Shirley is eligible for SEP for up to 6 months
after the termination of her Medicaid coverage. Under this SEP, Shirley can choose retroactive coverage
back to the date of termination from Medicaid or coverage beginning the month after the month of
enrollment
7. Mrs. Pena is years old, has coverage under an employer plan, and will retire next year. She heard
she must enroll in Part B at the beginning of the year to ensure no gap in coverage. What can you tell
her?: Mrs. Pena may enroll in Part B at any time while she has employer-sponsored coverage. Upon
retirement, she will be able to enroll in Part B during SEP that lasts 8 months following the last month of
her employer coverage
, 8. Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security
Administration and has been receiving disability payments. He is wondering whether he can obtain
coverage under Medicare. What should you tell him?: After receiving such disability payments for
months, he will be automatically enrolled in Medicare, regardless of age
9. Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap plan to
pick up costs not covered by that plan. What should you tell him?: The purpose of Medigap plans is to
supplement Original Medicare benefits. Medigap plans do not work with Medicare Advantage plans. It
is illegal to sell a Medigap plan to someone already in a Medicare Advantage health plan.
10. Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD)
and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should
you tell him?: Medicare coverage for individuals with ESRD typically begins on the 4th month after
dialysis treatments start.
11. 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?: Mrs. Gonzalez cannot purchase a
Medigap plan that covers drugs, but she could keep her Medicap policy and enroll in a Part D prescription
drug plan.
12. Madeline Martinez was widowed several years ago. Her husband worked for many years and
contributed into the Medicare system. He also left a substantial estate which provides Madeline with an
annual income of approximately $130,000. Madeline, who has only worked part-time for the last three
years, will soon turn age 65 and hopes to enroll in Original Medicare. She comes to you for advice. What
AND THE MOST RECENT UPDATED ANSWERS 2024 GRADED
A+
1. Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under
Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to
Medicare beneficiaries?: Medicare Part B generally covers medically necessary physician and other
health care professional services.
2. Mr. Diaz continued working with his company and was insured under his employer's group plan
until reached age 68. He has heard that there is a premium penalty for those who did not sign up for Part
B when first eligible and wants to know how much he will have to pay. What should you tell him?: Mr
Diaz will not pay any penalty because he had continuous coverage under his employer's plan
3. Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the part
D low-income subsidy. Where might he turn for help with his prescription drug costs?: Mr. Wu may still
qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program
4. Edward IP suffered from serious kidney disease. As a result, Edward became eligible for Medicare
coverage due to end-stage renal disease. A close relative donated their kidney and Edward successfully
underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if his Medicare
coverage will continue, what should you say?: Individuals eligible for Medicare based on ESRD generally
lose eligibility 36 months after the month in which the individual receives a kidney transplant
,5. Anthony Retirement Benefits on his 65th birthday. He was interested in obtaining Medicare
coverage and is eligible for premium-free Part A. Before he could enroll in Medicare, his entire area was
impacted by a hurricane causing massive flooding and severe wind damage. The Federal government
declared this to be a natural disaster which has recently ended. During this period Anthony's initial
enrollment period expired. Anthony asks you how he can now obtain Medicare coverage. What should
you say?: Anthony is eligible for a SEP because he missed an enrollment period due to the impact of the
Federally declared disaster. This SEP will allow Anthony to enroll in Part B up to 6 months after the end
of the emergency declaration. Anthony may enroll in premium-free Part A at any time and his Part A
coverage will be retroactive for up to 6 months
6. Shirly Thomas was enrolled in Medicaid during the Public Health Emergency. This coverage has
recently been terminated due to the end of the PHE. While Shirley was enrolled in Medicaid, she missed
an opportunity to enroll in Medicare and now wants Part B. Which of the following statements best
describes Shirley's ability to now enroll in Medicare Part B?: Shirley is eligible for SEP for up to 6 months
after the termination of her Medicaid coverage. Under this SEP, Shirley can choose retroactive coverage
back to the date of termination from Medicaid or coverage beginning the month after the month of
enrollment
7. Mrs. Pena is years old, has coverage under an employer plan, and will retire next year. She heard
she must enroll in Part B at the beginning of the year to ensure no gap in coverage. What can you tell
her?: Mrs. Pena may enroll in Part B at any time while she has employer-sponsored coverage. Upon
retirement, she will be able to enroll in Part B during SEP that lasts 8 months following the last month of
her employer coverage
, 8. Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security
Administration and has been receiving disability payments. He is wondering whether he can obtain
coverage under Medicare. What should you tell him?: After receiving such disability payments for
months, he will be automatically enrolled in Medicare, regardless of age
9. Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap plan to
pick up costs not covered by that plan. What should you tell him?: The purpose of Medigap plans is to
supplement Original Medicare benefits. Medigap plans do not work with Medicare Advantage plans. It
is illegal to sell a Medigap plan to someone already in a Medicare Advantage health plan.
10. Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD)
and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should
you tell him?: Medicare coverage for individuals with ESRD typically begins on the 4th month after
dialysis treatments start.
11. 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?: Mrs. Gonzalez cannot purchase a
Medigap plan that covers drugs, but she could keep her Medicap policy and enroll in a Part D prescription
drug plan.
12. Madeline Martinez was widowed several years ago. Her husband worked for many years and
contributed into the Medicare system. He also left a substantial estate which provides Madeline with an
annual income of approximately $130,000. Madeline, who has only worked part-time for the last three
years, will soon turn age 65 and hopes to enroll in Original Medicare. She comes to you for advice. What
