AHIP all Modules Final
Exam
Comprehensive multiple
choice Question Test Bank
Latest 2025/2026 | Open-
Book | Detailed Rationales
MODULE 1: MEDICARE PROGRAM BASICS
(Questions 1-35)
Question 1
Mr. Chen is 64 years old and will turn 65 in August. He is currently covered
under his employer's group health plan and plans to continue working until
age 67. When is his Initial Enrollment Period (IEP) for Medicare Part B?
A. July 1 – October 31 (4 months)
B. May 1 – November 30 (7 months)
,C. August 1 – February 28 (7 months)
D. The month he turns 65 only
Correct Answer: B
Rationale: The Initial Enrollment Period (IEP) is a 7-month period that
begins 3 months before the month you turn 65, includes your birth month,
and ends 3 months after your birth month. For Mr. Chen (August birthday),
the IEP runs from May 1 through November 30. If he delays enrollment
because of employer coverage, he will have a Special Enrollment Period (SEP)
when he retires .
Question 2
Mrs. O'Neill is 68 and currently enrolled in Original Medicare (Part A and Part
B). She wants to enroll in a Medicare Advantage plan but is concerned about
her prescription drug coverage. What should you tell her?
A. She cannot enroll in a Medicare Advantage plan if she wants prescription
drug coverage
B. She can enroll in a Medicare Advantage Prescription Drug (MA-PD) plan
that combines medical and drug coverage
C. She must enroll in a separate Part D plan if she wants drug coverage
D. Medicare Advantage plans never include prescription drug coverage
Correct Answer: B
Rationale: Medicare Advantage plans (Part C) can be offered as MA-PD
(Medicare Advantage Prescription Drug) plans, which combine medical
and prescription drug coverage in a single plan. This is a popular option for
beneficiaries who want comprehensive coverage under one plan .
, Question 3
Which of the following individuals is eligible for Medicare?
A. A 45-year-old who has been receiving Social Security disability benefits for
24 months
B. A 65-year-old who never worked and did not pay Medicare taxes
C. A 30-year-old with End-Stage Renal Disease (ESRD)
D. All of the above
Correct Answer: D
Rationale: Medicare eligibility extends to:
Individuals aged 65 or older (regardless of work history, though premium
amounts vary)
Individuals under 65 with certain disabilities who have received Social
Security disability benefits for 24 months
Individuals of any age with End-Stage Renal Disease (ESRD) or Amyotrophic
Lateral Sclerosis (ALS)
Question 4
Mr. Hernandez is 67 and enrolled in Original Medicare. He wants to know
what Part A covers. Which of the following is covered under Medicare Part A?
A. Physician services
B. Outpatient hospital services
C. Inpatient hospital stays
D. Prescription drugs
, Correct Answer: C
Rationale: Medicare Part A (Hospital Insurance) covers inpatient hospital
stays, skilled nursing facility care (not custodial), hospice care, and some
home health care. Part B covers physician services (A), outpatient hospital
services (B), and some preventive services. Prescription drugs (D) are covered
under Part D .
Question 5
Mrs. Kapoor is 72 and has Original Medicare. She recently had outpatient
surgery and received a bill for the surgeon's services. Which part of Medicare
covers this?
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: B
Rationale: Medicare Part B (Medical Insurance) covers physician services,
outpatient hospital care, durable medical equipment, and preventive services.
Part A covers inpatient care; Part C is Medicare Advantage; Part D covers
prescription drugs .
Question 6
Mr. Thompson is 66 and currently covered under his employer's group health
plan. He wants to delay enrolling in Part B because he is still working. What
should he do?
Exam
Comprehensive multiple
choice Question Test Bank
Latest 2025/2026 | Open-
Book | Detailed Rationales
MODULE 1: MEDICARE PROGRAM BASICS
(Questions 1-35)
Question 1
Mr. Chen is 64 years old and will turn 65 in August. He is currently covered
under his employer's group health plan and plans to continue working until
age 67. When is his Initial Enrollment Period (IEP) for Medicare Part B?
A. July 1 – October 31 (4 months)
B. May 1 – November 30 (7 months)
,C. August 1 – February 28 (7 months)
D. The month he turns 65 only
Correct Answer: B
Rationale: The Initial Enrollment Period (IEP) is a 7-month period that
begins 3 months before the month you turn 65, includes your birth month,
and ends 3 months after your birth month. For Mr. Chen (August birthday),
the IEP runs from May 1 through November 30. If he delays enrollment
because of employer coverage, he will have a Special Enrollment Period (SEP)
when he retires .
Question 2
Mrs. O'Neill is 68 and currently enrolled in Original Medicare (Part A and Part
B). She wants to enroll in a Medicare Advantage plan but is concerned about
her prescription drug coverage. What should you tell her?
A. She cannot enroll in a Medicare Advantage plan if she wants prescription
drug coverage
B. She can enroll in a Medicare Advantage Prescription Drug (MA-PD) plan
that combines medical and drug coverage
C. She must enroll in a separate Part D plan if she wants drug coverage
D. Medicare Advantage plans never include prescription drug coverage
Correct Answer: B
Rationale: Medicare Advantage plans (Part C) can be offered as MA-PD
(Medicare Advantage Prescription Drug) plans, which combine medical
and prescription drug coverage in a single plan. This is a popular option for
beneficiaries who want comprehensive coverage under one plan .
, Question 3
Which of the following individuals is eligible for Medicare?
A. A 45-year-old who has been receiving Social Security disability benefits for
24 months
B. A 65-year-old who never worked and did not pay Medicare taxes
C. A 30-year-old with End-Stage Renal Disease (ESRD)
D. All of the above
Correct Answer: D
Rationale: Medicare eligibility extends to:
Individuals aged 65 or older (regardless of work history, though premium
amounts vary)
Individuals under 65 with certain disabilities who have received Social
Security disability benefits for 24 months
Individuals of any age with End-Stage Renal Disease (ESRD) or Amyotrophic
Lateral Sclerosis (ALS)
Question 4
Mr. Hernandez is 67 and enrolled in Original Medicare. He wants to know
what Part A covers. Which of the following is covered under Medicare Part A?
A. Physician services
B. Outpatient hospital services
C. Inpatient hospital stays
D. Prescription drugs
, Correct Answer: C
Rationale: Medicare Part A (Hospital Insurance) covers inpatient hospital
stays, skilled nursing facility care (not custodial), hospice care, and some
home health care. Part B covers physician services (A), outpatient hospital
services (B), and some preventive services. Prescription drugs (D) are covered
under Part D .
Question 5
Mrs. Kapoor is 72 and has Original Medicare. She recently had outpatient
surgery and received a bill for the surgeon's services. Which part of Medicare
covers this?
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: B
Rationale: Medicare Part B (Medical Insurance) covers physician services,
outpatient hospital care, durable medical equipment, and preventive services.
Part A covers inpatient care; Part C is Medicare Advantage; Part D covers
prescription drugs .
Question 6
Mr. Thompson is 66 and currently covered under his employer's group health
plan. He wants to delay enrolling in Part B because he is still working. What
should he do?
