AHIP 2026 FINAL NEWEST EXAM WITH MULTIPLE CHOICE
OF QUESTIONS AND CORRECT ANSWERS ALREADY GRADED
A+ AND 100% GUARANTEE PASS (BRAND NEW!!!!!!!!!)
Mr. Anderson wants to know whether he is eligible to sign up for a Private fee-for-service (PFFS) plan.
What questions would you need to ask to determine his eligibility? - CORRECT ANSWERS-You
would need to ask Mr. Anderson if he is entitled to Part A, enrolled in Part B, and if he lives in the PFFS
plan's service area.
Herber Noble is turning 65 next month, Herber legally entered the United States over twenty years ago
but is not a citizen. Since his entry into the country, Herber has worked at Smallcap Incorporated and
contributed to the Medicare system. Herber suffers from diabetes. He will soon retire and asks you if he
can enroll in a Medicare Advantage plan that you represent. How would you respond? - CORRECT
ANSWERS-Herber is eligible to enroll in Medicare Advantage as long as he is entitled to Part A and
enrolled in Part B. Herber should go to the Social Security website to enroll in Medicare Part A and B if he
has not done so already. Once he is enrolled, he can choose a Medicare Advantage plan.
Which of the following individuals is most likely to be eligible to enroll in a Part D Plan? - CORRECT
ANSWERS-Jose, a grandfather who was granted asylum and has worked in the United States for
many years.
Mrs. Castro has just turned 65, is in excellent health and has a relatively high income. She uses no
medications and sees no reason to spend money on a Medicare prescription drug plan if she does not
need the coverage. She currently does not have creditable coverage. What could you tell her about the
implications of such a decision? - CORRECT ANSWERS-If she does not sign up for a Medicare
prescription drug plan as soon as she is eligible to do so, and if she does sign up at a later date, her
premium will be permanently increased by 1% of the national average premium for every month that
she was not covered.
Mr. Chen was still working when he first qualified for Medicare. At that time, he had employer group
coverage that was creditable. During his initial Part D eligibility period, he decided not to enroll because
he was satisfied with his drug coverage. It is now a year later and Mr. Chen has lost his employer group
coverage within the last two weeks. How would you advise him? - CORRECT ANSWERS-Mr.
Chen should enroll in a Part D plan before he has a 63-day break in coverage in order to avoid a premium
penalty.
, Ms. Ramos is enrolled in a Medicare Advantage plan that includes prescription drug plan (PDP) coverage.
She is traveling and wishes to fill two of the prescriptions that she has lost. How would you advise her? -
CORRECT ANSWERS-She may fill prescriptions for covered drugs at non-network pharmacies,
but likely at a higher cost than paid at an in-network pharmacy.
What types of tools can Medicare Part D prescription drug plans use that affect the way their enrollees
can access medications? - CORRECT ANSWERS-Part D plans do not have to cover all
medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In
addition, they can use cost containment techniques such as tiered co-payments and step therapy.
Mrs. Esmeralda Avila is a Medicare beneficiary enrolled in a MA-PD plan you represent. Her neighbor
recently suffered from a painful case of shingles. Mrs. Avila hopes to avoid such an illness through
vaccination. She asks you whether the cost of the shingles vaccination will be covered under the plan
you represent. What should you say? - CORRECT ANSWERS-Yes, there is no cost sharing for
the shingles vaccine even in the deductible phase of her prescription drug plan because it is an adult
vaccine recommended by the Advisory Committee on Immunization Practices (AICP).
Mrs. Strickland is a new Medicare beneficiary who has just retired from retail work. She is interested in
selecting a Medicare Part D prescription drug plan. She takes several medications and is concerned that
she has not been able to identify a plan that covers all of her medications. She does not want to make an
abrupt change to new drugs that would be covered and asks what she should do. What should you tell
her? - CORRECT ANSWERS-Every Part D drug plan is required to cover a single one-month fill
of her existing medications sometime during a 90-day transition period.
Mrs. Nguyen is a retired federal worker with coverage under a Federal Employee Health Benefits (FEHB)
plan that includes creditable drug coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a Medicare prescription drug plan?
- CORRECT ANSWERS-She could compare the coverage to see if the Medicare Part D plan
offers better benefits and coverage than the FEHB plan for the specific medications she needs and
whether any additional benefits are worth the Part D premium costs on top of her FEHB contribution.
Mr. Sutton has a small savings account. He would like to pay for his monthly Part D premiums with an
automatic monthly withdrawal from his savings account until it is exhausted, and then have his
premiums withheld from his Social Security check. What should you tell him? - CORRECT
ANSWERS-In general, he must select a single Part D premium payment mechanism that will be used
throughout the year.
OF QUESTIONS AND CORRECT ANSWERS ALREADY GRADED
A+ AND 100% GUARANTEE PASS (BRAND NEW!!!!!!!!!)
Mr. Anderson wants to know whether he is eligible to sign up for a Private fee-for-service (PFFS) plan.
What questions would you need to ask to determine his eligibility? - CORRECT ANSWERS-You
would need to ask Mr. Anderson if he is entitled to Part A, enrolled in Part B, and if he lives in the PFFS
plan's service area.
Herber Noble is turning 65 next month, Herber legally entered the United States over twenty years ago
but is not a citizen. Since his entry into the country, Herber has worked at Smallcap Incorporated and
contributed to the Medicare system. Herber suffers from diabetes. He will soon retire and asks you if he
can enroll in a Medicare Advantage plan that you represent. How would you respond? - CORRECT
ANSWERS-Herber is eligible to enroll in Medicare Advantage as long as he is entitled to Part A and
enrolled in Part B. Herber should go to the Social Security website to enroll in Medicare Part A and B if he
has not done so already. Once he is enrolled, he can choose a Medicare Advantage plan.
Which of the following individuals is most likely to be eligible to enroll in a Part D Plan? - CORRECT
ANSWERS-Jose, a grandfather who was granted asylum and has worked in the United States for
many years.
Mrs. Castro has just turned 65, is in excellent health and has a relatively high income. She uses no
medications and sees no reason to spend money on a Medicare prescription drug plan if she does not
need the coverage. She currently does not have creditable coverage. What could you tell her about the
implications of such a decision? - CORRECT ANSWERS-If she does not sign up for a Medicare
prescription drug plan as soon as she is eligible to do so, and if she does sign up at a later date, her
premium will be permanently increased by 1% of the national average premium for every month that
she was not covered.
Mr. Chen was still working when he first qualified for Medicare. At that time, he had employer group
coverage that was creditable. During his initial Part D eligibility period, he decided not to enroll because
he was satisfied with his drug coverage. It is now a year later and Mr. Chen has lost his employer group
coverage within the last two weeks. How would you advise him? - CORRECT ANSWERS-Mr.
Chen should enroll in a Part D plan before he has a 63-day break in coverage in order to avoid a premium
penalty.
, Ms. Ramos is enrolled in a Medicare Advantage plan that includes prescription drug plan (PDP) coverage.
She is traveling and wishes to fill two of the prescriptions that she has lost. How would you advise her? -
CORRECT ANSWERS-She may fill prescriptions for covered drugs at non-network pharmacies,
but likely at a higher cost than paid at an in-network pharmacy.
What types of tools can Medicare Part D prescription drug plans use that affect the way their enrollees
can access medications? - CORRECT ANSWERS-Part D plans do not have to cover all
medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In
addition, they can use cost containment techniques such as tiered co-payments and step therapy.
Mrs. Esmeralda Avila is a Medicare beneficiary enrolled in a MA-PD plan you represent. Her neighbor
recently suffered from a painful case of shingles. Mrs. Avila hopes to avoid such an illness through
vaccination. She asks you whether the cost of the shingles vaccination will be covered under the plan
you represent. What should you say? - CORRECT ANSWERS-Yes, there is no cost sharing for
the shingles vaccine even in the deductible phase of her prescription drug plan because it is an adult
vaccine recommended by the Advisory Committee on Immunization Practices (AICP).
Mrs. Strickland is a new Medicare beneficiary who has just retired from retail work. She is interested in
selecting a Medicare Part D prescription drug plan. She takes several medications and is concerned that
she has not been able to identify a plan that covers all of her medications. She does not want to make an
abrupt change to new drugs that would be covered and asks what she should do. What should you tell
her? - CORRECT ANSWERS-Every Part D drug plan is required to cover a single one-month fill
of her existing medications sometime during a 90-day transition period.
Mrs. Nguyen is a retired federal worker with coverage under a Federal Employee Health Benefits (FEHB)
plan that includes creditable drug coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a Medicare prescription drug plan?
- CORRECT ANSWERS-She could compare the coverage to see if the Medicare Part D plan
offers better benefits and coverage than the FEHB plan for the specific medications she needs and
whether any additional benefits are worth the Part D premium costs on top of her FEHB contribution.
Mr. Sutton has a small savings account. He would like to pay for his monthly Part D premiums with an
automatic monthly withdrawal from his savings account until it is exhausted, and then have his
premiums withheld from his Social Security check. What should you tell him? - CORRECT
ANSWERS-In general, he must select a single Part D premium payment mechanism that will be used
throughout the year.
