AHIP 2 FINAL EXAM COMPREHENSIVE SCRIPT
2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ Mr. Schmidt would like to plan for retirement and has asked you
what is covered under Original Fee-for-Service (FFS) Medicare?
What could you tell him? Answer: Part A, which covers hospital,
skilled nursing facility, hospice and home health services and Part B,
which covers professional services such as those provided by a
doctor are covered under Original Medicare.
◉ You are seeking to represent an individual Medicare Advantage
plan and an individual Part D plan in your state. You have completed
the required training for each plan, but you did not achieve a passing
score on the tests that came after the training. What can you do in
this situation? Answer: You will not be able to represent any
Medicare Advantage or Part D plan until you complete the training
and achieve an adequate score, although you will not have to take a
test if you exclusively market employer/union group plans and the
companies do not require testing.
◉ Mr. Chen is enrolled in his employer's group health plan and will
be retiring soon. He would like to know his options since he has
decided to drop his retiree coverage and is eligible for Medicare.
What should you tell him? Answer: Mr. Chen can disenroll from his
employer-sponsored coverage to elect a Medicare Advantage or Part
, D plan within 2 months of his disenrollment, but he should revaluate
if he really wants to drop his employer coverage.
◉ 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? Answer: He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after dialysis
treatments start.
◉ Mr. Johannsen is entitled to Medicare Part A and Part B. He gains
the Part D low-income subsidy. How does that affect his ability to
enroll or disenroll in a Part D plan? Answer: He qualifies for a special
election period and can enroll in or disenroll from a Part D plan once
during that period.
◉ Mr. Lopez, who is fairly well-off financially, would like to enroll in
a Medicare prescription drug plan you represent and simply give
you a check to cover his premiums for the entire year. What should
you tell him? Answer: Enrollees should pay using automatic
withdrawal from a bank account or credit or debit card, direct
monthly billing from the plan, or deductions from their Social
Security check.
◉ You have approached a hospital administrator about marketing in
her facility. The administrator is uncomfortable with the suggestion.
How could you address her concerns? Answer: Tell her that
2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ Mr. Schmidt would like to plan for retirement and has asked you
what is covered under Original Fee-for-Service (FFS) Medicare?
What could you tell him? Answer: Part A, which covers hospital,
skilled nursing facility, hospice and home health services and Part B,
which covers professional services such as those provided by a
doctor are covered under Original Medicare.
◉ You are seeking to represent an individual Medicare Advantage
plan and an individual Part D plan in your state. You have completed
the required training for each plan, but you did not achieve a passing
score on the tests that came after the training. What can you do in
this situation? Answer: You will not be able to represent any
Medicare Advantage or Part D plan until you complete the training
and achieve an adequate score, although you will not have to take a
test if you exclusively market employer/union group plans and the
companies do not require testing.
◉ Mr. Chen is enrolled in his employer's group health plan and will
be retiring soon. He would like to know his options since he has
decided to drop his retiree coverage and is eligible for Medicare.
What should you tell him? Answer: Mr. Chen can disenroll from his
employer-sponsored coverage to elect a Medicare Advantage or Part
, D plan within 2 months of his disenrollment, but he should revaluate
if he really wants to drop his employer coverage.
◉ 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? Answer: He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after dialysis
treatments start.
◉ Mr. Johannsen is entitled to Medicare Part A and Part B. He gains
the Part D low-income subsidy. How does that affect his ability to
enroll or disenroll in a Part D plan? Answer: He qualifies for a special
election period and can enroll in or disenroll from a Part D plan once
during that period.
◉ Mr. Lopez, who is fairly well-off financially, would like to enroll in
a Medicare prescription drug plan you represent and simply give
you a check to cover his premiums for the entire year. What should
you tell him? Answer: Enrollees should pay using automatic
withdrawal from a bank account or credit or debit card, direct
monthly billing from the plan, or deductions from their Social
Security check.
◉ You have approached a hospital administrator about marketing in
her facility. The administrator is uncomfortable with the suggestion.
How could you address her concerns? Answer: Tell her that
