1|Page
AHIP ADDITIONAL PRACTICE QUESTIONS##
MODULES 1, 3, 4 & 5### 150+ PRACTICE
QUESTIONS WITH VERIFIED ANSWERS &
DETAILED RATIONALES**BASED ON AHIP 2026
CURRICULUM | UPDATED FOR CMS
GUIDELINES**
# TABLE OF CONTENTS
| Module | Topic | Questions |
|--------|-------|-----------|
| **Module 1** | Medicare Basics (Parts A, B, C, D) & Original
Medicare | 1–40 |
| **Module 3** | Medicare Prescription Drug Benefits (Part D) | 41–80 |
| **Module 4** | Medicare Advantage & Prescription Drug Plan
Enrollment & Disenrollment | 81–120 |
| **Module 5** | Ethics, Fraud, Waste & Abuse (FWA) / CMS
Marketing Guidelines | 121–160 |
**Total: 160 Questions**
,2|Page
# MODULE 1: MEDICARE BASICS & ORIGINAL MEDICARE
(Questions 1–40)
**1. Mr. Bauer is 52 years old, has been receiving disability benefits
from Social Security for 20 months, and has been receiving dialysis for
end-stage renal disease (ESRD). Is Mr. Bauer eligible for Medicare?**
A) Yes, he is eligible for Medicare due to his receipt of disability
benefits
B) No, he is too young for Medicare
C) Yes, he is eligible for Medicare due to his ESRD
D) He must wait until age 65 regardless of disability
**Answer: C**
*Rationale:* Individuals of any age with End-Stage Renal Disease
(ESRD) requiring dialysis or kidney transplant are eligible for Medicare.
The 24-month waiting period for disability does not apply to ESRD.
Medicare coverage typically begins the first day of the fourth month of
dialysis treatments .
**2. What is the 24-month waiting period for Medicare disability
benefits?**
,3|Page
A) A beneficiary must receive disability benefits from Social Security
for 24 months before Medicare coverage begins
B) A beneficiary must wait 24 months after turning 65
C) A beneficiary must be diagnosed with a disability for 24 months
before applying
D) There is no waiting period for disability
**Answer: A**
*Rationale:* Individuals under age 65 who are entitled to Social
Security disability benefits generally have a 24-month waiting period
from the date of entitlement to disability benefits before Medicare
coverage begins. ESRD and ALS are exceptions with no waiting period .
**3. Mr. Lopez is 67 years old and is enrolled in both Medicare Part A
and Part B. He is having heart surgery later this month. Will Medicare
Part A cover his inpatient hospital stay?**
A) No, Part A only covers outpatient services
B) Yes, Part A covers inpatient hospital stays, including semi-private
rooms, meals, nursing services, and other hospital services and supplies
C) Part A covers only physician services during the hospital stay
D) Part A covers only emergency room visits
, 4|Page
**Answer: B**
*Rationale:* Medicare Part A (Hospital Insurance) covers inpatient
hospital stays, including semi-private rooms, meals, nursing services,
and other hospital services and supplies. It also covers skilled nursing
facility care, hospice, and some home health care .
**4. Mrs. Chin is enrolled in Medicare Part B. What does Part B
cover?**
A) Inpatient hospital services only
B) Prescription drugs only
C) Physician services, outpatient hospital care, preventive services,
durable medical equipment, and many other medical services
D) Long-term care in a nursing home
**Answer: C**
*Rationale:* Medicare Part B (Medical Insurance) covers physician
services, outpatient hospital care, preventive services (annual wellness
visit, mammograms, cardiovascular screenings), durable medical
equipment (DME), laboratory tests, and many other medical services .
AHIP ADDITIONAL PRACTICE QUESTIONS##
MODULES 1, 3, 4 & 5### 150+ PRACTICE
QUESTIONS WITH VERIFIED ANSWERS &
DETAILED RATIONALES**BASED ON AHIP 2026
CURRICULUM | UPDATED FOR CMS
GUIDELINES**
# TABLE OF CONTENTS
| Module | Topic | Questions |
|--------|-------|-----------|
| **Module 1** | Medicare Basics (Parts A, B, C, D) & Original
Medicare | 1–40 |
| **Module 3** | Medicare Prescription Drug Benefits (Part D) | 41–80 |
| **Module 4** | Medicare Advantage & Prescription Drug Plan
Enrollment & Disenrollment | 81–120 |
| **Module 5** | Ethics, Fraud, Waste & Abuse (FWA) / CMS
Marketing Guidelines | 121–160 |
**Total: 160 Questions**
,2|Page
# MODULE 1: MEDICARE BASICS & ORIGINAL MEDICARE
(Questions 1–40)
**1. Mr. Bauer is 52 years old, has been receiving disability benefits
from Social Security for 20 months, and has been receiving dialysis for
end-stage renal disease (ESRD). Is Mr. Bauer eligible for Medicare?**
A) Yes, he is eligible for Medicare due to his receipt of disability
benefits
B) No, he is too young for Medicare
C) Yes, he is eligible for Medicare due to his ESRD
D) He must wait until age 65 regardless of disability
**Answer: C**
*Rationale:* Individuals of any age with End-Stage Renal Disease
(ESRD) requiring dialysis or kidney transplant are eligible for Medicare.
The 24-month waiting period for disability does not apply to ESRD.
Medicare coverage typically begins the first day of the fourth month of
dialysis treatments .
**2. What is the 24-month waiting period for Medicare disability
benefits?**
,3|Page
A) A beneficiary must receive disability benefits from Social Security
for 24 months before Medicare coverage begins
B) A beneficiary must wait 24 months after turning 65
C) A beneficiary must be diagnosed with a disability for 24 months
before applying
D) There is no waiting period for disability
**Answer: A**
*Rationale:* Individuals under age 65 who are entitled to Social
Security disability benefits generally have a 24-month waiting period
from the date of entitlement to disability benefits before Medicare
coverage begins. ESRD and ALS are exceptions with no waiting period .
**3. Mr. Lopez is 67 years old and is enrolled in both Medicare Part A
and Part B. He is having heart surgery later this month. Will Medicare
Part A cover his inpatient hospital stay?**
A) No, Part A only covers outpatient services
B) Yes, Part A covers inpatient hospital stays, including semi-private
rooms, meals, nursing services, and other hospital services and supplies
C) Part A covers only physician services during the hospital stay
D) Part A covers only emergency room visits
, 4|Page
**Answer: B**
*Rationale:* Medicare Part A (Hospital Insurance) covers inpatient
hospital stays, including semi-private rooms, meals, nursing services,
and other hospital services and supplies. It also covers skilled nursing
facility care, hospice, and some home health care .
**4. Mrs. Chin is enrolled in Medicare Part B. What does Part B
cover?**
A) Inpatient hospital services only
B) Prescription drugs only
C) Physician services, outpatient hospital care, preventive services,
durable medical equipment, and many other medical services
D) Long-term care in a nursing home
**Answer: C**
*Rationale:* Medicare Part B (Medical Insurance) covers physician
services, outpatient hospital care, preventive services (annual wellness
visit, mammograms, cardiovascular screenings), durable medical
equipment (DME), laboratory tests, and many other medical services .
