AHIP 2026 MODULES 1–5 STUDY
GUIDE | PRACTICE QUESTIONS,
ANSWERS & RATIONALES
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
, Mr. Moy will soon turn age 65. He is slightly younger than Medicare Supplemental Insurance would help cover his Part A deductible and
his wife. Mr. Moy's wife has a Medicare Advantage plan, Part B coinsurance or copayments in Original Fee-for-Service (FFS) Medicare as
but he wants to understand what coverage Medicare well as possibly some services that Medicare does not cover.
Supplemental Insurance provides since his health care
needs are different from his wife's needs. What could you
tell Mr. Moy?
Juan Perez, who is turning age 65 next month, intends to Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls,
work for several more years at Smallcap, Incorporated. Medicare would become the primary payor of his healthcare claims and Smallcap
Smallcap has a workforce of 15 employees and offers does not have to continue to offer him coverage comparable to those under age
employer-sponsored healthcare coverage. Juan is a 65 under its employer-sponsored group health plan. Juan is likely to be eligible
naturalized citizen and has contributed to the Medicare for Medicare once he turns age 65 and if he enrolls, Medicare would become the
system for over 20 years. Juan asks you if he will be primary payor of his healthcare claims but Smallcap must continue to offer him
entitled to Medicare and if he enrolls how that will impact coverage under its employer-sponsored group health plan and would become a
his employer- sponsored healthcare coverage. How secondary payor.
would you respond?
Ms. Kumar plans to retire when she turns 65 in a few Medicare is a program for people age 65 or older and those under age 65 with
months. She is in excellent health and will have certain disabilities, end-stage renal disease, and Lou Gehrig's disease so she will
considerable income when she retires. She is concerned be eligible for Medicare.
that her income will make it impossible for her to qualify
for Medicare. What could you tell her to address her
concern?
Mrs. Ellis recently turned 66 and decided after many Part B primarily covers physician services. She will be paying a monthly premium
years of work to retire and begin receiving Social and, except for many preventive and screening tests, generally will have 20% co-
Security benefits. Shortly thereafter Mrs. Ellis received a payments for these services, in addition to an annual deductible.
letter informing her that she had been automatically
enrolled in Medicare Part B. She wants to understand
what this means. What should you tell Mrs. Ellis?
Mr. Singh would like drug coverage but does not want to Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be
be enrolled in a Medicare Advantage plan. What should covered for Part A and Part B services through Original Fee-for-Service Medicare.
you tell him?
Mrs. Cook is an elderly retiree. Mrs. Cook has a low fixed She should contact her state Medicaid agency to see if she qualifies for one of
income. What could you tell Mrs. Cook that might be of several programs that can help with Medicare costs for which she is responsible.
assistance?
Ms. Henderson believes that she will qualify for Medicare To obtain Part B coverage, she must pay a standard monthly premium, though it is
Coverage when she turns 65, without paying any higher for individuals with higher incomes.
premiums, because she has been working for 40 years
and paying Medicare taxes. What should you tell her?
Mr. Bauer is 49 years old, but eighteen months ago he After receiving such disability payments for 24 months, he will be automatically
was declared disabled by the Social Security enrolled in Medicare, regardless of age.
Administration and has been receiving disability
payments. He is wondering whether he can obtain
coverage under Medicare. What should you tell him?
GUIDE | PRACTICE QUESTIONS,
ANSWERS & RATIONALES
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
, Mr. Moy will soon turn age 65. He is slightly younger than Medicare Supplemental Insurance would help cover his Part A deductible and
his wife. Mr. Moy's wife has a Medicare Advantage plan, Part B coinsurance or copayments in Original Fee-for-Service (FFS) Medicare as
but he wants to understand what coverage Medicare well as possibly some services that Medicare does not cover.
Supplemental Insurance provides since his health care
needs are different from his wife's needs. What could you
tell Mr. Moy?
Juan Perez, who is turning age 65 next month, intends to Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls,
work for several more years at Smallcap, Incorporated. Medicare would become the primary payor of his healthcare claims and Smallcap
Smallcap has a workforce of 15 employees and offers does not have to continue to offer him coverage comparable to those under age
employer-sponsored healthcare coverage. Juan is a 65 under its employer-sponsored group health plan. Juan is likely to be eligible
naturalized citizen and has contributed to the Medicare for Medicare once he turns age 65 and if he enrolls, Medicare would become the
system for over 20 years. Juan asks you if he will be primary payor of his healthcare claims but Smallcap must continue to offer him
entitled to Medicare and if he enrolls how that will impact coverage under its employer-sponsored group health plan and would become a
his employer- sponsored healthcare coverage. How secondary payor.
would you respond?
Ms. Kumar plans to retire when she turns 65 in a few Medicare is a program for people age 65 or older and those under age 65 with
months. She is in excellent health and will have certain disabilities, end-stage renal disease, and Lou Gehrig's disease so she will
considerable income when she retires. She is concerned be eligible for Medicare.
that her income will make it impossible for her to qualify
for Medicare. What could you tell her to address her
concern?
Mrs. Ellis recently turned 66 and decided after many Part B primarily covers physician services. She will be paying a monthly premium
years of work to retire and begin receiving Social and, except for many preventive and screening tests, generally will have 20% co-
Security benefits. Shortly thereafter Mrs. Ellis received a payments for these services, in addition to an annual deductible.
letter informing her that she had been automatically
enrolled in Medicare Part B. She wants to understand
what this means. What should you tell Mrs. Ellis?
Mr. Singh would like drug coverage but does not want to Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be
be enrolled in a Medicare Advantage plan. What should covered for Part A and Part B services through Original Fee-for-Service Medicare.
you tell him?
Mrs. Cook is an elderly retiree. Mrs. Cook has a low fixed She should contact her state Medicaid agency to see if she qualifies for one of
income. What could you tell Mrs. Cook that might be of several programs that can help with Medicare costs for which she is responsible.
assistance?
Ms. Henderson believes that she will qualify for Medicare To obtain Part B coverage, she must pay a standard monthly premium, though it is
Coverage when she turns 65, without paying any higher for individuals with higher incomes.
premiums, because she has been working for 40 years
and paying Medicare taxes. What should you tell her?
Mr. Bauer is 49 years old, but eighteen months ago he After receiving such disability payments for 24 months, he will be automatically
was declared disabled by the Social Security enrolled in Medicare, regardless of age.
Administration and has been receiving disability
payments. He is wondering whether he can obtain
coverage under Medicare. What should you tell him?
