1
AHIP FINAL EXAM 2026/2027 UPDATE | Medicare
Advantage & Part D Certification | Verified Answers |
Pass Guaranteed - A+ Graded
Section 1: Medicare Eligibility & Enrollment Periods (Q1-12)
Question 1 What is the duration of the Initial Enrollment Period (IEP) for Medicare
based on age?
A. 3 months before and 3 months after the 65th birthday
B. 3 months before, the month of, and 3 months after the 65th birthday [CORRECT]
C. 6 months before and 6 months after the 65th birthday
D. 1 month before and 5 months after the 65th birthday
Rationale: The IEP spans 7 total months (3 months before, the month of, and 3
months after the month the individual turns 65). Option A misses the birthday
month, while C and D describe incorrect durations.
Correct Answer: B
Question 2 Robert turns 65 on June 10, 2026. He signs up for Medicare Part B in
April 2026 during his IEP. When does his Part B coverage begin?
A. April 1, 2026
B. May 1, 2026
C. June 1, 2026 [CORRECT]
D. July 1, 2026
Rationale: When a beneficiary enrolls 1 to 3 months before turning 65, Medicare
coverage begins the first day of their 65th birthday month. Option D reflects GEP
timing, while A and B do not align with IEP start rules.
Correct Answer: C
Question 3 During which months does the General Enrollment Period (GEP) occur
annually?
A. October 15 through December 7
B. January 1 through March 31 [CORRECT]
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C. April 1 through June 30
D. July 1 through September 30
Rationale: The GEP runs from January 1 through March 31 each year, with coverage
beginning July 1. Option A describes the Annual Election Period, while C and D are
fabricated enrollment windows.
Correct Answer: B
Question 4 Helen failed to enroll in Medicare Part B during her IEP and has no other
coverage. She enrolls during the GEP on February 15, 2026. When does her Part B
coverage begin?
A. February 15, 2026
B. March 1, 2026
C. July 1, 2026 [CORRECT]
D. January 1, 2027
Rationale: GEP enrollments always have an effective date of July 1, regardless of
which day in January through March the enrollment occurs. Options A, B, and D
reflect incorrect effective dates for GEP.
Correct Answer: C
Question 5 James, age 68, has a Medicare Advantage plan. He moves from Florida to
Arizona on May 1, 2026. What enrollment opportunity does this qualifying event
create?
A. General Enrollment Period
B. Initial Enrollment Period
C. Special Enrollment Period due to change of residence [CORRECT]
D. Annual Election Period only
Rationale: A permanent move out of a plan's service area triggers an SEP for change
of residence, allowing the beneficiary to join a new plan. The GEP and IEP do not
apply to this situation, and waiting for AEP would leave him without coverage.
Correct Answer: C
Question 6 Susan is enrolled in a Medicare Advantage plan. She enters a skilled
nursing facility and becomes eligible for Medicaid in August 2026. What type of
Special Enrollment Period may she qualify for?
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A. SEP for change of residence only
B. SEP for dual eligibility (Medicare and Medicaid) [CORRECT]
C. SEP for loss of employer coverage
D. SEP for plan termination
Rationale: Becoming eligible for both Medicare and Medicaid (dual eligibility) creates
an SEP that allows the beneficiary to enroll in a D-SNP or make other plan changes.
The other SEP types do not apply to this dual-eligibility scenario.
Correct Answer: B
Question 7 David loses his employer group health coverage on June 30, 2026. He is
67 years old. How long does he have to enroll in Medicare Part B without incurring a
late enrollment penalty?
A. 30 days
B. 60 days
C. 8 months [CORRECT]
D. 12 months
Rationale: Individuals who lose employer coverage receive an SEP allowing 8 months
to enroll in Part B without penalty. Options A and B are too short, while D exceeds
the permitted SEP duration.
Correct Answer: C
Question 8 Maria is enrolled in a Medicare Advantage plan. In September 2026, she
is diagnosed with End-Stage Renal Disease (ESRD). What enrollment options does
she have?
A. She must remain in her MA plan permanently
B. She may switch to Original Medicare during an SEP for ESRD [CORRECT]
C. She can only change during the Annual Election Period
D. She must wait until the next General Enrollment Period
Rationale: An ESRD diagnosis triggers an SEP that allows a beneficiary to switch from
a Medicare Advantage plan to Original Medicare. Options A, C, and D incorrectly
limit or deny this enrollment right.
Correct Answer: B
AHIP FINAL EXAM 2026/2027 UPDATE | Medicare
Advantage & Part D Certification | Verified Answers |
Pass Guaranteed - A+ Graded
Section 1: Medicare Eligibility & Enrollment Periods (Q1-12)
Question 1 What is the duration of the Initial Enrollment Period (IEP) for Medicare
based on age?
A. 3 months before and 3 months after the 65th birthday
B. 3 months before, the month of, and 3 months after the 65th birthday [CORRECT]
C. 6 months before and 6 months after the 65th birthday
D. 1 month before and 5 months after the 65th birthday
Rationale: The IEP spans 7 total months (3 months before, the month of, and 3
months after the month the individual turns 65). Option A misses the birthday
month, while C and D describe incorrect durations.
Correct Answer: B
Question 2 Robert turns 65 on June 10, 2026. He signs up for Medicare Part B in
April 2026 during his IEP. When does his Part B coverage begin?
A. April 1, 2026
B. May 1, 2026
C. June 1, 2026 [CORRECT]
D. July 1, 2026
Rationale: When a beneficiary enrolls 1 to 3 months before turning 65, Medicare
coverage begins the first day of their 65th birthday month. Option D reflects GEP
timing, while A and B do not align with IEP start rules.
Correct Answer: C
Question 3 During which months does the General Enrollment Period (GEP) occur
annually?
A. October 15 through December 7
B. January 1 through March 31 [CORRECT]
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C. April 1 through June 30
D. July 1 through September 30
Rationale: The GEP runs from January 1 through March 31 each year, with coverage
beginning July 1. Option A describes the Annual Election Period, while C and D are
fabricated enrollment windows.
Correct Answer: B
Question 4 Helen failed to enroll in Medicare Part B during her IEP and has no other
coverage. She enrolls during the GEP on February 15, 2026. When does her Part B
coverage begin?
A. February 15, 2026
B. March 1, 2026
C. July 1, 2026 [CORRECT]
D. January 1, 2027
Rationale: GEP enrollments always have an effective date of July 1, regardless of
which day in January through March the enrollment occurs. Options A, B, and D
reflect incorrect effective dates for GEP.
Correct Answer: C
Question 5 James, age 68, has a Medicare Advantage plan. He moves from Florida to
Arizona on May 1, 2026. What enrollment opportunity does this qualifying event
create?
A. General Enrollment Period
B. Initial Enrollment Period
C. Special Enrollment Period due to change of residence [CORRECT]
D. Annual Election Period only
Rationale: A permanent move out of a plan's service area triggers an SEP for change
of residence, allowing the beneficiary to join a new plan. The GEP and IEP do not
apply to this situation, and waiting for AEP would leave him without coverage.
Correct Answer: C
Question 6 Susan is enrolled in a Medicare Advantage plan. She enters a skilled
nursing facility and becomes eligible for Medicaid in August 2026. What type of
Special Enrollment Period may she qualify for?
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A. SEP for change of residence only
B. SEP for dual eligibility (Medicare and Medicaid) [CORRECT]
C. SEP for loss of employer coverage
D. SEP for plan termination
Rationale: Becoming eligible for both Medicare and Medicaid (dual eligibility) creates
an SEP that allows the beneficiary to enroll in a D-SNP or make other plan changes.
The other SEP types do not apply to this dual-eligibility scenario.
Correct Answer: B
Question 7 David loses his employer group health coverage on June 30, 2026. He is
67 years old. How long does he have to enroll in Medicare Part B without incurring a
late enrollment penalty?
A. 30 days
B. 60 days
C. 8 months [CORRECT]
D. 12 months
Rationale: Individuals who lose employer coverage receive an SEP allowing 8 months
to enroll in Part B without penalty. Options A and B are too short, while D exceeds
the permitted SEP duration.
Correct Answer: C
Question 8 Maria is enrolled in a Medicare Advantage plan. In September 2026, she
is diagnosed with End-Stage Renal Disease (ESRD). What enrollment options does
she have?
A. She must remain in her MA plan permanently
B. She may switch to Original Medicare during an SEP for ESRD [CORRECT]
C. She can only change during the Annual Election Period
D. She must wait until the next General Enrollment Period
Rationale: An ESRD diagnosis triggers an SEP that allows a beneficiary to switch from
a Medicare Advantage plan to Original Medicare. Options A, C, and D incorrectly
limit or deny this enrollment right.
Correct Answer: B
