AHIP Certification Exam (PDF) | Updated AHIP
Exam Questions | Medicare Compliance
Q1. A person will turn 65 on June 15th. When does their
Initial Enrollment Period (IEP) for Medicare begin?
A) January 1st of the year they turn 65
B) March 1st (3 months before birthday month)
C) June 1st (birthday month only)
D) September 1st (3 months after birthday month)
Correct answer: B
Rationale: The IEP begins 3 months before the month of
the 65th birthday, includes the birthday month, and ends
3 months after. For a June 15th birthday, the IEP starts
March 1st and ends September 30th.
Q2. Which of the following is not automatically eligible
for Medicare Part A without paying a premium?
A) A 66-year-old who paid Medicare taxes for 10+
years
1
,B) A 65-year-old receiving Railroad Retirement benefits
C) A 64-year-old with ESRD (End-Stage Renal Disease)
D) A 67-year-old who is a U.S. citizen with 40+ work
credits
Correct answer: C
Rationale: Premium-free Part A requires 40+ work credits
(about 10 years) or qualifying through a spouse. ESRD
alone does not grant premium-free Part A until dialysis or
transplant starts and only after meeting work credit
requirements otherwise.
Q3. A beneficiary is eligible for Medicare Part A but has
not paid enough payroll taxes to get premium-free Part
A. What can they do?
A) Enroll in Part A only during General Enrollment Period
with late penalty
B) Purchase Part A by paying a monthly premium (up to
$506 in 2025 for those with 30-39 credits)
2
,C) Automatically receive premium-free Part A at age 65
regardless of work history
D) Use Part B to cover hospital costs instead
Correct answer: B
Rationale: Beneficiaries with 30-39 work credits can buy
Part A at a reduced premium; those with fewer than 30
credits pay the full premium (up to $506/month in 2025).
Part B does not cover hospital services.
Q4. A beneficiary misses their IEP and wants to sign up
for Part B in January during the General Enrollment
Period (GEP). When does coverage begin?
A) January 1st of that same year
B) The first day of the month after enrollment
C) July 1st of that year
D) The following January 1st
Correct answer: C
Rationale: GEP runs January 1 – March 31. Coverage
3
, begins July 1 of that year. A late enrollment penalty (10%
for each full 12-month period without Part B) applies
unless exempt.
Q5. Which of the following individuals is entitled to
Medicare Part A without any action on their part?
A) A 65-year-old who is still working for an employer
with 20+ employees
B) A 65-year-old who has been receiving Social Security
benefits for at least 4 months
C) A 64-year-old who applied for Social Security early
at age 62
D) A 66-year-old who never worked but whose spouse
paid Medicare taxes for 12 years
Correct answer: B
Rationale: Individuals already receiving Social Security
benefits are automatically enrolled in Medicare Part A
(and Part B unless they decline) upon turning 65. Spousal
4
Exam Questions | Medicare Compliance
Q1. A person will turn 65 on June 15th. When does their
Initial Enrollment Period (IEP) for Medicare begin?
A) January 1st of the year they turn 65
B) March 1st (3 months before birthday month)
C) June 1st (birthday month only)
D) September 1st (3 months after birthday month)
Correct answer: B
Rationale: The IEP begins 3 months before the month of
the 65th birthday, includes the birthday month, and ends
3 months after. For a June 15th birthday, the IEP starts
March 1st and ends September 30th.
Q2. Which of the following is not automatically eligible
for Medicare Part A without paying a premium?
A) A 66-year-old who paid Medicare taxes for 10+
years
1
,B) A 65-year-old receiving Railroad Retirement benefits
C) A 64-year-old with ESRD (End-Stage Renal Disease)
D) A 67-year-old who is a U.S. citizen with 40+ work
credits
Correct answer: C
Rationale: Premium-free Part A requires 40+ work credits
(about 10 years) or qualifying through a spouse. ESRD
alone does not grant premium-free Part A until dialysis or
transplant starts and only after meeting work credit
requirements otherwise.
Q3. A beneficiary is eligible for Medicare Part A but has
not paid enough payroll taxes to get premium-free Part
A. What can they do?
A) Enroll in Part A only during General Enrollment Period
with late penalty
B) Purchase Part A by paying a monthly premium (up to
$506 in 2025 for those with 30-39 credits)
2
,C) Automatically receive premium-free Part A at age 65
regardless of work history
D) Use Part B to cover hospital costs instead
Correct answer: B
Rationale: Beneficiaries with 30-39 work credits can buy
Part A at a reduced premium; those with fewer than 30
credits pay the full premium (up to $506/month in 2025).
Part B does not cover hospital services.
Q4. A beneficiary misses their IEP and wants to sign up
for Part B in January during the General Enrollment
Period (GEP). When does coverage begin?
A) January 1st of that same year
B) The first day of the month after enrollment
C) July 1st of that year
D) The following January 1st
Correct answer: C
Rationale: GEP runs January 1 – March 31. Coverage
3
, begins July 1 of that year. A late enrollment penalty (10%
for each full 12-month period without Part B) applies
unless exempt.
Q5. Which of the following individuals is entitled to
Medicare Part A without any action on their part?
A) A 65-year-old who is still working for an employer
with 20+ employees
B) A 65-year-old who has been receiving Social Security
benefits for at least 4 months
C) A 64-year-old who applied for Social Security early
at age 62
D) A 66-year-old who never worked but whose spouse
paid Medicare taxes for 12 years
Correct answer: B
Rationale: Individuals already receiving Social Security
benefits are automatically enrolled in Medicare Part A
(and Part B unless they decline) upon turning 65. Spousal
4
