AHIP Final Exam (PDF) | Updated AHIP Exam
Questions | Medicare Certification
1. A beneficiary is enrolled in Original Medicare and
wants to join a Medicare Advantage (MA) plan for the
first time. When can they do so?
A) Only during the General Enrollment Period (Jan 1–Mar
31)
B) During the Initial Coverage Election Period (ICEP) or
Annual Election Period (AEP)
C) Any month if they have a chronic condition
D) Only during the Medicare Advantage Open Enrollment
Period (Jan 1–Mar 31)
Answer: B
Rationale: The ICEP occurs around a beneficiary’s 65th
birthday or 25th month of disability. The AEP (Oct 15–
Dec 7) also allows joining an MA plan for a Jan 1
effective date. Other periods do not permit first-time MA
enrollment.
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,2. What is the effective date for an MA enrollment made
during the Annual Election Period (Oct 15–Dec 7)?
A) Dec 7
B) Jan 1 of the following year
C) Feb 1 of the following year
D) The date the plan receives the enrollment form
Answer: B
Rationale: CMS rules require all AEP enrollments to be
effective Jan 1 of the next calendar year. No exceptions
apply for standard AEP enrollments.
3. A beneficiary enrolls in an MA plan during the
Medicare Advantage Open Enrollment Period (MA OEP)
from Jan 1–Mar 31. What action can they take?
A) Enroll in an MA plan for the first time
B) Switch from one MA plan to another MA plan once
C) Disenroll from MA to Original Medicare and add a
2
,Part D plan
D) Both B and C
Answer: D
Rationale: The MA OEP (Jan 1–Mar 31) allows
beneficiaries already in an MA plan to switch to another
MA plan once or disenroll to Original Medicare and add
a PDP. They cannot join an MA plan for the first time
during this period.
4. A beneficiary missed their Initial Enrollment Period (IEP)
for Part B and enrolled during the General Enrollment
Period (Jan 1–Mar 31). When will their Part B coverage
begin?
A) Jan 1
B) Feb 1
C) July 1 of the same year
D) The following Jan 1
3
, Answer: C
Rationale: For GEP enrollment (Jan 1–Mar 31), Part B
coverage begins July 1 of that year. This is a standard
CMS rule to align with the calendar.
5. Which enrollment period allows a beneficiary to
disenroll from an MA plan and return to Original
Medicare with the option to add a Part D plan?
A) Annual Election Period only
B) Medicare Advantage Open Enrollment Period only
C) Both AEP and MA OEP
D) Special Enrollment Period only
Answer: C
Rationale: Both AEP (Oct 15–Dec 7) and MA OEP (Jan 1–
Mar 31) allow disenrollment from MA to Original
Medicare. During AEP, a PDP can be added
simultaneously. During MA OEP, a PDP can be added
after returning to Original Medicare.
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Questions | Medicare Certification
1. A beneficiary is enrolled in Original Medicare and
wants to join a Medicare Advantage (MA) plan for the
first time. When can they do so?
A) Only during the General Enrollment Period (Jan 1–Mar
31)
B) During the Initial Coverage Election Period (ICEP) or
Annual Election Period (AEP)
C) Any month if they have a chronic condition
D) Only during the Medicare Advantage Open Enrollment
Period (Jan 1–Mar 31)
Answer: B
Rationale: The ICEP occurs around a beneficiary’s 65th
birthday or 25th month of disability. The AEP (Oct 15–
Dec 7) also allows joining an MA plan for a Jan 1
effective date. Other periods do not permit first-time MA
enrollment.
1
,2. What is the effective date for an MA enrollment made
during the Annual Election Period (Oct 15–Dec 7)?
A) Dec 7
B) Jan 1 of the following year
C) Feb 1 of the following year
D) The date the plan receives the enrollment form
Answer: B
Rationale: CMS rules require all AEP enrollments to be
effective Jan 1 of the next calendar year. No exceptions
apply for standard AEP enrollments.
3. A beneficiary enrolls in an MA plan during the
Medicare Advantage Open Enrollment Period (MA OEP)
from Jan 1–Mar 31. What action can they take?
A) Enroll in an MA plan for the first time
B) Switch from one MA plan to another MA plan once
C) Disenroll from MA to Original Medicare and add a
2
,Part D plan
D) Both B and C
Answer: D
Rationale: The MA OEP (Jan 1–Mar 31) allows
beneficiaries already in an MA plan to switch to another
MA plan once or disenroll to Original Medicare and add
a PDP. They cannot join an MA plan for the first time
during this period.
4. A beneficiary missed their Initial Enrollment Period (IEP)
for Part B and enrolled during the General Enrollment
Period (Jan 1–Mar 31). When will their Part B coverage
begin?
A) Jan 1
B) Feb 1
C) July 1 of the same year
D) The following Jan 1
3
, Answer: C
Rationale: For GEP enrollment (Jan 1–Mar 31), Part B
coverage begins July 1 of that year. This is a standard
CMS rule to align with the calendar.
5. Which enrollment period allows a beneficiary to
disenroll from an MA plan and return to Original
Medicare with the option to add a Part D plan?
A) Annual Election Period only
B) Medicare Advantage Open Enrollment Period only
C) Both AEP and MA OEP
D) Special Enrollment Period only
Answer: C
Rationale: Both AEP (Oct 15–Dec 7) and MA OEP (Jan 1–
Mar 31) allow disenrollment from MA to Original
Medicare. During AEP, a PDP can be added
simultaneously. During MA OEP, a PDP can be added
after returning to Original Medicare.
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