AHIP Exam Latest (2025/2026) | 50
Questions and Correct Answers |
Graded A+
Section 1: Overview
This document provides 50 full, verified questions and correct answers for the AHIP Exam,
updated for the 2025/2026 certification cycle. It is tailored to assist agents and brokers in
preparing for the open-book final exam, covering Medicare basics, plan types, enrollment
periods, and CMS compliance requirements as of 2025.
Section 2: Exam Questions and Answers
1. What types of Medicare Advantage plans are available to beneficiaries?
A) PPO, HMO, MSA, Cost Plan, PFFS
B) HMO only
C) PPO and MSA only
D) Cost Plan and PFFS only
Correct Answer: A) PPO, HMO, MSA, Cost Plan, PFFS
2. Which individuals are eligible for Medicare-Medicaid Plans (MMPs)?
A) Those enrolled in Medicare Part A only
B) Medicare and Medicaid dual eligibles, including Part D coverage
C) Individuals under age 65 without disabilities
D) Those with employer-sponsored plans only
Correct Answer: B) Medicare and Medicaid dual eligibles, including Part D
coverage
3. What is a key feature of a Medicare Cost Plan?
A) Requires only Part A enrollment
B) Allows non-network provider visits with higher coinsurance and deductibles
C) Limits enrollment to HMO periods
D) Excludes Part D prescription drug coverage
Correct Answer: B) Allows non-network provider visits with higher coinsurance
and deductibles
4. When can individuals with End-Stage Renal Disease (ESRD) enroll in Medicare?
A) Only during the Annual Enrollment Period (AEP)
B) Anytime, with coverage beginning the fourth month after dialysis starts
C) During a Special Enrollment Period (SEP) for employment changes
D) Only at age 65
Correct Answer: B) Anytime, with coverage beginning the fourth month after
dialysis starts
5. What are the dates for the General Enrollment Period (GEP) for those not enrolling in
Part B when first eligible?
A) April 1 to June 30
B) January 1 to March 31, with coverage starting July 1
C) October 15 to December 7
, D) July 1 to September 30
Correct Answer: B) January 1 to March 31, with coverage starting July 1
6. When can individuals with employer group health coverage enroll in Part A and/or
Part B?
A) Only during the Initial Enrollment Period (IEP)
B) Anytime while on group coverage during a Special Enrollment Period (SEP)
C) After age 70
D) During the Annual Election Period (AEP) only
Correct Answer: B) Anytime while on group coverage during a Special
Enrollment Period (SEP)
7. How many questions are included in the AHIP final exam?
A) 25
B) 50
C) 75
D) 100
Correct Answer: B) 50
8. What is the minimum passing score required for the AHIP exam?
A) 70%
B) 80%
C) 90%
D) 95%
Correct Answer: C) 90%
9. How many attempts are allowed to pass the AHIP exam?
A) 1
B) 2
C) 3
D) Unlimited
Correct Answer: C) 3
10. When does the AHIP 2026 certification exam open?
A) June 1, 2025
B) June 23, 2025
C) July 1, 2025
D) August 1, 2025
Correct Answer: B) June 23, 2025
11. What is the Annual Enrollment Period (AEP) for Medicare Advantage and Part D
plans?
A) January 1 to March 31
B) April 1 to June 30
C) October 15 to December 7
D) July 1 to September 30
Correct Answer: C) October 15 to December 7
12. What must agents provide before conducting a Medicare Advantage sales
appointment?
A) A verbal agreement from the beneficiary
B) A written Scope of Appointment (SOA)
C) A gift valued over $15
D) A marketing brochure only
Correct Answer: B) A written Scope of Appointment (SOA)
13. What is a key feature of a Medicare Preferred Provider Organization (PPO) plan?
A) Requires all care to be received in-network
Questions and Correct Answers |
Graded A+
Section 1: Overview
This document provides 50 full, verified questions and correct answers for the AHIP Exam,
updated for the 2025/2026 certification cycle. It is tailored to assist agents and brokers in
preparing for the open-book final exam, covering Medicare basics, plan types, enrollment
periods, and CMS compliance requirements as of 2025.
Section 2: Exam Questions and Answers
1. What types of Medicare Advantage plans are available to beneficiaries?
A) PPO, HMO, MSA, Cost Plan, PFFS
B) HMO only
C) PPO and MSA only
D) Cost Plan and PFFS only
Correct Answer: A) PPO, HMO, MSA, Cost Plan, PFFS
2. Which individuals are eligible for Medicare-Medicaid Plans (MMPs)?
A) Those enrolled in Medicare Part A only
B) Medicare and Medicaid dual eligibles, including Part D coverage
C) Individuals under age 65 without disabilities
D) Those with employer-sponsored plans only
Correct Answer: B) Medicare and Medicaid dual eligibles, including Part D
coverage
3. What is a key feature of a Medicare Cost Plan?
A) Requires only Part A enrollment
B) Allows non-network provider visits with higher coinsurance and deductibles
C) Limits enrollment to HMO periods
D) Excludes Part D prescription drug coverage
Correct Answer: B) Allows non-network provider visits with higher coinsurance
and deductibles
4. When can individuals with End-Stage Renal Disease (ESRD) enroll in Medicare?
A) Only during the Annual Enrollment Period (AEP)
B) Anytime, with coverage beginning the fourth month after dialysis starts
C) During a Special Enrollment Period (SEP) for employment changes
D) Only at age 65
Correct Answer: B) Anytime, with coverage beginning the fourth month after
dialysis starts
5. What are the dates for the General Enrollment Period (GEP) for those not enrolling in
Part B when first eligible?
A) April 1 to June 30
B) January 1 to March 31, with coverage starting July 1
C) October 15 to December 7
, D) July 1 to September 30
Correct Answer: B) January 1 to March 31, with coverage starting July 1
6. When can individuals with employer group health coverage enroll in Part A and/or
Part B?
A) Only during the Initial Enrollment Period (IEP)
B) Anytime while on group coverage during a Special Enrollment Period (SEP)
C) After age 70
D) During the Annual Election Period (AEP) only
Correct Answer: B) Anytime while on group coverage during a Special
Enrollment Period (SEP)
7. How many questions are included in the AHIP final exam?
A) 25
B) 50
C) 75
D) 100
Correct Answer: B) 50
8. What is the minimum passing score required for the AHIP exam?
A) 70%
B) 80%
C) 90%
D) 95%
Correct Answer: C) 90%
9. How many attempts are allowed to pass the AHIP exam?
A) 1
B) 2
C) 3
D) Unlimited
Correct Answer: C) 3
10. When does the AHIP 2026 certification exam open?
A) June 1, 2025
B) June 23, 2025
C) July 1, 2025
D) August 1, 2025
Correct Answer: B) June 23, 2025
11. What is the Annual Enrollment Period (AEP) for Medicare Advantage and Part D
plans?
A) January 1 to March 31
B) April 1 to June 30
C) October 15 to December 7
D) July 1 to September 30
Correct Answer: C) October 15 to December 7
12. What must agents provide before conducting a Medicare Advantage sales
appointment?
A) A verbal agreement from the beneficiary
B) A written Scope of Appointment (SOA)
C) A gift valued over $15
D) A marketing brochure only
Correct Answer: B) A written Scope of Appointment (SOA)
13. What is a key feature of a Medicare Preferred Provider Organization (PPO) plan?
A) Requires all care to be received in-network
