12/1/25, 1:42 PM AHIP - 2026 - Modules 1-5 Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUT…
AHIP - 2026 - Modules 1-5 Exam comprehensive
questions | FREQUENTLY MOST TESTED
QUESTIONS AND VERIFIED SOLUTIONS/GET IT
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Terms in this set (105)
Mr. Capadona would like It is illegal for you to sell Mr. Capadona a Medigap
to purchase a Medicare plan if he is enrolled in an MA plan, and besides,
Advantage (MA) plan and Medigap only works with Original Medicare.
a Medigap plan to pick up
costs not covered by that
plan. What should you tell
him?
Agent John Miller is Tell prospect Jerry Smith that he should consider
meeting with Jerry Smith, a adding a standalone Part D prescription drug
new prospect. Jerry is coverage policy to his present coverage.
currently enrolled in
Medicare Parts A and B.
Jerry has also purchased a
Medicare Supplement
(Medigap) plan which he
has had for several years.
However, the plan does
not provide drug benefits.
How would you advise
Agent John Miller to
proceed?
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,12/1/25, 1:42 PM AHIP - 2026 - Modules 1-5 Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUT…
Mr. Wu is eligible for Mr. Wu may still qualify for help in paying Part D costs
Medicare. He has limited through his State Pharmaceutical Assistance Program
financial resources but (SPAP).
failed to qualify for the
Part D low-income
subsidy. Where might he
turn for help with his
prescription drug costs?
Mr. Vasquez is in good Under Original Medicare, there is a single deductible
health and is preparing a amount due for the first 60 days of any inpatient
budget in anticipation of hospital stay, after which it converts into a per-day
his retirement when he coinsurance amount through day 90. After day 90, he
turns 66. He wants to would pay a daily amount up to 60 days over his
understand the health lifetime, after which he would be responsible for all
care costs he might be costs.
exposed to under
Medicare if he were to
require hospitalization
because of an illness. In
general terms, what could
you tell him about his
costs for inpatient hospital
services under Original
Medicare?
Mr. Moy will soon turn age Medicare Supplemental Insurance would help cover
65. He is slightly younger his Part A deductible and Part B coinsurance or
than his wife. Mr. Moy's copayments in Original Fee-for-Service (FFS)
wife has a Medicare Medicare as well as possibly some services that
Advantage plan, but he Medicare does not cover.
wants to understand what
coverage Medicare
Supplemental Insurance
provides since his health
care needs are different
from his wife's needs. What
could you tell Mr. Moy?
https://quizlet.com/1115165858/ahip-2026-modules-1-5-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutionsget-it… 2/47
,12/1/25, 1:42 PM AHIP - 2026 - Modules 1-5 Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUT…
Juan Perez, who is turning Juan is likely to be eligible for Medicare once he turns
age 65 next month, age 65 and if he enrolls, Medicare would become the
intends to work for several primary payor of his healthcare claims and Smallcap
more years at Smallcap, does not have to continue to offer him coverage
Incorporated. Smallcap comparable to those under age 65 under its
has a workforce of 15 employer-sponsored group health plan. Juan is likely
employees and offers to be eligible for Medicare once he turns age 65 and
employer-sponsored if he enrolls, Medicare would become the primary
healthcare coverage. Juan payor of his healthcare claims but Smallcap must
is a naturalized citizen and continue to offer him coverage under its employer-
has contributed to the sponsored group health plan and would become a
Medicare system for over secondary payor.
20 years. Juan asks you if
he will be entitled to
Medicare and if he enrolls
how that will impact his
employer- sponsored
healthcare coverage. How
would you respond?
Ms. Kumar plans to retire Medicare is a program for people age 65 or older and
when she turns 65 in a few those under age 65 with certain disabilities, end-stage
months. She is in excellent renal disease, and Lou Gehrig's disease so she will be
health and will have eligible for Medicare.
considerable income
when she retires. She is
concerned that her
income will make it
impossible for her to
qualify for Medicare. What
could you tell her to
address her concern?
https://quizlet.com/1115165858/ahip-2026-modules-1-5-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutionsget-it… 3/47
, 12/1/25, 1:42 PM AHIP - 2026 - Modules 1-5 Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUT…
Mrs. Ellis recently turned Part B primarily covers physician services. She will be
66 and decided after paying a monthly premium and, except for many
many years of work to preventive and screening tests, generally will have
retire and begin receiving 20% co-payments for these services, in addition to an
Social Security benefits. annual deductible.
Shortly thereafter Mrs.
Ellis received a 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 Mr. Singh can enroll in a stand-alone prescription
coverage but does not drug plan and continue to be covered for Part A and
want to be enrolled in a Part B services through Original Fee-for-Service
Medicare Advantage plan. Medicare.
What should you tell him?
Mrs. Cook is an elderly She should contact her state Medicaid agency to see
retiree. Mrs. Cook has a if she qualifies for one of several programs that can
low fixed income. What help with Medicare costs for which she is responsible.
could you tell Mrs. Cook
that might be of
assistance?
Ms. Henderson believes To obtain Part B coverage, she must pay a standard
that she will qualify for monthly premium, though it is higher for individuals
Medicare Coverage when with higher incomes.
she turns 65, without
paying any premiums,
because she has been
working for 40 years and
paying Medicare taxes.
What should you tell her?
https://quizlet.com/1115165858/ahip-2026-modules-1-5-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutionsget-it… 4/47
AHIP - 2026 - Modules 1-5 Exam comprehensive
questions | FREQUENTLY MOST TESTED
QUESTIONS AND VERIFIED SOLUTIONS/GET IT
100% ACCURATE!! 2025!!
Save
Terms in this set (105)
Mr. Capadona would like It is illegal for you to sell Mr. Capadona a Medigap
to purchase a Medicare plan if he is enrolled in an MA plan, and besides,
Advantage (MA) plan and Medigap only works with Original Medicare.
a Medigap plan to pick up
costs not covered by that
plan. What should you tell
him?
Agent John Miller is Tell prospect Jerry Smith that he should consider
meeting with Jerry Smith, a adding a standalone Part D prescription drug
new prospect. Jerry is coverage policy to his present coverage.
currently enrolled in
Medicare Parts A and B.
Jerry has also purchased a
Medicare Supplement
(Medigap) plan which he
has had for several years.
However, the plan does
not provide drug benefits.
How would you advise
Agent John Miller to
proceed?
https://quizlet.com/1115165858/ahip-2026-modules-1-5-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutionsget-it… 1/47
,12/1/25, 1:42 PM AHIP - 2026 - Modules 1-5 Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUT…
Mr. Wu is eligible for Mr. Wu may still qualify for help in paying Part D costs
Medicare. He has limited through his State Pharmaceutical Assistance Program
financial resources but (SPAP).
failed to qualify for the
Part D low-income
subsidy. Where might he
turn for help with his
prescription drug costs?
Mr. Vasquez is in good Under Original Medicare, there is a single deductible
health and is preparing a amount due for the first 60 days of any inpatient
budget in anticipation of hospital stay, after which it converts into a per-day
his retirement when he coinsurance amount through day 90. After day 90, he
turns 66. He wants to would pay a daily amount up to 60 days over his
understand the health lifetime, after which he would be responsible for all
care costs he might be costs.
exposed to under
Medicare if he were to
require hospitalization
because of an illness. In
general terms, what could
you tell him about his
costs for inpatient hospital
services under Original
Medicare?
Mr. Moy will soon turn age Medicare Supplemental Insurance would help cover
65. He is slightly younger his Part A deductible and Part B coinsurance or
than his wife. Mr. Moy's copayments in Original Fee-for-Service (FFS)
wife has a Medicare Medicare as well as possibly some services that
Advantage plan, but he Medicare does not cover.
wants to understand what
coverage Medicare
Supplemental Insurance
provides since his health
care needs are different
from his wife's needs. What
could you tell Mr. Moy?
https://quizlet.com/1115165858/ahip-2026-modules-1-5-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutionsget-it… 2/47
,12/1/25, 1:42 PM AHIP - 2026 - Modules 1-5 Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUT…
Juan Perez, who is turning Juan is likely to be eligible for Medicare once he turns
age 65 next month, age 65 and if he enrolls, Medicare would become the
intends to work for several primary payor of his healthcare claims and Smallcap
more years at Smallcap, does not have to continue to offer him coverage
Incorporated. Smallcap comparable to those under age 65 under its
has a workforce of 15 employer-sponsored group health plan. Juan is likely
employees and offers to be eligible for Medicare once he turns age 65 and
employer-sponsored if he enrolls, Medicare would become the primary
healthcare coverage. Juan payor of his healthcare claims but Smallcap must
is a naturalized citizen and continue to offer him coverage under its employer-
has contributed to the sponsored group health plan and would become a
Medicare system for over secondary payor.
20 years. Juan asks you if
he will be entitled to
Medicare and if he enrolls
how that will impact his
employer- sponsored
healthcare coverage. How
would you respond?
Ms. Kumar plans to retire Medicare is a program for people age 65 or older and
when she turns 65 in a few those under age 65 with certain disabilities, end-stage
months. She is in excellent renal disease, and Lou Gehrig's disease so she will be
health and will have eligible for Medicare.
considerable income
when she retires. She is
concerned that her
income will make it
impossible for her to
qualify for Medicare. What
could you tell her to
address her concern?
https://quizlet.com/1115165858/ahip-2026-modules-1-5-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutionsget-it… 3/47
, 12/1/25, 1:42 PM AHIP - 2026 - Modules 1-5 Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUT…
Mrs. Ellis recently turned Part B primarily covers physician services. She will be
66 and decided after paying a monthly premium and, except for many
many years of work to preventive and screening tests, generally will have
retire and begin receiving 20% co-payments for these services, in addition to an
Social Security benefits. annual deductible.
Shortly thereafter Mrs.
Ellis received a 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 Mr. Singh can enroll in a stand-alone prescription
coverage but does not drug plan and continue to be covered for Part A and
want to be enrolled in a Part B services through Original Fee-for-Service
Medicare Advantage plan. Medicare.
What should you tell him?
Mrs. Cook is an elderly She should contact her state Medicaid agency to see
retiree. Mrs. Cook has a if she qualifies for one of several programs that can
low fixed income. What help with Medicare costs for which she is responsible.
could you tell Mrs. Cook
that might be of
assistance?
Ms. Henderson believes To obtain Part B coverage, she must pay a standard
that she will qualify for monthly premium, though it is higher for individuals
Medicare Coverage when with higher incomes.
she turns 65, without
paying any premiums,
because she has been
working for 40 years and
paying Medicare taxes.
What should you tell her?
https://quizlet.com/1115165858/ahip-2026-modules-1-5-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutionsget-it… 4/47
