AHIP Final Exam Latest (2026/2027) | 50
Verified Questions and Correct Answers |
A+ Graded
Medicare Fundamentals
1. What are the four parts of Medicare?
Answer:
Part A — Hospital insurance
Part B — Medical insurance
Part C — Medicare Advantage
Part D — Prescription drug coverage
2. What does Medicare Part A generally cover?
Answer:
Inpatient hospital care, skilled nursing facility care
(limited), hospice, and some home health services.
3. What does Medicare Part B generally cover?
Answer:
Doctor services, outpatient care, preventive
services, durable medical equipment, and some
home health services.
4. What is Medicare Advantage (Part C)?
Answer:
A Medicare-approved private plan that provides Part
A and Part B benefits and may include additional
services.
5. What is Medicare Part D designed for?
Answer:
Prescription drug coverage.
Medicare Advantage Plans
6. Which Medicare Advantage plan types are
commonly available?
, Answer:
HMO, PPO, PFFS, MSA, and SNP plans.
7. What is an HMO plan?
Answer:
A plan that generally requires members to use
network providers.
8. What is a PPO plan?
Answer:
A plan offering greater flexibility to use providers
inside or outside the network.
9. What is a Special Needs Plan (SNP)?
Answer:
A Medicare Advantage plan designed for specific
populations.
10. What is an MSA plan?
Answer:
A Medical Savings Account plan that combines a
health plan with a medical savings account.
Enrollment Rules
11. What is the Initial Enrollment Period (IEP)?
Answer:
The period when individuals first become eligible to
enroll in Medicare.
12. What is the Annual Enrollment Period
(AEP)?
Answer:
The yearly period when beneficiaries may review
and change Medicare coverage.
13. What is a Special Enrollment Period (SEP)?
Answer:
A period allowing enrollment changes because of
qualifying events.
Verified Questions and Correct Answers |
A+ Graded
Medicare Fundamentals
1. What are the four parts of Medicare?
Answer:
Part A — Hospital insurance
Part B — Medical insurance
Part C — Medicare Advantage
Part D — Prescription drug coverage
2. What does Medicare Part A generally cover?
Answer:
Inpatient hospital care, skilled nursing facility care
(limited), hospice, and some home health services.
3. What does Medicare Part B generally cover?
Answer:
Doctor services, outpatient care, preventive
services, durable medical equipment, and some
home health services.
4. What is Medicare Advantage (Part C)?
Answer:
A Medicare-approved private plan that provides Part
A and Part B benefits and may include additional
services.
5. What is Medicare Part D designed for?
Answer:
Prescription drug coverage.
Medicare Advantage Plans
6. Which Medicare Advantage plan types are
commonly available?
, Answer:
HMO, PPO, PFFS, MSA, and SNP plans.
7. What is an HMO plan?
Answer:
A plan that generally requires members to use
network providers.
8. What is a PPO plan?
Answer:
A plan offering greater flexibility to use providers
inside or outside the network.
9. What is a Special Needs Plan (SNP)?
Answer:
A Medicare Advantage plan designed for specific
populations.
10. What is an MSA plan?
Answer:
A Medical Savings Account plan that combines a
health plan with a medical savings account.
Enrollment Rules
11. What is the Initial Enrollment Period (IEP)?
Answer:
The period when individuals first become eligible to
enroll in Medicare.
12. What is the Annual Enrollment Period
(AEP)?
Answer:
The yearly period when beneficiaries may review
and change Medicare coverage.
13. What is a Special Enrollment Period (SEP)?
Answer:
A period allowing enrollment changes because of
qualifying events.
