AHIP 2026-2027 Medicare Certification
Practice Exam Questions Well Detailed
Answers Plus Rationales 2026 Q&A
Instant Download Pdf
1. Which Medicare part primarily covers inpatient hospital services?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: A. Part A
Rationale: Medicare Part A primarily covers inpatient hospital care,
skilled nursing facility care, hospice care, and certain home health
services.
2. Which Medicare part primarily covers physician and outpatient
medical services?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: B. Part B
Rationale: Part B covers medically necessary physician services,
outpatient care, preventive services, durable medical equipment, and
other medical services.
,3. Medicare Advantage is also known as:
A. Medicare Part A
B. Medicare Part B
C. Medicare Part C
D. Medicare Part D
Answer: C. Medicare Part C
Rationale: Medicare Advantage is the Medicare Part C program offered
by private Medicare-approved organizations.
4. Which Medicare part provides outpatient prescription drug
coverage?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: D. Part D
Rationale: Medicare Part D provides prescription drug coverage through
private Medicare-approved plans.
5. A person generally first becomes eligible for Medicare because of
age at:
A. 60
B. 62
C. 65
D. 67
,Answer: C. 65
Rationale: Most people become eligible for Medicare at age 65,
although certain individuals can qualify earlier because of disability or
specific conditions.
6. Which organization administers the Medicare program?
A. FDA
B. CMS
C. SSA only
D. IRS
Answer: B. CMS
Rationale: The Centers for Medicare & Medicaid Services (CMS)
administers Medicare.
7. Which agency generally handles Social Security applications and
many Medicare enrollment functions?
A. Social Security Administration
B. Federal Trade Commission
C. Department of Labor
D. Internal Revenue Service
Answer: A. Social Security Administration
Rationale: The Social Security Administration handles Medicare
enrollment for many beneficiaries and determines eligibility for certain
premium assistance programs.
, 8. Original Medicare consists primarily of:
A. Parts A and B
B. Parts B and C
C. Parts C and D
D. Parts A and D
Answer: A. Parts A and B
Rationale: Original Medicare consists of Part A hospital insurance and
Part B medical insurance.
9. Medicare Advantage plans are offered by:
A. Only the federal government
B. Private Medicare-approved organizations
C. State Medicaid agencies only
D. Employers exclusively
Answer: B. Private Medicare-approved organizations
Rationale: Medicare Advantage plans are offered by private
organizations that contract with Medicare.
10. Which coverage may help pay Medicare deductibles and
coinsurance when a beneficiary has Original Medicare?
A. Medigap
B. Part D only
C. Medicaid only
D. COBRA only
Answer: A. Medigap
Practice Exam Questions Well Detailed
Answers Plus Rationales 2026 Q&A
Instant Download Pdf
1. Which Medicare part primarily covers inpatient hospital services?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: A. Part A
Rationale: Medicare Part A primarily covers inpatient hospital care,
skilled nursing facility care, hospice care, and certain home health
services.
2. Which Medicare part primarily covers physician and outpatient
medical services?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: B. Part B
Rationale: Part B covers medically necessary physician services,
outpatient care, preventive services, durable medical equipment, and
other medical services.
,3. Medicare Advantage is also known as:
A. Medicare Part A
B. Medicare Part B
C. Medicare Part C
D. Medicare Part D
Answer: C. Medicare Part C
Rationale: Medicare Advantage is the Medicare Part C program offered
by private Medicare-approved organizations.
4. Which Medicare part provides outpatient prescription drug
coverage?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: D. Part D
Rationale: Medicare Part D provides prescription drug coverage through
private Medicare-approved plans.
5. A person generally first becomes eligible for Medicare because of
age at:
A. 60
B. 62
C. 65
D. 67
,Answer: C. 65
Rationale: Most people become eligible for Medicare at age 65,
although certain individuals can qualify earlier because of disability or
specific conditions.
6. Which organization administers the Medicare program?
A. FDA
B. CMS
C. SSA only
D. IRS
Answer: B. CMS
Rationale: The Centers for Medicare & Medicaid Services (CMS)
administers Medicare.
7. Which agency generally handles Social Security applications and
many Medicare enrollment functions?
A. Social Security Administration
B. Federal Trade Commission
C. Department of Labor
D. Internal Revenue Service
Answer: A. Social Security Administration
Rationale: The Social Security Administration handles Medicare
enrollment for many beneficiaries and determines eligibility for certain
premium assistance programs.
, 8. Original Medicare consists primarily of:
A. Parts A and B
B. Parts B and C
C. Parts C and D
D. Parts A and D
Answer: A. Parts A and B
Rationale: Original Medicare consists of Part A hospital insurance and
Part B medical insurance.
9. Medicare Advantage plans are offered by:
A. Only the federal government
B. Private Medicare-approved organizations
C. State Medicaid agencies only
D. Employers exclusively
Answer: B. Private Medicare-approved organizations
Rationale: Medicare Advantage plans are offered by private
organizations that contract with Medicare.
10. Which coverage may help pay Medicare deductibles and
coinsurance when a beneficiary has Original Medicare?
A. Medigap
B. Part D only
C. Medicaid only
D. COBRA only
Answer: A. Medigap
