, 2027 AHIP Final Exam – Medicare
Certification – Actual Questions &
Answers (AHIP) Guarantee Pass (Updated
Pdf)
1. What is Medicare Part A primarily designed to cover?
A. Prescription drugs
B. Hospital and certain inpatient care
C. Routine dental care
D. Long-term custodial care
CORRECT ANSWER: B. Hospital and certain inpatient care
Rationale:
Medicare Part A is the hospital insurance component and generally covers qualifying inpatient
hospital care, skilled nursing facility care, hospice care, and certain home health services.
2. What does Medicare Part B primarily cover?
A. Medical services and outpatient care
B. Most prescription medications
C. Long-term custodial care
,D. Private nursing-home room charges
CORRECT ANSWER: A. Medical services and outpatient care
Rationale:
Part B generally covers medically necessary physician services, outpatient services, preventive
services, durable medical equipment, and other covered medical services.
3. Which Medicare part generally provides prescription drug coverage?
A. Part A
B. Part B
C. Part C
D. Part D
CORRECT ANSWER: D. Part D
Rationale:
Medicare Part D provides outpatient prescription drug coverage through private Medicare-
approved prescription drug plans.
4. What is Medicare Part C?
A. Medigap
B. Medicare Advantage
C. Medicaid
, D. Medicare prescription assistance only
CORRECT ANSWER: B. Medicare Advantage
Rationale:
Medicare Advantage, also called Part C, is an alternative way to receive Medicare benefits
through Medicare-approved private health plans.
5. Who administers Medicare?
A. Federal government
B. Individual hospitals
C. State insurance departments alone
D. Private employers
CORRECT ANSWER: A. Federal government
Rationale:
Medicare is a federal health insurance program administered by the Centers for Medicare &
Medicaid Services (CMS).
6. Which individual is generally eligible for Medicare based on age?
A. Anyone age 55 or older
B. Anyone age 60 or older
C. Generally, people age 65 or older who meet eligibility requirements
Certification – Actual Questions &
Answers (AHIP) Guarantee Pass (Updated
Pdf)
1. What is Medicare Part A primarily designed to cover?
A. Prescription drugs
B. Hospital and certain inpatient care
C. Routine dental care
D. Long-term custodial care
CORRECT ANSWER: B. Hospital and certain inpatient care
Rationale:
Medicare Part A is the hospital insurance component and generally covers qualifying inpatient
hospital care, skilled nursing facility care, hospice care, and certain home health services.
2. What does Medicare Part B primarily cover?
A. Medical services and outpatient care
B. Most prescription medications
C. Long-term custodial care
,D. Private nursing-home room charges
CORRECT ANSWER: A. Medical services and outpatient care
Rationale:
Part B generally covers medically necessary physician services, outpatient services, preventive
services, durable medical equipment, and other covered medical services.
3. Which Medicare part generally provides prescription drug coverage?
A. Part A
B. Part B
C. Part C
D. Part D
CORRECT ANSWER: D. Part D
Rationale:
Medicare Part D provides outpatient prescription drug coverage through private Medicare-
approved prescription drug plans.
4. What is Medicare Part C?
A. Medigap
B. Medicare Advantage
C. Medicaid
, D. Medicare prescription assistance only
CORRECT ANSWER: B. Medicare Advantage
Rationale:
Medicare Advantage, also called Part C, is an alternative way to receive Medicare benefits
through Medicare-approved private health plans.
5. Who administers Medicare?
A. Federal government
B. Individual hospitals
C. State insurance departments alone
D. Private employers
CORRECT ANSWER: A. Federal government
Rationale:
Medicare is a federal health insurance program administered by the Centers for Medicare &
Medicaid Services (CMS).
6. Which individual is generally eligible for Medicare based on age?
A. Anyone age 55 or older
B. Anyone age 60 or older
C. Generally, people age 65 or older who meet eligibility requirements
