AHIP Medicare Training Practice
Examination Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant Download
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1. Which Medicare part primarily provides hospital insurance
coverage?
A. Part B
B. Part C
C. Part D
D. Part A
Answer: D. Part A
Rationale: Medicare Part A is Hospital Insurance. It generally helps
cover inpatient hospital care, skilled nursing facility care following a
qualifying inpatient stay, hospice care, and certain home health
services. Part B primarily covers medical services, Part C refers to
Medicare Advantage, and Part D provides outpatient prescription drug
coverage.
2. Which Medicare part generally covers physician services and
outpatient medical care?
A. Part B
B. Part A
C. Part C
D. Part D
,Answer: A. Part B
Rationale: Medicare Part B is Medical Insurance. It generally covers
medically necessary physician services, outpatient services, preventive
services, durable medical equipment, and other covered medical
services. Beneficiaries generally pay a monthly Part B premium and
cost-sharing for covered services.
3. Medicare Advantage is another name for which Medicare
program?
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 Medicare Part C. Medicare
Advantage plans are offered by Medicare-approved private
organizations and provide Medicare-covered Part A and Part B
benefits, subject to plan rules. Many plans also include prescription
drug coverage.
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 prescription drug plans and
,through many Medicare Advantage plans that include drug coverage.
Beneficiaries generally select a plan based on covered medications,
pharmacies, premiums, cost-sharing, and other plan features.
5. A beneficiary wants to remain in Original Medicare while
purchasing private supplemental insurance that can help with
certain Medicare cost-sharing. What type of coverage should the
beneficiary investigate?
A. Medigap
B. Medicare Advantage
C. Part D only
D. Medicaid managed care
Answer: A. Medigap
Rationale: Medigap, also called Medicare Supplement Insurance, is
designed to work with Original Medicare. It can help pay certain
deductibles, coinsurance, and copayments depending on the
standardized Medigap plan selected and applicable rules. Medigap
generally does not function as a replacement for Original Medicare.
6. Which statement best describes Original Medicare?
A. It is always administered by a private Medicare Advantage
organization.
B. It consists primarily of Part A and Part B.
C. It automatically includes comprehensive outpatient prescription
coverage.
D. It requires beneficiaries to use only one private medical network.
Answer: B. It consists primarily of Part A and Part B.
Rationale: Original Medicare consists of Part A and Part B.
Beneficiaries may add a separate Part D prescription drug plan and
, may also purchase Medigap coverage if eligible. Original Medicare
generally allows beneficiaries to obtain covered services from
Medicare-participating providers without being restricted to a single
Medicare Advantage network.
7. Which organization administers the federal Medicare program?
A. Department of Veterans Affairs
B. Social Security Administration
C. State insurance departments
D. Centers for Medicare & Medicaid Services
Answer: D. Centers for Medicare & Medicaid Services
Rationale: The Centers for Medicare & Medicaid Services, commonly
called CMS, administers Medicare at the federal level. Social Security
handles important aspects of Medicare enrollment and premium-
related functions, but CMS is the federal agency responsible for
administering Medicare.
8. A person is approaching age 65 and has questions about initial
Medicare enrollment. Which federal agency generally handles
Social Security-related Medicare enrollment?
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 generally handles
Medicare enrollment for many people approaching age 65 and
provides information about eligibility and enrollment. Medicare itself
Examination Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant Download
1. Which Medicare part primarily provides hospital insurance
coverage?
A. Part B
B. Part C
C. Part D
D. Part A
Answer: D. Part A
Rationale: Medicare Part A is Hospital Insurance. It generally helps
cover inpatient hospital care, skilled nursing facility care following a
qualifying inpatient stay, hospice care, and certain home health
services. Part B primarily covers medical services, Part C refers to
Medicare Advantage, and Part D provides outpatient prescription drug
coverage.
2. Which Medicare part generally covers physician services and
outpatient medical care?
A. Part B
B. Part A
C. Part C
D. Part D
,Answer: A. Part B
Rationale: Medicare Part B is Medical Insurance. It generally covers
medically necessary physician services, outpatient services, preventive
services, durable medical equipment, and other covered medical
services. Beneficiaries generally pay a monthly Part B premium and
cost-sharing for covered services.
3. Medicare Advantage is another name for which Medicare
program?
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 Medicare Part C. Medicare
Advantage plans are offered by Medicare-approved private
organizations and provide Medicare-covered Part A and Part B
benefits, subject to plan rules. Many plans also include prescription
drug coverage.
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 prescription drug plans and
,through many Medicare Advantage plans that include drug coverage.
Beneficiaries generally select a plan based on covered medications,
pharmacies, premiums, cost-sharing, and other plan features.
5. A beneficiary wants to remain in Original Medicare while
purchasing private supplemental insurance that can help with
certain Medicare cost-sharing. What type of coverage should the
beneficiary investigate?
A. Medigap
B. Medicare Advantage
C. Part D only
D. Medicaid managed care
Answer: A. Medigap
Rationale: Medigap, also called Medicare Supplement Insurance, is
designed to work with Original Medicare. It can help pay certain
deductibles, coinsurance, and copayments depending on the
standardized Medigap plan selected and applicable rules. Medigap
generally does not function as a replacement for Original Medicare.
6. Which statement best describes Original Medicare?
A. It is always administered by a private Medicare Advantage
organization.
B. It consists primarily of Part A and Part B.
C. It automatically includes comprehensive outpatient prescription
coverage.
D. It requires beneficiaries to use only one private medical network.
Answer: B. It consists primarily of Part A and Part B.
Rationale: Original Medicare consists of Part A and Part B.
Beneficiaries may add a separate Part D prescription drug plan and
, may also purchase Medigap coverage if eligible. Original Medicare
generally allows beneficiaries to obtain covered services from
Medicare-participating providers without being restricted to a single
Medicare Advantage network.
7. Which organization administers the federal Medicare program?
A. Department of Veterans Affairs
B. Social Security Administration
C. State insurance departments
D. Centers for Medicare & Medicaid Services
Answer: D. Centers for Medicare & Medicaid Services
Rationale: The Centers for Medicare & Medicaid Services, commonly
called CMS, administers Medicare at the federal level. Social Security
handles important aspects of Medicare enrollment and premium-
related functions, but CMS is the federal agency responsible for
administering Medicare.
8. A person is approaching age 65 and has questions about initial
Medicare enrollment. Which federal agency generally handles
Social Security-related Medicare enrollment?
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 generally handles
Medicare enrollment for many people approaching age 65 and
provides information about eligibility and enrollment. Medicare itself
