AHIP 2026/2027 Exam Questions and Correct Answers | Medicare,
Medicare Advantage & Part D PRACTICE 250 QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED A+*INSTANT DOWNLOAD PDF
,1. What is Medicare?
A. A state-only health program
B. A federal health insurance program primarily for people age 65
or older and certain younger people with disabilities or specific
conditions
C. A private insurance program
D. A supplemental insurance program
Rationale: Medicare is a federal health insurance program serving
eligible older adults and certain people with disabilities or qualifying
conditions.
2. Which organization administers Medicare?
A. FDA
B. IRS
C. Centers for Medicare & Medicaid Services (CMS)
D. Department of Labor
Rationale: CMS administers Medicare and establishes requirements
for Medicare Advantage and Part D organizations.
3. Medicare Part A primarily covers:
A. Physician services
B. Prescription drugs
C. Inpatient hospital and certain related services
D. Routine dental care
Rationale: Part A is Medicare Hospital Insurance.
4. Medicare Part B primarily covers:
A. Inpatient hospital stays
B. Physician and outpatient medical services
C. Most routine prescription drugs
D. Long-term custodial care
,Rationale: Part B generally covers medically necessary physician,
outpatient, preventive, and other medical services.
5. Medicare Part C is also known as:
A. Medigap
B. Medicare Supplement
C. Medicare Advantage
D. Medicaid
Rationale: Medicare Advantage is the Medicare Part C program.
6. Medicare Part D provides:
A. Hospital insurance
B. Prescription drug coverage
C. Medicare Supplement coverage
D. Long-term care insurance
Rationale: Part D provides outpatient prescription drug coverage
through approved private plans.
7. Which statement about Original Medicare is correct?
A. It is administered only by private insurers
B. It consists primarily of Part A and Part B
C. It automatically includes Part D
D. It automatically includes routine dental coverage
Rationale: Original Medicare generally means Part A and Part B.
8. A beneficiary enrolled in Original Medicare may generally obtain
prescription drug coverage through:
A. Part A
B. Part B
C. A Medicare Part D plan
D. Medigap alone
Rationale: Part D provides Medicare prescription drug coverage.
, 9. Which program is designed primarily for people with limited
income and resources and is jointly funded by federal and state
governments?
A. Medicare
B. Medigap
C. Medicaid
D. Part D
Rationale: Medicaid is a joint federal-state program with eligibility
rules established under federal and state law.
10. Medicare eligibility based on age generally begins at:
A. 60
B. 62
C. 65
D. 70
Rationale: People generally become Medicare-eligible at age 65 if
they meet applicable eligibility requirements.
11. Which person may qualify for Medicare before age 65?
A. Anyone who wants Medicare
B. A person who qualifies based on certain disabilities
C. Anyone receiving unemployment benefits
D. Anyone with private insurance
Rationale: Certain people under 65 qualify for Medicare because of
disability or specific qualifying conditions.
12. Medicare eligibility can also apply to certain people with:
A. Seasonal allergies
B. End-Stage Renal Disease (ESRD)
C. A broken arm
D. Common influenza
Medicare Advantage & Part D PRACTICE 250 QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED A+*INSTANT DOWNLOAD PDF
,1. What is Medicare?
A. A state-only health program
B. A federal health insurance program primarily for people age 65
or older and certain younger people with disabilities or specific
conditions
C. A private insurance program
D. A supplemental insurance program
Rationale: Medicare is a federal health insurance program serving
eligible older adults and certain people with disabilities or qualifying
conditions.
2. Which organization administers Medicare?
A. FDA
B. IRS
C. Centers for Medicare & Medicaid Services (CMS)
D. Department of Labor
Rationale: CMS administers Medicare and establishes requirements
for Medicare Advantage and Part D organizations.
3. Medicare Part A primarily covers:
A. Physician services
B. Prescription drugs
C. Inpatient hospital and certain related services
D. Routine dental care
Rationale: Part A is Medicare Hospital Insurance.
4. Medicare Part B primarily covers:
A. Inpatient hospital stays
B. Physician and outpatient medical services
C. Most routine prescription drugs
D. Long-term custodial care
,Rationale: Part B generally covers medically necessary physician,
outpatient, preventive, and other medical services.
5. Medicare Part C is also known as:
A. Medigap
B. Medicare Supplement
C. Medicare Advantage
D. Medicaid
Rationale: Medicare Advantage is the Medicare Part C program.
6. Medicare Part D provides:
A. Hospital insurance
B. Prescription drug coverage
C. Medicare Supplement coverage
D. Long-term care insurance
Rationale: Part D provides outpatient prescription drug coverage
through approved private plans.
7. Which statement about Original Medicare is correct?
A. It is administered only by private insurers
B. It consists primarily of Part A and Part B
C. It automatically includes Part D
D. It automatically includes routine dental coverage
Rationale: Original Medicare generally means Part A and Part B.
8. A beneficiary enrolled in Original Medicare may generally obtain
prescription drug coverage through:
A. Part A
B. Part B
C. A Medicare Part D plan
D. Medigap alone
Rationale: Part D provides Medicare prescription drug coverage.
, 9. Which program is designed primarily for people with limited
income and resources and is jointly funded by federal and state
governments?
A. Medicare
B. Medigap
C. Medicaid
D. Part D
Rationale: Medicaid is a joint federal-state program with eligibility
rules established under federal and state law.
10. Medicare eligibility based on age generally begins at:
A. 60
B. 62
C. 65
D. 70
Rationale: People generally become Medicare-eligible at age 65 if
they meet applicable eligibility requirements.
11. Which person may qualify for Medicare before age 65?
A. Anyone who wants Medicare
B. A person who qualifies based on certain disabilities
C. Anyone receiving unemployment benefits
D. Anyone with private insurance
Rationale: Certain people under 65 qualify for Medicare because of
disability or specific qualifying conditions.
12. Medicare eligibility can also apply to certain people with:
A. Seasonal allergies
B. End-Stage Renal Disease (ESRD)
C. A broken arm
D. Common influenza