AHIP 2027 – Modules 1–5
PRACTICE 250 QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
DOWNLOAD PDF
MODULE 1 — MEDICARE BASICS
1. Which federal program primarily provides health coverage for
people age 65 and older, as well as certain younger individuals with
qualifying disabilities or conditions?
A. Medicaid
B. Medicare
C. CHIP
D. TRICARE
Answer: B. Medicare
,Rationale: Medicare is the federal health insurance program serving
people age 65 and older and certain younger individuals who qualify
because of disability or specific medical conditions.
2. Which Medicare Part is primarily associated with inpatient
hospital coverage?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: A. Part A
Rationale: Medicare Part A is Hospital Insurance and generally covers
inpatient hospital services, skilled nursing facility care, hospice, and
certain home health services.
3. Which Medicare Part generally covers physician services and
outpatient medical services?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: B. Part B
Rationale: Part B is Medical Insurance and generally covers physician
services, outpatient care, durable medical equipment, and other
medically necessary services.
4. What is Medicare Part C commonly called?
,A. Medigap
B. Medicaid
C. Medicare Advantage
D. Prescription Assistance
Answer: C. Medicare Advantage
Rationale: Medicare Part C is the Medicare Advantage program,
through which private Medicare-approved organizations provide
Medicare-covered benefits under plan rules.
5. What does Medicare Part D primarily provide?
A. Hospital insurance
B. Prescription drug coverage
C. Dental insurance only
D. Long-term custodial care
Answer: B. Prescription drug coverage
Rationale: Medicare Part D provides outpatient prescription drug
coverage through private Medicare-approved prescription drug plans
and Medicare Advantage plans offering Part D.
6. Which statement best describes Original Medicare?
A. It consists of Parts A and B.
B. It consists only of Part C.
C. It consists only of Part D.
D. It is a Medigap policy.
Answer: A. It consists of Parts A and B.
Rationale: Original Medicare refers to the federal fee-for-service
program consisting primarily of Medicare Part A and Part B.
, 7. Which organization administers Medicare at the federal level?
A. CMS
B. FDA
C. OSHA
D. FTC
Answer: A. CMS
Rationale: The Centers for Medicare & Medicaid Services (CMS)
administers Medicare and oversees Medicare Advantage and Part D
programs.
8. A beneficiary enrolled in Original Medicare wants coverage for
certain Medicare cost-sharing amounts. Which type of insurance
may help?
A. Medigap
B. Medicaid only
C. Part D only
D. Employer liability insurance
Answer: A. Medigap
Rationale: Medigap policies are designed to supplement Original
Medicare by helping pay certain Medicare cost-sharing amounts.
9. Can a beneficiary generally use a Medigap policy to supplement a
Medicare Advantage plan?
A. Yes, routinely
B. Yes, if the plan has Part D
C. No
D. Only during AEP
Answer: C. No
PRACTICE 250 QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
DOWNLOAD PDF
MODULE 1 — MEDICARE BASICS
1. Which federal program primarily provides health coverage for
people age 65 and older, as well as certain younger individuals with
qualifying disabilities or conditions?
A. Medicaid
B. Medicare
C. CHIP
D. TRICARE
Answer: B. Medicare
,Rationale: Medicare is the federal health insurance program serving
people age 65 and older and certain younger individuals who qualify
because of disability or specific medical conditions.
2. Which Medicare Part is primarily associated with inpatient
hospital coverage?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: A. Part A
Rationale: Medicare Part A is Hospital Insurance and generally covers
inpatient hospital services, skilled nursing facility care, hospice, and
certain home health services.
3. Which Medicare Part generally covers physician services and
outpatient medical services?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: B. Part B
Rationale: Part B is Medical Insurance and generally covers physician
services, outpatient care, durable medical equipment, and other
medically necessary services.
4. What is Medicare Part C commonly called?
,A. Medigap
B. Medicaid
C. Medicare Advantage
D. Prescription Assistance
Answer: C. Medicare Advantage
Rationale: Medicare Part C is the Medicare Advantage program,
through which private Medicare-approved organizations provide
Medicare-covered benefits under plan rules.
5. What does Medicare Part D primarily provide?
A. Hospital insurance
B. Prescription drug coverage
C. Dental insurance only
D. Long-term custodial care
Answer: B. Prescription drug coverage
Rationale: Medicare Part D provides outpatient prescription drug
coverage through private Medicare-approved prescription drug plans
and Medicare Advantage plans offering Part D.
6. Which statement best describes Original Medicare?
A. It consists of Parts A and B.
B. It consists only of Part C.
C. It consists only of Part D.
D. It is a Medigap policy.
Answer: A. It consists of Parts A and B.
Rationale: Original Medicare refers to the federal fee-for-service
program consisting primarily of Medicare Part A and Part B.
, 7. Which organization administers Medicare at the federal level?
A. CMS
B. FDA
C. OSHA
D. FTC
Answer: A. CMS
Rationale: The Centers for Medicare & Medicaid Services (CMS)
administers Medicare and oversees Medicare Advantage and Part D
programs.
8. A beneficiary enrolled in Original Medicare wants coverage for
certain Medicare cost-sharing amounts. Which type of insurance
may help?
A. Medigap
B. Medicaid only
C. Part D only
D. Employer liability insurance
Answer: A. Medigap
Rationale: Medigap policies are designed to supplement Original
Medicare by helping pay certain Medicare cost-sharing amounts.
9. Can a beneficiary generally use a Medigap policy to supplement a
Medicare Advantage plan?
A. Yes, routinely
B. Yes, if the plan has Part D
C. No
D. Only during AEP
Answer: C. No
