2026 AHIP Flashcards for Final
Test – AHIP Study Guide,
PRACTICE 250 QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
DOWNLOAD PDF
Module 1 — Medicare Basics and Eligibility
1.
Which part of Medicare primarily covers inpatient hospital services?
A. Part B
B. Part C
C. Part A
D. Part D
,Rationale: Medicare Part A is Hospital Insurance and generally covers
inpatient hospital care, skilled nursing facility care, hospice, 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
Rationale: Part B is Medical Insurance and covers physician services,
outpatient care, durable medical equipment, and other medically
necessary services.
3.
Medicare Part C is another name for:
A. Medicare Supplement Insurance
B. Medicare Part D
C. Medicare Advantage
D. Medicaid
Rationale: Medicare Advantage plans are offered by Medicare-
approved private organizations under Part C.
4.
Which Medicare part provides outpatient prescription drug
coverage?
A. Part A
B. Part B
C. Part C only
D. Part D
,Rationale: Part D provides Medicare prescription drug coverage
through private Medicare-approved plans.
5.
A person generally becomes eligible for Medicare based on age at:
A. 60
B. 62
C. 65
D. 67
Rationale: Most people become eligible for Medicare at age 65 if they
meet the applicable citizenship or residency requirements.
6.
Which federal agency administers Medicare?
A. Social Security Administration
B. Department of Labor
C. Centers for Medicare & Medicaid Services
D. Internal Revenue Service
Rationale: CMS administers Medicare, while Social Security generally
handles enrollment and eligibility functions.
7.
Medicare eligibility may also occur before age 65 because of:
A. Unemployment
B. Retirement alone
C. Certain disabilities or qualifying conditions
D. Income level alone
Rationale: Certain individuals under 65 can qualify for Medicare
because of disability, ESRD, or ALS.
8.
, ESRD stands for:
A. Emergency Senior Recovery Diagnosis
B. End-Stage Renal Disease
C. Extended Social Retirement Disability
D. End-Service Rehabilitation Diagnosis
Rationale: ESRD is a qualifying condition for Medicare under specific
eligibility rules.
9.
ALS is commonly associated with Medicare eligibility:
A. Only after age 65
B. Only after retirement
C. Without the usual 24-month disability waiting period
D. Only after Medicaid eligibility
Rationale: Individuals with ALS can generally receive Medicare
beginning with disability benefits without the standard waiting
period.
10.
Which statement about Medicare and Medicaid is correct?
A. They are the same program.
B. Medicare is state-funded only.
C. Medicaid is exclusively federal.
D. Medicare is federal health insurance, while Medicaid is a joint
federal-state program.
Rationale: Medicare is a federal program; Medicaid is jointly funded
and administered under federal and state rules.
11.
A beneficiary who has both Medicare and Medicaid is commonly
called:
Test – AHIP Study Guide,
PRACTICE 250 QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
DOWNLOAD PDF
Module 1 — Medicare Basics and Eligibility
1.
Which part of Medicare primarily covers inpatient hospital services?
A. Part B
B. Part C
C. Part A
D. Part D
,Rationale: Medicare Part A is Hospital Insurance and generally covers
inpatient hospital care, skilled nursing facility care, hospice, 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
Rationale: Part B is Medical Insurance and covers physician services,
outpatient care, durable medical equipment, and other medically
necessary services.
3.
Medicare Part C is another name for:
A. Medicare Supplement Insurance
B. Medicare Part D
C. Medicare Advantage
D. Medicaid
Rationale: Medicare Advantage plans are offered by Medicare-
approved private organizations under Part C.
4.
Which Medicare part provides outpatient prescription drug
coverage?
A. Part A
B. Part B
C. Part C only
D. Part D
,Rationale: Part D provides Medicare prescription drug coverage
through private Medicare-approved plans.
5.
A person generally becomes eligible for Medicare based on age at:
A. 60
B. 62
C. 65
D. 67
Rationale: Most people become eligible for Medicare at age 65 if they
meet the applicable citizenship or residency requirements.
6.
Which federal agency administers Medicare?
A. Social Security Administration
B. Department of Labor
C. Centers for Medicare & Medicaid Services
D. Internal Revenue Service
Rationale: CMS administers Medicare, while Social Security generally
handles enrollment and eligibility functions.
7.
Medicare eligibility may also occur before age 65 because of:
A. Unemployment
B. Retirement alone
C. Certain disabilities or qualifying conditions
D. Income level alone
Rationale: Certain individuals under 65 can qualify for Medicare
because of disability, ESRD, or ALS.
8.
, ESRD stands for:
A. Emergency Senior Recovery Diagnosis
B. End-Stage Renal Disease
C. Extended Social Retirement Disability
D. End-Service Rehabilitation Diagnosis
Rationale: ESRD is a qualifying condition for Medicare under specific
eligibility rules.
9.
ALS is commonly associated with Medicare eligibility:
A. Only after age 65
B. Only after retirement
C. Without the usual 24-month disability waiting period
D. Only after Medicaid eligibility
Rationale: Individuals with ALS can generally receive Medicare
beginning with disability benefits without the standard waiting
period.
10.
Which statement about Medicare and Medicaid is correct?
A. They are the same program.
B. Medicare is state-funded only.
C. Medicaid is exclusively federal.
D. Medicare is federal health insurance, while Medicaid is a joint
federal-state program.
Rationale: Medicare is a federal program; Medicaid is jointly funded
and administered under federal and state rules.
11.
A beneficiary who has both Medicare and Medicaid is commonly
called:
