1
AHIP Study Guide 200 Multiple Choice
Questions with Verified Answers and
Complete Exam Prep for Medicare
Certification Success.
SECTION 1: MEDICARE PROGRAM BASICS AND ELIGIBILITY (Questions 1–50)
Question 1
Which federal program primarily provides health coverage for people age 65 and older, as well
as certain younger individuals with qualifying disabilities?
A) Medicaid
B) Medicare
C) CHIP
D) TRICARE
ANS: B
Rationale: Medicare is a federal health insurance program primarily serving people age 65 and
older and certain younger individuals who qualify because of disability or specific medical
conditions .
Question 2
Which part of Medicare generally covers inpatient hospital services?
A) Part A
B) Part B
C) Part C
D) Part D
ANS: A
Rationale: Medicare Part A primarily covers inpatient hospital care, skilled nursing facility care
under qualifying circumstances, hospice care, and certain home health services .
, 2
Question 3
Medicare Part B primarily provides coverage for which category of services?
A) Prescription drugs only
B) Physician and outpatient medical services
C) Long-term custodial nursing care
D) Private-duty nursing exclusively
ANS: B
Rationale: Part B generally covers medically necessary physician services, outpatient care,
preventive services, durable medical equipment, and other covered medical services .
Question 4
Which Medicare part is specifically associated with outpatient prescription drug coverage?
A) Part A
B) Part B
C) Part C
D) Part D
ANS: D
Rationale: Medicare Part D provides prescription drug coverage through private Medicare-
approved prescription drug plans and Medicare Advantage plans that include drug coverage .
Question 5
Medicare Advantage is another name for which Medicare program option?
A) Part A
B) Part B
C) Part C
D) Part D
ANS: C
, 3
Rationale: Medicare Advantage, or Part C, allows eligible beneficiaries to receive Medicare-
covered benefits through private Medicare-approved health plans .
Question 6
Which organization administers the Medicare program at the federal level?
A) FDA
B) CMS
C) IRS
D) HHS
ANS: B
Rationale: The Centers for Medicare & Medicaid Services (CMS) is responsible for administering
Medicare and Medicaid, ensuring compliance with federal regulations, and overseeing program
integrity .
Question 7
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social
Security Administration and has been receiving disability payments. He is wondering whether
he can obtain coverage under Medicare. What should you tell him?
A) He is not eligible for Medicare because he is under age 65
B) After receiving such disability payments for 24 months, he will be automatically enrolled in
Medicare, regardless of age
C) He can only obtain Medicare if he pays a monthly premium
D) He must wait until age 65 to enroll in Medicare
ANS: B
Rationale: After receiving Social Security disability payments for 24 months, individuals are
automatically enrolled in Medicare regardless of age .
Question 8
, 4
Ms. Henderson believes that she will qualify for Medicare coverage when she turns 65, without
paying any premiums, because she has been working for 40 years and paying Medicare taxes.
What should you tell her?
A) She is correct; she will qualify for premium-free Medicare Parts A and B
B) To obtain Part B coverage, she must pay a standard monthly premium, though it is higher for
individuals with higher incomes
C) She will not qualify for Medicare because she has not retired
D) She must pay premiums for both Part A and Part B
ANS: B
Rationale: While most individuals qualify for premium-free Part A based on work history, Part B
requires a standard monthly premium. The premium is higher for individuals with higher
incomes .
Question 9
Mrs. Ellis recently turned 66 and decided after many years of work to retire and begin receiving
Social Security benefits. Shortly thereafter, Mrs. Ellis received a letter informing her that she had
been automatically enrolled in Medicare Part B. She wants to understand what this means.
What should you tell Mrs. Ellis?
A) Part B will cover hospital stays
B) Part B primarily covers physician services. She will be paying a monthly premium and, except
for many preventive and screening tests, generally will have 20% co-payments for these
services, in addition to an annual deductible
C) Part B is free and covers all medical expenses
D) Part B is optional and only for preventive services
ANS: B
Rationale: Medicare Part B covers outpatient physician services and some preventive care.
Recipients pay a monthly premium, and most Part B services involve 20% coinsurance after
meeting the annual deductible, except for some preventive and screening services which may
be fully covered .
Question 10
AHIP Study Guide 200 Multiple Choice
Questions with Verified Answers and
Complete Exam Prep for Medicare
Certification Success.
SECTION 1: MEDICARE PROGRAM BASICS AND ELIGIBILITY (Questions 1–50)
Question 1
Which federal program primarily provides health coverage for people age 65 and older, as well
as certain younger individuals with qualifying disabilities?
A) Medicaid
B) Medicare
C) CHIP
D) TRICARE
ANS: B
Rationale: Medicare is a federal health insurance program primarily serving people age 65 and
older and certain younger individuals who qualify because of disability or specific medical
conditions .
Question 2
Which part of Medicare generally covers inpatient hospital services?
A) Part A
B) Part B
C) Part C
D) Part D
ANS: A
Rationale: Medicare Part A primarily covers inpatient hospital care, skilled nursing facility care
under qualifying circumstances, hospice care, and certain home health services .
, 2
Question 3
Medicare Part B primarily provides coverage for which category of services?
A) Prescription drugs only
B) Physician and outpatient medical services
C) Long-term custodial nursing care
D) Private-duty nursing exclusively
ANS: B
Rationale: Part B generally covers medically necessary physician services, outpatient care,
preventive services, durable medical equipment, and other covered medical services .
Question 4
Which Medicare part is specifically associated with outpatient prescription drug coverage?
A) Part A
B) Part B
C) Part C
D) Part D
ANS: D
Rationale: Medicare Part D provides prescription drug coverage through private Medicare-
approved prescription drug plans and Medicare Advantage plans that include drug coverage .
Question 5
Medicare Advantage is another name for which Medicare program option?
A) Part A
B) Part B
C) Part C
D) Part D
ANS: C
, 3
Rationale: Medicare Advantage, or Part C, allows eligible beneficiaries to receive Medicare-
covered benefits through private Medicare-approved health plans .
Question 6
Which organization administers the Medicare program at the federal level?
A) FDA
B) CMS
C) IRS
D) HHS
ANS: B
Rationale: The Centers for Medicare & Medicaid Services (CMS) is responsible for administering
Medicare and Medicaid, ensuring compliance with federal regulations, and overseeing program
integrity .
Question 7
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social
Security Administration and has been receiving disability payments. He is wondering whether
he can obtain coverage under Medicare. What should you tell him?
A) He is not eligible for Medicare because he is under age 65
B) After receiving such disability payments for 24 months, he will be automatically enrolled in
Medicare, regardless of age
C) He can only obtain Medicare if he pays a monthly premium
D) He must wait until age 65 to enroll in Medicare
ANS: B
Rationale: After receiving Social Security disability payments for 24 months, individuals are
automatically enrolled in Medicare regardless of age .
Question 8
, 4
Ms. Henderson believes that she will qualify for Medicare coverage when she turns 65, without
paying any premiums, because she has been working for 40 years and paying Medicare taxes.
What should you tell her?
A) She is correct; she will qualify for premium-free Medicare Parts A and B
B) To obtain Part B coverage, she must pay a standard monthly premium, though it is higher for
individuals with higher incomes
C) She will not qualify for Medicare because she has not retired
D) She must pay premiums for both Part A and Part B
ANS: B
Rationale: While most individuals qualify for premium-free Part A based on work history, Part B
requires a standard monthly premium. The premium is higher for individuals with higher
incomes .
Question 9
Mrs. Ellis recently turned 66 and decided after many years of work to retire and begin receiving
Social Security benefits. Shortly thereafter, Mrs. Ellis received a letter informing her that she had
been automatically enrolled in Medicare Part B. She wants to understand what this means.
What should you tell Mrs. Ellis?
A) Part B will cover hospital stays
B) Part B primarily covers physician services. She will be paying a monthly premium and, except
for many preventive and screening tests, generally will have 20% co-payments for these
services, in addition to an annual deductible
C) Part B is free and covers all medical expenses
D) Part B is optional and only for preventive services
ANS: B
Rationale: Medicare Part B covers outpatient physician services and some preventive care.
Recipients pay a monthly premium, and most Part B services involve 20% coinsurance after
meeting the annual deductible, except for some preventive and screening services which may
be fully covered .
Question 10
