Assured Success: AHIP Final Exam Solutions 2024/2025 – Includes 100% Correct Responses

Assured Success: AHIP Final Exam
Solutions 2024/2025 – Includes 100% Correct
Responses

AHIP Final Exam Practice Questions 2024/2025
Medicare Basics
Question 1: What are the two main parts of Original Medicare?

a) Part A and Part C

b) Part B and Part D

c) Part A and Part B

d) Part C and Part D

Correct Answer: c) Part A and Part B
Rationale: Original Medicare consists of Part A (hospital insurance) and Part B
(medical insurance), covering inpatient and outpatient services, respectively.

Question 2: Who is eligible for Medicare Part A at no cost?

a) Individuals under 65 with no work history

b) Individuals 65 or older who paid Medicare taxes for 10 years

c) Anyone who purchases a Medicare Advantage plan

d) All U.S. citizens regardless of age

Correct Answer: b) Individuals 65 or older who paid Medicare taxes for 10 years
Rationale: Individuals 65 or older who worked and paid Medicare taxes for at least
10 years qualify for premium-free Part A.

Question 3: When can someone enroll in Medicare Part B if they delayed it past their Initial
Enrollment Period?

a) Anytime without penalty

b) During the General Enrollment Period, January 1 to March 31

c) Only during a Special Enrollment Period

d) Only at age 65



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, Correct Answer: b) During the General Enrollment Period, January 1 to March 31
Rationale: The General Enrollment Period, from January 1 to March 31, allows
enrollment in Part B if missed initially, with coverage starting July 1.

Question 4: What does Medicare Part A primarily cover?

a) Prescription drugs

b) Inpatient hospital stays

c) Routine dental care

d) Vision services

Correct Answer: b) Inpatient hospital stays
Rationale: Part A covers inpatient hospital stays, skilled nursing facility care, hos-
pice, and some home health services.

Question 5: A client with end-stage renal disease (ESRD) wants Medicare. When does coverage
typically begin?

a) Immediately upon diagnosis

b) Fourth month after dialysis begins

c) First month after dialysis begins

d) After a 12-month waiting period

Correct Answer: b) Fourth month after dialysis begins
Rationale: For ESRD patients, Medicare coverage generally starts the fourth month
after dialysis treatment begins.

Medicare Advantage Plans
Question 6: What type of Medicare plan is also known as Part C?

a) Medicare Supplement

b) Medicare Advantage

c) Medicare Cost Plan

d) Part D plan

Correct Answer: b) Medicare Advantage
Rationale: Medicare Advantage, or Part C, is an alternative to Original Medicare,
often including additional benefits.

Question 7: Which plan requires enrollees to have both Part A and Part B?



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, a) Part D

b) Medicare Advantage

c) Medicare Supplement

d) PACE plan

Correct Answer: b) Medicare Advantage
Rationale: Medicare Advantage plans require enrollment in both Part A and Part
B to join.

Question 8: A client wants a Medicare Advantage plan with no network restrictions. Which
plan fits this need?

a) HMO

b) PPO

c) SNP

d) MSA

Correct Answer: b) PPO
Rationale: Preferred Provider Organization (PPO) plans allow use of out-of-network
providers, though at a higher cost.

Question 9: What is a key feature of a Medicare Savings Account (MSA) plan?

a) Covers Part D benefits

b) Combines a high-deductible plan with a savings account

c) Requires a primary care physician referral

d) Includes long-term care coverage

Correct Answer: b) Combines a high-deductible plan with a savings account
Rationale: MSA plans pair a high-deductible health plan with a savings account
for medical expenses.

Question 10: Which Medicare Advantage plan serves dual-eligible individuals?

a) PPO

b) D-SNP

c) HMO-POS

d) PFFS

Correct Answer: b) D-SNP

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