AHIP 2025 Module 2 Practice Exam
Medicare Advantage (Part C) & Prescription Drug
Coverage (Part D) - 50 Questions
Section 1: Medicare Advantage (Part C) Basics (Questions 1-15)
1. What is Medicare Advantage (Part C)?
● A) A supplement to Original Medicare
● B) An alternative way to receive Medicare benefits through private
insurance✓
● C) A prescription drug plan only
● D) A government-run health plan
Answer: B - Medicare Advantage is offered by private insurers approved by
Medicare, combining Part A, Part B, and usually Part D.
2. Medicare Advantage plans must cover:
● A) Only hospital services
● B) At least what Original Medicare covers ✓
● C) Dental and vision automatically
● D) Long-term care
Answer: B - MA plans must cover everything Original Medicare covers, often with
additional benefits.
3. Which type of Medicare Advantage plan typically requires referrals to see
specialists?
● A) PPO (Preferred Provider Organization)
● B) PFFS (Private Fee-for-Service)
● C) HMO (Health Maintenance Organization) ✓
● D) MSA (Medical Savings Account)
Answer: C - HMO plans typically require you to use network providers and get
referrals for specialists.
, 4. Mr. Garcia has a Medicare Advantage HMO. He can receive care from:
● A) Any doctor nationwide
● B) Only network providers except in emergencies ✓
● C) Any provider who accepts Medicare
● D) Only his primary care physician
Answer: B - HMO plans require using network providers except for emergency and
urgently needed care.
5. A Medicare Advantage PPO plan allows beneficiaries to:
● A) Only see network providers
● B) See out-of-network providers but at higher cost ✓
● C) Never pay copayments
● D) Avoid all deductibles
Answer: B - PPO plans offer flexibility to see out-of-network providers, typically with
higher cost-sharing.
6. The maximum out-of-pocket limit (MOOP) in Medicare Advantage plans:
● A) Is unlimited
● B) Protects beneficiaries from catastrophic costs ✓
● C) Only applies to prescription drugs
● D) Is the same as Original Medicare
Answer: B - MA plans have an annual MOOP that limits what beneficiaries pay for
covered services.
7. Medicare Advantage plans can offer additional benefits such as:
● A) Dental, vision, and hearing coverage ✓
● B) Cash payments
● C) Free medications
● D) Long-term care insurance
Answer: A - Many MA plans offer extra benefits like dental, vision, hearing, fitness,
and transportation.
Medicare Advantage (Part C) & Prescription Drug
Coverage (Part D) - 50 Questions
Section 1: Medicare Advantage (Part C) Basics (Questions 1-15)
1. What is Medicare Advantage (Part C)?
● A) A supplement to Original Medicare
● B) An alternative way to receive Medicare benefits through private
insurance✓
● C) A prescription drug plan only
● D) A government-run health plan
Answer: B - Medicare Advantage is offered by private insurers approved by
Medicare, combining Part A, Part B, and usually Part D.
2. Medicare Advantage plans must cover:
● A) Only hospital services
● B) At least what Original Medicare covers ✓
● C) Dental and vision automatically
● D) Long-term care
Answer: B - MA plans must cover everything Original Medicare covers, often with
additional benefits.
3. Which type of Medicare Advantage plan typically requires referrals to see
specialists?
● A) PPO (Preferred Provider Organization)
● B) PFFS (Private Fee-for-Service)
● C) HMO (Health Maintenance Organization) ✓
● D) MSA (Medical Savings Account)
Answer: C - HMO plans typically require you to use network providers and get
referrals for specialists.
, 4. Mr. Garcia has a Medicare Advantage HMO. He can receive care from:
● A) Any doctor nationwide
● B) Only network providers except in emergencies ✓
● C) Any provider who accepts Medicare
● D) Only his primary care physician
Answer: B - HMO plans require using network providers except for emergency and
urgently needed care.
5. A Medicare Advantage PPO plan allows beneficiaries to:
● A) Only see network providers
● B) See out-of-network providers but at higher cost ✓
● C) Never pay copayments
● D) Avoid all deductibles
Answer: B - PPO plans offer flexibility to see out-of-network providers, typically with
higher cost-sharing.
6. The maximum out-of-pocket limit (MOOP) in Medicare Advantage plans:
● A) Is unlimited
● B) Protects beneficiaries from catastrophic costs ✓
● C) Only applies to prescription drugs
● D) Is the same as Original Medicare
Answer: B - MA plans have an annual MOOP that limits what beneficiaries pay for
covered services.
7. Medicare Advantage plans can offer additional benefits such as:
● A) Dental, vision, and hearing coverage ✓
● B) Cash payments
● C) Free medications
● D) Long-term care insurance
Answer: A - Many MA plans offer extra benefits like dental, vision, hearing, fitness,
and transportation.
