HEALTHCARE TEST STUDY GUIDE:
MEDICARE, ACA, AND COSTS EXAM
2025 QUESTIONS AND ANSWERS
Medicare Part A - ANS Covers hospital stays, skilled nursing facility care, hospice, and some
home health care.
Medicare Part B - ANS Covers doctor visits, outpatient care, preventive services, and medical
equipment.
Medicare Part C - ANS An alternative to Parts A & B, offered by private insurers, often
including Part D.
Medicare Part D - ANS Provides prescription drug coverage.
Medicare - ANS Federally funded and covers U.S. citizens aged 65+ or those permanently
disabled.
Medicare exclusions - ANS Does NOT cover transportation, dental, or hearing aids.
Medicaid - ANS A joint federal-state program that provides basic health services for low-
income individuals.
Medicaid eligibility - ANS Based on family income and household size.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
, Affordable Care Act (ACA) - ANS Key legislation that expanded healthcare coverage and
created healthcare exchanges.
Medicaid expansion - ANS Allowed states to expand Medicaid under the ACA.
Healthcare exchanges - ANS Created marketplaces for insurance plans under the ACA.
Health Insurance Marketplace Plans - ANS Include Bronze, Silver, Gold, Platinum with varying
costs & coverage levels.
Medical Loss Ratio (MLR) - ANS Capped at 20-25%, insurers must spend most revenue on
care.
Young adult coverage - ANS Young adults can stay on parents' plans until age 26.
Technical failures - ANS Issues with Healthcare.gov website when ACA launched in 2013.
Reasons for being uninsured - ANS Coverage costs remain too high, not all states expanded
Medicaid, undocumented immigrants remain ineligible.
Premium - ANS Monthly payment for coverage.
Deductible - ANS Amount paid out-of-pocket before insurance kicks in.
Copay - ANS Fixed cost per doctor visit or medication.
Coinsurance - ANS Percentage of costs shared with insurer.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
MEDICARE, ACA, AND COSTS EXAM
2025 QUESTIONS AND ANSWERS
Medicare Part A - ANS Covers hospital stays, skilled nursing facility care, hospice, and some
home health care.
Medicare Part B - ANS Covers doctor visits, outpatient care, preventive services, and medical
equipment.
Medicare Part C - ANS An alternative to Parts A & B, offered by private insurers, often
including Part D.
Medicare Part D - ANS Provides prescription drug coverage.
Medicare - ANS Federally funded and covers U.S. citizens aged 65+ or those permanently
disabled.
Medicare exclusions - ANS Does NOT cover transportation, dental, or hearing aids.
Medicaid - ANS A joint federal-state program that provides basic health services for low-
income individuals.
Medicaid eligibility - ANS Based on family income and household size.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
, Affordable Care Act (ACA) - ANS Key legislation that expanded healthcare coverage and
created healthcare exchanges.
Medicaid expansion - ANS Allowed states to expand Medicaid under the ACA.
Healthcare exchanges - ANS Created marketplaces for insurance plans under the ACA.
Health Insurance Marketplace Plans - ANS Include Bronze, Silver, Gold, Platinum with varying
costs & coverage levels.
Medical Loss Ratio (MLR) - ANS Capped at 20-25%, insurers must spend most revenue on
care.
Young adult coverage - ANS Young adults can stay on parents' plans until age 26.
Technical failures - ANS Issues with Healthcare.gov website when ACA launched in 2013.
Reasons for being uninsured - ANS Coverage costs remain too high, not all states expanded
Medicaid, undocumented immigrants remain ineligible.
Premium - ANS Monthly payment for coverage.
Deductible - ANS Amount paid out-of-pocket before insurance kicks in.
Copay - ANS Fixed cost per doctor visit or medication.
Coinsurance - ANS Percentage of costs shared with insurer.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
