, AHIP FINAL EXAM 2026 | 50 REAL EXAM QUESTIONS
WITH VERIFIED
ANSWERS | MEDICARE TRAINING PDF
1. Which government program provides health coverage to low-income individuals and families?
A. Medicare
B. Medicaid
C. TRICARE
D. CHIP
Answer: B. Medicaid
Rationale: Medicaid is a joint federal and state program that provides health coverage to
eligible low-income individuals and families.
2. Which part of Medicare covers outpatient services and preventive care?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: B. Part B
Rationale: Medicare Part B covers physician services, outpatient care, preventive services, and
durable medical equipment.
3. Medicare Part D covers which type of service?
A. Hospital stays
B. Prescription drugs
C. Physical therapy
D. Dental care
Answer: B. Prescription drugs
Rationale: Part D is the prescription drug benefit under Medicare.
4. What is the primary goal of risk adjustment in Medicare Advantage?
A. Penalize high-risk patients
B. Reward providers for sicker enrollees
C. Prevent fraud
D. Eliminate copays
Answer: B. Reward providers for sicker enrollees
Rationale: Risk adjustment adjusts payments to health plans based on the health status of their
enrollees, so plans are not penalized for enrolling sicker individuals.
5. Which law protects individuals’ health information privacy?
A. FERPA
B. ADA
WITH VERIFIED
ANSWERS | MEDICARE TRAINING PDF
1. Which government program provides health coverage to low-income individuals and families?
A. Medicare
B. Medicaid
C. TRICARE
D. CHIP
Answer: B. Medicaid
Rationale: Medicaid is a joint federal and state program that provides health coverage to
eligible low-income individuals and families.
2. Which part of Medicare covers outpatient services and preventive care?
A. Part A
B. Part B
C. Part C
D. Part D
Answer: B. Part B
Rationale: Medicare Part B covers physician services, outpatient care, preventive services, and
durable medical equipment.
3. Medicare Part D covers which type of service?
A. Hospital stays
B. Prescription drugs
C. Physical therapy
D. Dental care
Answer: B. Prescription drugs
Rationale: Part D is the prescription drug benefit under Medicare.
4. What is the primary goal of risk adjustment in Medicare Advantage?
A. Penalize high-risk patients
B. Reward providers for sicker enrollees
C. Prevent fraud
D. Eliminate copays
Answer: B. Reward providers for sicker enrollees
Rationale: Risk adjustment adjusts payments to health plans based on the health status of their
enrollees, so plans are not penalized for enrolling sicker individuals.
5. Which law protects individuals’ health information privacy?
A. FERPA
B. ADA
