AHIP Final Exam Latest (2025/2026) |
150 Verified Questions and Correct
Answers With Rations | A+ Graded
SECTION 1: MEDICARE BASICS & ELIGIBILITY (Questions 1–
25)
Question 1
Which of the following best describes Medicare Part A?
A) It covers outpatient medical services and doctor visits
B) It covers inpatient hospital care, skilled nursing facility care,
hospice, and some home health services
C) It covers prescription drugs only
D) It covers vision, dental, and hearing services exclusively
Correct Answer: B
Rationale: Medicare Part A is hospital insurance that covers
inpatient hospital stays, skilled nursing facility care, hospice care,
and limited home health services. Outpatient services are covered
under Part B, and prescription drugs are covered under Part D.
,Question 2
Which of the following individuals is generally eligible for
Medicare?
A) Anyone who purchases a private health insurance plan
B) People age 65 or older who are U.S. citizens or legal residents
for at least 5 years
C) Only people who are currently employed full-time
D) Anyone under age 65 regardless of disability status
Correct Answer: B
Rationale: Medicare eligibility generally begins at age 65 for U.S.
citizens or legal residents who have lived in the U.S. for at least 5
continuous years. People under 65 may qualify if they have certain
disabilities or End-Stage Renal Disease (ESRD).
Question 3
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
been employed full time, and paid taxes during that entire period.
She is concerned that she will not qualify for coverage under Part
A because she was not born in the United States. What should
you tell her?
A) She must have been born in the U.S. to qualify for Medicare
Part A
B) Most individuals who are citizens and over age 65 are covered
under Part A if they or their spouse paid Medicare taxes while
working
,C) She needs to wait until she has been a citizen for at least 20
years
D) She can only qualify through her spouse's work record
Correct Answer: B
Rationale: Medicare Part A eligibility is based on work history and
payment of Medicare taxes, not citizenship at birth. Naturalized
citizens who have worked and paid taxes for at least 10 years (40
quarters) qualify for premium-free Part A when they turn 65.
Question 4
Which of the following statements about Original Medicare is
TRUE?
A) Part A covers doctor visits and outpatient services
B) Part B covers hospital stays
C) Part A covers inpatient hospital stays
D) Both Part A and Part B cover prescription drugs
Correct Answer: C
Rationale: Medicare Part A covers inpatient hospital stays, skilled
nursing facility care, hospice, and some home health care. Part B
covers medical services like doctor visits, outpatient care, and
preventive services. Neither Part A nor Part B typically covers
prescription drugs.
, Question 5
True or False: Your out-of-pocket costs will vary depending on
which Medicare health plan options you choose.
A) True
B) False
Correct Answer: A
Rationale: Different Medicare plans (Original Medicare, Medicare
Advantage, Medigap) have different cost structures including
varying premiums, deductibles, coinsurance, and copayments.
Question 6
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 can enroll immediately
B) He must wait until age 65
C) He is not eligible because his disability is not permanent
D) After receiving such disability payments for 24 months, he will
be automatically enrolled in Medicare, regardless of age
Correct Answer: D
Rationale: Individuals who have been receiving Social Security
disability benefits for 24 months are automatically enrolled in
Medicare, regardless of age.
150 Verified Questions and Correct
Answers With Rations | A+ Graded
SECTION 1: MEDICARE BASICS & ELIGIBILITY (Questions 1–
25)
Question 1
Which of the following best describes Medicare Part A?
A) It covers outpatient medical services and doctor visits
B) It covers inpatient hospital care, skilled nursing facility care,
hospice, and some home health services
C) It covers prescription drugs only
D) It covers vision, dental, and hearing services exclusively
Correct Answer: B
Rationale: Medicare Part A is hospital insurance that covers
inpatient hospital stays, skilled nursing facility care, hospice care,
and limited home health services. Outpatient services are covered
under Part B, and prescription drugs are covered under Part D.
,Question 2
Which of the following individuals is generally eligible for
Medicare?
A) Anyone who purchases a private health insurance plan
B) People age 65 or older who are U.S. citizens or legal residents
for at least 5 years
C) Only people who are currently employed full-time
D) Anyone under age 65 regardless of disability status
Correct Answer: B
Rationale: Medicare eligibility generally begins at age 65 for U.S.
citizens or legal residents who have lived in the U.S. for at least 5
continuous years. People under 65 may qualify if they have certain
disabilities or End-Stage Renal Disease (ESRD).
Question 3
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
been employed full time, and paid taxes during that entire period.
She is concerned that she will not qualify for coverage under Part
A because she was not born in the United States. What should
you tell her?
A) She must have been born in the U.S. to qualify for Medicare
Part A
B) Most individuals who are citizens and over age 65 are covered
under Part A if they or their spouse paid Medicare taxes while
working
,C) She needs to wait until she has been a citizen for at least 20
years
D) She can only qualify through her spouse's work record
Correct Answer: B
Rationale: Medicare Part A eligibility is based on work history and
payment of Medicare taxes, not citizenship at birth. Naturalized
citizens who have worked and paid taxes for at least 10 years (40
quarters) qualify for premium-free Part A when they turn 65.
Question 4
Which of the following statements about Original Medicare is
TRUE?
A) Part A covers doctor visits and outpatient services
B) Part B covers hospital stays
C) Part A covers inpatient hospital stays
D) Both Part A and Part B cover prescription drugs
Correct Answer: C
Rationale: Medicare Part A covers inpatient hospital stays, skilled
nursing facility care, hospice, and some home health care. Part B
covers medical services like doctor visits, outpatient care, and
preventive services. Neither Part A nor Part B typically covers
prescription drugs.
, Question 5
True or False: Your out-of-pocket costs will vary depending on
which Medicare health plan options you choose.
A) True
B) False
Correct Answer: A
Rationale: Different Medicare plans (Original Medicare, Medicare
Advantage, Medigap) have different cost structures including
varying premiums, deductibles, coinsurance, and copayments.
Question 6
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 can enroll immediately
B) He must wait until age 65
C) He is not eligible because his disability is not permanent
D) After receiving such disability payments for 24 months, he will
be automatically enrolled in Medicare, regardless of age
Correct Answer: D
Rationale: Individuals who have been receiving Social Security
disability benefits for 24 months are automatically enrolled in
Medicare, regardless of age.
