TEST BANK
AHIP Final Exam – Medicare Cer fica on
Cer fica on Period Ques on
Comprehensive Evalua on with Answer
Ques on 1
A Medicare beneficiary asks what Medicare Part A primarily helps cover. Which response is
most accurate?
A. Prescrip on drugs only
B. Inpa ent hospital and certain skilled nursing facility care
C. Rou ne dental care
D. Long-term custodial nursing home care only
Correct Answer: B
Ra onale: Medicare Part A generally covers inpa ent hospital care, limited skilled nursing
facility care following a qualifying hospital stay, hospice care, and certain home health services
when eligibility requirements are met.
Ques on 2
Which Medicare Part primarily covers physician office visits and many outpa ent medical
services?
A. Part A
B. Part B
,C. Part C
D. Part D
Correct Answer: B
Ra onale: Medicare Part B covers physician services, outpa ent care, preven ve services,
durable medical equipment, and many medically necessary services.
Ques on 3
Which statement best describes Medicare Advantage?
A. It replaces all Medicare laws.
B. It is an alterna ve way to receive Medicare-covered benefits through private plans approved
by Medicare.
C. It only covers prescrip on drugs.
D. It is available only to individuals younger than 65.
Correct Answer: B
Ra onale: Medicare Advantage (Part C) plans are offered by private organiza ons approved by
Medicare and provide Medicare-covered benefits.
Ques on 4
Which Medicare component primarily provides outpa ent prescrip on drug coverage?
A. Part A
B. Part B
C. Part D
D. Medigap
Correct Answer: C
Ra onale: Medicare Part D helps cover outpa ent prescrip on medica ons through private
plans approved by Medicare.
, Ques on 5
Which statement about preven ve services under Medicare is most accurate?
A. Preven ve services can help iden fy health problems early and may be covered when
eligibility requirements are met.
B. Preven ve services are never covered.
C. Only hospital pa ents may receive preven ve services.
D. Preven ve services are available only a er age 75.
Correct Answer: A
Ra onale: Medicare includes coverage for many preven ve services designed to promote
health and detect disease early.
Ques on 6
A beneficiary wants to con nue seeing specific physicians. Before enrolling in a health plan,
what should the beneficiary verify?
A. The physician's favorite medica on
B. Whether the physician par cipates in the plan's network (if applicable)
C. The physician's vaca on schedule
D. The physician's college a ended
Correct Answer: B
Ra onale: Network par cipa on is important because many plans use provider networks that
can affect access and costs.
Ques on 7
Why is reviewing a beneficiary's current prescrip on medica ons important before discussing
drug coverage op ons?
A. To help determine whether medica ons are included on a plan's formulary and es mate
poten al costs
B. To recommend stopping medica ons
AHIP Final Exam – Medicare Cer fica on
Cer fica on Period Ques on
Comprehensive Evalua on with Answer
Ques on 1
A Medicare beneficiary asks what Medicare Part A primarily helps cover. Which response is
most accurate?
A. Prescrip on drugs only
B. Inpa ent hospital and certain skilled nursing facility care
C. Rou ne dental care
D. Long-term custodial nursing home care only
Correct Answer: B
Ra onale: Medicare Part A generally covers inpa ent hospital care, limited skilled nursing
facility care following a qualifying hospital stay, hospice care, and certain home health services
when eligibility requirements are met.
Ques on 2
Which Medicare Part primarily covers physician office visits and many outpa ent medical
services?
A. Part A
B. Part B
,C. Part C
D. Part D
Correct Answer: B
Ra onale: Medicare Part B covers physician services, outpa ent care, preven ve services,
durable medical equipment, and many medically necessary services.
Ques on 3
Which statement best describes Medicare Advantage?
A. It replaces all Medicare laws.
B. It is an alterna ve way to receive Medicare-covered benefits through private plans approved
by Medicare.
C. It only covers prescrip on drugs.
D. It is available only to individuals younger than 65.
Correct Answer: B
Ra onale: Medicare Advantage (Part C) plans are offered by private organiza ons approved by
Medicare and provide Medicare-covered benefits.
Ques on 4
Which Medicare component primarily provides outpa ent prescrip on drug coverage?
A. Part A
B. Part B
C. Part D
D. Medigap
Correct Answer: C
Ra onale: Medicare Part D helps cover outpa ent prescrip on medica ons through private
plans approved by Medicare.
, Ques on 5
Which statement about preven ve services under Medicare is most accurate?
A. Preven ve services can help iden fy health problems early and may be covered when
eligibility requirements are met.
B. Preven ve services are never covered.
C. Only hospital pa ents may receive preven ve services.
D. Preven ve services are available only a er age 75.
Correct Answer: A
Ra onale: Medicare includes coverage for many preven ve services designed to promote
health and detect disease early.
Ques on 6
A beneficiary wants to con nue seeing specific physicians. Before enrolling in a health plan,
what should the beneficiary verify?
A. The physician's favorite medica on
B. Whether the physician par cipates in the plan's network (if applicable)
C. The physician's vaca on schedule
D. The physician's college a ended
Correct Answer: B
Ra onale: Network par cipa on is important because many plans use provider networks that
can affect access and costs.
Ques on 7
Why is reviewing a beneficiary's current prescrip on medica ons important before discussing
drug coverage op ons?
A. To help determine whether medica ons are included on a plan's formulary and es mate
poten al costs
B. To recommend stopping medica ons
