AHIP MEDICARE CERTIFICATION EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWESRS)
Q&A 2026-2027 |INSTANT DOWNLOAD PDF
1. Which part of Medicare primarily covers inpatient hospital
care?
A. Part B
B. Part C
C. Part D
D. Part A
Correct Answer: D. Part A
Rationale: Medicare Part A helps cover inpatient hospital stays,
skilled nursing facility care, hospice care, and some home
health services.
2. Medicare Part B generally covers which of the following?
A. Prescription drugs
B. Physician services and outpatient care
C. Long-term custodial care
D. Dental care
Correct Answer: B. Physician services and outpatient care
,Rationale: Part B covers medically necessary physician services,
outpatient care, preventive services, durable medical
equipment, and laboratory tests.
3. Medicare Part D is designed primarily to provide coverage
for:
A. Hospital stays
B. Hospice care
C. Prescription drugs
D. Nursing home care
Correct Answer: C. Prescription drugs
Rationale: Medicare Part D helps beneficiaries pay for
outpatient prescription medications.
4. Medicare Advantage plans are also known as:
A. Medigap Plans
B. Medicare Supplement Plans
C. Medicare Part C Plans
D. Medicaid Plans
Correct Answer: C. Medicare Part C Plans
Rationale: Medicare Advantage (Part C) combines Part A and
Part B benefits and often includes prescription drug coverage.
,5. Which organization administers the Medicare program?
A. Social Security Administration
B. Centers for Medicare & Medicaid Services (CMS)
C. Department of Labor
D. Internal Revenue Service
Correct Answer: B. Centers for Medicare & Medicaid Services
(CMS)
Rationale: CMS administers Medicare and establishes
regulations governing Medicare plans.
6. Most individuals become eligible for Medicare at what age?
A. 60
B. 62
C. 65
D. 67
Correct Answer: C. 65
Rationale: Most individuals qualify for Medicare upon reaching
age 65, although some qualify earlier because of disability or
certain diseases.
, 7. Which individual may qualify for Medicare before age 65?
A. Any retired worker
B. A person receiving Social Security Disability benefits for the
required period
C. Any unemployed person
D. Any veteran
Correct Answer: B. A person receiving Social Security Disability
benefits for the required period
Rationale: Individuals receiving SSDI benefits for the qualifying
period may become eligible before age 65.
8. Original Medicare consists of which two parts?
A. Part A and Part B
B. Part A and Part D
C. Part B and Part D
D. Part C and Part D
Correct Answer: A. Part A and Part B
Rationale: Original Medicare includes hospital insurance (Part
A) and medical insurance (Part B).
9. Which Medicare program helps pay prescription drug
expenses?
AND CORRECT ANSWERS (VERIFIED ANSWESRS)
Q&A 2026-2027 |INSTANT DOWNLOAD PDF
1. Which part of Medicare primarily covers inpatient hospital
care?
A. Part B
B. Part C
C. Part D
D. Part A
Correct Answer: D. Part A
Rationale: Medicare Part A helps cover inpatient hospital stays,
skilled nursing facility care, hospice care, and some home
health services.
2. Medicare Part B generally covers which of the following?
A. Prescription drugs
B. Physician services and outpatient care
C. Long-term custodial care
D. Dental care
Correct Answer: B. Physician services and outpatient care
,Rationale: Part B covers medically necessary physician services,
outpatient care, preventive services, durable medical
equipment, and laboratory tests.
3. Medicare Part D is designed primarily to provide coverage
for:
A. Hospital stays
B. Hospice care
C. Prescription drugs
D. Nursing home care
Correct Answer: C. Prescription drugs
Rationale: Medicare Part D helps beneficiaries pay for
outpatient prescription medications.
4. Medicare Advantage plans are also known as:
A. Medigap Plans
B. Medicare Supplement Plans
C. Medicare Part C Plans
D. Medicaid Plans
Correct Answer: C. Medicare Part C Plans
Rationale: Medicare Advantage (Part C) combines Part A and
Part B benefits and often includes prescription drug coverage.
,5. Which organization administers the Medicare program?
A. Social Security Administration
B. Centers for Medicare & Medicaid Services (CMS)
C. Department of Labor
D. Internal Revenue Service
Correct Answer: B. Centers for Medicare & Medicaid Services
(CMS)
Rationale: CMS administers Medicare and establishes
regulations governing Medicare plans.
6. Most individuals become eligible for Medicare at what age?
A. 60
B. 62
C. 65
D. 67
Correct Answer: C. 65
Rationale: Most individuals qualify for Medicare upon reaching
age 65, although some qualify earlier because of disability or
certain diseases.
, 7. Which individual may qualify for Medicare before age 65?
A. Any retired worker
B. A person receiving Social Security Disability benefits for the
required period
C. Any unemployed person
D. Any veteran
Correct Answer: B. A person receiving Social Security Disability
benefits for the required period
Rationale: Individuals receiving SSDI benefits for the qualifying
period may become eligible before age 65.
8. Original Medicare consists of which two parts?
A. Part A and Part B
B. Part A and Part D
C. Part B and Part D
D. Part C and Part D
Correct Answer: A. Part A and Part B
Rationale: Original Medicare includes hospital insurance (Part
A) and medical insurance (Part B).
9. Which Medicare program helps pay prescription drug
expenses?
