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AHIP MEDICARE MODULE 2 PRACTICE EXAM Medicare Parts A & B Coverage, Cost-Sharing,
and Key Rules 50 SURE Questions | Answers & Rationales
1. Medicare Part A generally covers all of the following
EXCEPT:
A. Inpatient hospital care
B. Skilled nursing facility care
C. Hospice care
D. Routine physical exams
Answer: D
Rationale: Part A covers inpatient hospital, SNF, hospice, and
some home health. Routine physical exams are generally not
covered; Part B covers preventive visits such as the Annual
Wellness Visit.
2. A beneficiary must meet which requirement for Medicare
Part A to cover skilled nursing facility care?
A. Any inpatient hospital stay
B. A qualifying inpatient hospital stay of at least 3 consecutive
days
C. A doctor’s referral only
D. Enrollment in Part D
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Answer: B
Rationale: Medicare covers SNF care only after a qualifying
inpatient hospital stay of 3 consecutive days (not counting
discharge day).
3. Which statement about Medicare Part A inpatient hospital
coverage is TRUE?
A. There is no deductible
B. A deductible applies each benefit period
C. Beneficiaries pay all costs
D. Coverage is unlimited without cost-sharing
Answer: B
Rationale: Part A inpatient hospital care requires a deductible
per benefit period and coinsurance for long stays.
4. A Medicare Part A benefit period begins:
A. On the first day of each month
B. When a beneficiary is admitted as an inpatient to a hospital
or SNF
C. On the first day of each year
D. When the beneficiary enrolls in Part A
Answer: B
Rationale: A benefit period begins with inpatient hospital or
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SNF admission and ends after 60 consecutive days without
inpatient facility care.
5. After the Part A inpatient deductible is met, Medicare
covers the first 60 days of inpatient hospital care:
A. With daily coinsurance
B. In full, after the deductible
C. With a 50% copayment
D. Only if the beneficiary has Medigap
Answer: B
Rationale: For the first 60 days of inpatient hospital care in a
benefit period, Medicare Part A pays in full after the deductible.
6. For days 61–90 of inpatient hospital care in a benefit period,
the beneficiary pays:
A. The full cost
B. A daily coinsurance amount
C. Only the deductible
D. No cost-sharing
Answer: B
Rationale: Days 61–90 have a daily coinsurance amount, which
changes annually.
AHIP MEDICARE MODULE 2 PRACTICE EXAM Medicare Parts A & B Coverage, Cost-Sharing,
and Key Rules 50 SURE Questions | Answers & Rationales
1. Medicare Part A generally covers all of the following
EXCEPT:
A. Inpatient hospital care
B. Skilled nursing facility care
C. Hospice care
D. Routine physical exams
Answer: D
Rationale: Part A covers inpatient hospital, SNF, hospice, and
some home health. Routine physical exams are generally not
covered; Part B covers preventive visits such as the Annual
Wellness Visit.
2. A beneficiary must meet which requirement for Medicare
Part A to cover skilled nursing facility care?
A. Any inpatient hospital stay
B. A qualifying inpatient hospital stay of at least 3 consecutive
days
C. A doctor’s referral only
D. Enrollment in Part D
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Answer: B
Rationale: Medicare covers SNF care only after a qualifying
inpatient hospital stay of 3 consecutive days (not counting
discharge day).
3. Which statement about Medicare Part A inpatient hospital
coverage is TRUE?
A. There is no deductible
B. A deductible applies each benefit period
C. Beneficiaries pay all costs
D. Coverage is unlimited without cost-sharing
Answer: B
Rationale: Part A inpatient hospital care requires a deductible
per benefit period and coinsurance for long stays.
4. A Medicare Part A benefit period begins:
A. On the first day of each month
B. When a beneficiary is admitted as an inpatient to a hospital
or SNF
C. On the first day of each year
D. When the beneficiary enrolls in Part A
Answer: B
Rationale: A benefit period begins with inpatient hospital or
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SNF admission and ends after 60 consecutive days without
inpatient facility care.
5. After the Part A inpatient deductible is met, Medicare
covers the first 60 days of inpatient hospital care:
A. With daily coinsurance
B. In full, after the deductible
C. With a 50% copayment
D. Only if the beneficiary has Medigap
Answer: B
Rationale: For the first 60 days of inpatient hospital care in a
benefit period, Medicare Part A pays in full after the deductible.
6. For days 61–90 of inpatient hospital care in a benefit period,
the beneficiary pays:
A. The full cost
B. A daily coinsurance amount
C. Only the deductible
D. No cost-sharing
Answer: B
Rationale: Days 61–90 have a daily coinsurance amount, which
changes annually.
