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Exam (elaborations)

AHIP Final Exam Questions and Correct Answers (Verified Answers) Plus Rationale 2027 Q&A| Instant Download Pdf

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AHIP Final Exam Questions and Correct Answers (Verified Answers) Plus Rationale 2027 Q&A| Instant Download Pdf

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AHIP Final Exam Questions and Correct
Answers (Verified Answers) Plus
Rationale 2027 Q&A| Instant Download
Pdf




1. Which federal program primarily provides health coverage for
people age 65 and older, as well as certain younger individuals
with qualifying disabilities?

A. Medicaid
B. Children's Health Insurance Program (CHIP)
C. Medicare
D. Veterans Health Administration

Rationale: Medicare is a federal health insurance program primarily
serving people age 65 and older and certain younger individuals with
qualifying disabilities or specific medical conditions. Medicaid is jointly

,funded by federal and state governments and is primarily based on
income and other eligibility requirements.

2. Which part of Medicare primarily covers inpatient hospital
services?

A. Medicare Part B
B. Medicare Part C
C. Medicare Part D
D. Medicare Part A

Rationale: Medicare Part A is hospital insurance. It generally covers
inpatient hospital care, skilled nursing facility care under qualifying
circumstances, hospice care, and certain home health services. Part B
primarily covers physician and outpatient services.

3. Which Medicare part generally covers physician services,
outpatient care, and many preventive services?

A. Part A
B. Part B
C. Part C
D. Part D

Rationale: Medicare Part B is medical insurance and generally covers
physician services, outpatient services, durable medical equipment,

,preventive services, and other medically necessary services that are
not primarily covered under Part A.

4. What is Medicare Part C commonly known as?

A. Medigap
B. Medicaid
C. Medicare Advantage
D. Medicare Supplement Part C

Rationale: Medicare Part C is the Medicare Advantage program.
Medicare Advantage plans are offered by private organizations
approved by Medicare and provide Medicare-covered benefits
through the plan, subject to the plan's rules.

5. What is the primary purpose of Medicare Part D?

A. Cover inpatient hospital care
B. Cover physician services
C. Cover hospice services exclusively
D. Provide prescription drug coverage

Rationale: Medicare Part D provides outpatient prescription drug
coverage through private Medicare-approved prescription drug plans
and Medicare Advantage plans that include prescription drug
coverage.

, 6. A beneficiary has Original Medicare and wants additional
insurance to help with certain Medicare cost-sharing expenses.
Which type of coverage is designed for this purpose?

A. Medicare Advantage
B. Medicaid-only coverage
C. Medicare Supplement Insurance (Medigap)
D. Employer liability insurance

Rationale: Medigap policies are private insurance policies designed to
supplement Original Medicare by helping pay certain Medicare cost-
sharing amounts and, depending on the policy, other covered
expenses.

7. Which statement best describes Original Medicare?

A. It is administered exclusively by private insurance companies.
B. It combines Part A and Medicaid benefits.
C. It consists primarily of Medicare Part A and Part B and allows
beneficiaries to use Medicare-participating providers.
D. It automatically includes comprehensive prescription drug coverage.

Rationale: Original Medicare consists of Part A and Part B.
Beneficiaries can generally see any doctor or other provider who
accepts Medicare, although they may have deductibles, coinsurance,
and other cost-sharing responsibilities.

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