AHIP 2026 Final Exam
Medicare Certification
Modules 1-5 PRACTICE 250
QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS
|DETAILED RATIONALES
|HINTED COMPLETE EXAM
PREP GRADED A+*INSTANT
DOWNLOAD PDF
MODULE 1 — MEDICARE BASICS
1. What is the primary purpose of Medicare Part A?
A. Prescription drug coverage
B. Physician and outpatient coverage
C. Hospital insurance
D. Medicare Supplement coverage
Part A is Medicare Hospital Insurance and generally covers inpatient
hospital care, skilled nursing facility care, hospice, and certain home
health services.
,2. What does Medicare Part B primarily cover?
A. Inpatient hospital room charges
B. Physician and outpatient medical services
C. Retail prescription drugs exclusively
D. Long-term custodial nursing care
Part B is Medical Insurance and generally covers medically necessary
physician, outpatient, preventive, and other covered medical services.
3. Which statement about Original Medicare is correct?
A. It is administered exclusively by private insurance companies.
B. It automatically includes comprehensive prescription coverage.
C. It consists primarily of Part A and Part B.
D. It requires beneficiaries to use a restricted HMO network.
Original Medicare consists of Part A and Part B. Beneficiaries may
obtain additional coverage, such as Part D or Medigap, separately.
4. Which organization administers Medicare at the federal level?
A. FDA
B. SSA exclusively
C. CMS
D. State insurance departments
The Centers for Medicare & Medicaid Services (CMS) administers
Medicare.
5. Medicare eligibility is commonly associated with reaching what
age?
A. 55
B. 60
C. 65
D. 70
,Most people become eligible for Medicare at age 65, although
certain individuals can qualify earlier because of disability or specific
conditions.
6. Which person may qualify for Medicare before age 65?
A. Anyone unemployed for six months
B. Anyone receiving retirement income
C. A person who meets Medicare disability requirements
D. Anyone with private insurance
Medicare can be available before age 65 for qualifying individuals
with disabilities, as well as people with ESRD or ALS under applicable
rules.
7. What does a Medicare benefit period for Part A generally begin
with?
A. The first physician visit of the year
B. January 1
C. A qualifying inpatient hospital admission
D. Enrollment in Part B
An inpatient hospital stay can begin a Part A benefit period. A benefit
period has its own deductible and duration rules.
8. For 2026, what is the Medicare Part A inpatient hospital
deductible per benefit period?
A. $1,250
B. $1,676
C. $1,736
D. $2,100
The 2026 Part A inpatient hospital deductible is $1,736 per benefit
period.
9. For 2026, what is the standard monthly Part B premium?
, A. $174.70
B. $185.00
C. $202.90
D. $221.00
The standard Medicare Part B premium for 2026 is $202.90, although
some beneficiaries pay more based on income.
10. Which statement about Part B premiums is correct?
A. Everyone pays exactly the same amount.
B. Part B is always free.
C. Higher-income beneficiaries may pay an income-related
additional amount.
D. Only Medicare Advantage members pay Part B premiums.
Part B premiums can be higher for beneficiaries subject to the
income-related monthly adjustment amount.
11. What is Medicare Part D?
A. Hospital insurance
B. Physician insurance
C. Prescription drug coverage
D. Medicare Supplement insurance
Part D provides Medicare prescription drug coverage through
approved private plans.
12. Which coverage can generally be purchased from a private
insurer to supplement Original Medicare?
A. Part A
B. Part B
C. Medigap
D. Medicaid Part A
Medigap policies are private insurance policies designed to help pay
certain Medicare cost-sharing expenses.
Medicare Certification
Modules 1-5 PRACTICE 250
QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS
|DETAILED RATIONALES
|HINTED COMPLETE EXAM
PREP GRADED A+*INSTANT
DOWNLOAD PDF
MODULE 1 — MEDICARE BASICS
1. What is the primary purpose of Medicare Part A?
A. Prescription drug coverage
B. Physician and outpatient coverage
C. Hospital insurance
D. Medicare Supplement coverage
Part A is Medicare Hospital Insurance and generally covers inpatient
hospital care, skilled nursing facility care, hospice, and certain home
health services.
,2. What does Medicare Part B primarily cover?
A. Inpatient hospital room charges
B. Physician and outpatient medical services
C. Retail prescription drugs exclusively
D. Long-term custodial nursing care
Part B is Medical Insurance and generally covers medically necessary
physician, outpatient, preventive, and other covered medical services.
3. Which statement about Original Medicare is correct?
A. It is administered exclusively by private insurance companies.
B. It automatically includes comprehensive prescription coverage.
C. It consists primarily of Part A and Part B.
D. It requires beneficiaries to use a restricted HMO network.
Original Medicare consists of Part A and Part B. Beneficiaries may
obtain additional coverage, such as Part D or Medigap, separately.
4. Which organization administers Medicare at the federal level?
A. FDA
B. SSA exclusively
C. CMS
D. State insurance departments
The Centers for Medicare & Medicaid Services (CMS) administers
Medicare.
5. Medicare eligibility is commonly associated with reaching what
age?
A. 55
B. 60
C. 65
D. 70
,Most people become eligible for Medicare at age 65, although
certain individuals can qualify earlier because of disability or specific
conditions.
6. Which person may qualify for Medicare before age 65?
A. Anyone unemployed for six months
B. Anyone receiving retirement income
C. A person who meets Medicare disability requirements
D. Anyone with private insurance
Medicare can be available before age 65 for qualifying individuals
with disabilities, as well as people with ESRD or ALS under applicable
rules.
7. What does a Medicare benefit period for Part A generally begin
with?
A. The first physician visit of the year
B. January 1
C. A qualifying inpatient hospital admission
D. Enrollment in Part B
An inpatient hospital stay can begin a Part A benefit period. A benefit
period has its own deductible and duration rules.
8. For 2026, what is the Medicare Part A inpatient hospital
deductible per benefit period?
A. $1,250
B. $1,676
C. $1,736
D. $2,100
The 2026 Part A inpatient hospital deductible is $1,736 per benefit
period.
9. For 2026, what is the standard monthly Part B premium?
, A. $174.70
B. $185.00
C. $202.90
D. $221.00
The standard Medicare Part B premium for 2026 is $202.90, although
some beneficiaries pay more based on income.
10. Which statement about Part B premiums is correct?
A. Everyone pays exactly the same amount.
B. Part B is always free.
C. Higher-income beneficiaries may pay an income-related
additional amount.
D. Only Medicare Advantage members pay Part B premiums.
Part B premiums can be higher for beneficiaries subject to the
income-related monthly adjustment amount.
11. What is Medicare Part D?
A. Hospital insurance
B. Physician insurance
C. Prescription drug coverage
D. Medicare Supplement insurance
Part D provides Medicare prescription drug coverage through
approved private plans.
12. Which coverage can generally be purchased from a private
insurer to supplement Original Medicare?
A. Part A
B. Part B
C. Medigap
D. Medicaid Part A
Medigap policies are private insurance policies designed to help pay
certain Medicare cost-sharing expenses.
