✅ AHIP Final Exam Practice Test – 200
Questions & Answers (2025)
(Original, 100% Correct, Verified-Style Practice)
SECTION 1 — Medicare Basics (1–40)
1. Medicare eligibility generally begins at what age?
Answer: 65
2. Which part of Medicare covers inpatient hospital care?
Answer: Part A
3. Which part covers physician and outpatient medical services?
Answer: Part B
4. What is the standard Medicare Part B premium based on?
Answer: Income (IRMAA may apply)
5. How is Medicare Part A usually funded?
Answer: Payroll taxes
6. How many work credits are required to receive premium-free Part A?
Answer: 40 quarters
7. If a person has ESRD, are they eligible for Medicare?
Answer: Yes
,8. What is the 2025 Part A inpatient deductible?
Answer: The beneficiary-set yearly Part A deductible (varies by CMS annually)
9. Which Medicare part covers hospice?
Answer: Part A
10. Medicare is administered by which federal agency?
Answer: CMS — Centers for Medicare & Medicaid Services
11. What does “Medically necessary” mean under Medicare?
Answer: Services needed to diagnose or treat a medical condition
12. Which card must providers accept as proof of Medicare coverage?
Answer: Medicare Beneficiary Identifier (MBI) card
13. What is the purpose of the ABN?
Answer: To notify beneficiaries of non-covered services
14. What type of program is Medicare?
Answer: Federal health insurance
15. Which part covers DME?
Answer: Part B
16. A beneficiary must be enrolled in which parts to join a Medicare
Advantage plan?
Answer: Part A and Part B
17. What is the penalty for late Part B enrollment called?
Answer: Part B late-enrollment penalty
18. Which Medicare Part includes preventive services?
Answer: Part B
, 19. What is the name of the annual summary of Medicare coverage?
Answer: Medicare & You Handbook
20. Does Original Medicare have an annual out-of-pocket maximum?
Answer: No
21. What is the benefit period for Part A?
Answer: Begins at hospital admission and ends after 60 days without inpatient care
22. Who is automatically enrolled in Medicare?
Answer: Individuals receiving Social Security at age 65
23. What is assignment under Medicare?
Answer: Provider agrees to accept Medicare-approved amount
24. Which Medicare program is optional?
Answer: Part D prescription drug coverage
25. What type of program is Medicaid?
Answer: Joint federal–state program
26. Dual-eligible individuals have what type of coverage?
Answer: Medicare + Medicaid
27. What is the national Medicare help number?
Answer: 1-800-MEDICARE
28. Which Medicare part covers home health?
Answer: Part A and Part B
29. Medicare Advantage plans must cover what at minimum?
Answer: All Original Medicare services (Parts A & B)
Questions & Answers (2025)
(Original, 100% Correct, Verified-Style Practice)
SECTION 1 — Medicare Basics (1–40)
1. Medicare eligibility generally begins at what age?
Answer: 65
2. Which part of Medicare covers inpatient hospital care?
Answer: Part A
3. Which part covers physician and outpatient medical services?
Answer: Part B
4. What is the standard Medicare Part B premium based on?
Answer: Income (IRMAA may apply)
5. How is Medicare Part A usually funded?
Answer: Payroll taxes
6. How many work credits are required to receive premium-free Part A?
Answer: 40 quarters
7. If a person has ESRD, are they eligible for Medicare?
Answer: Yes
,8. What is the 2025 Part A inpatient deductible?
Answer: The beneficiary-set yearly Part A deductible (varies by CMS annually)
9. Which Medicare part covers hospice?
Answer: Part A
10. Medicare is administered by which federal agency?
Answer: CMS — Centers for Medicare & Medicaid Services
11. What does “Medically necessary” mean under Medicare?
Answer: Services needed to diagnose or treat a medical condition
12. Which card must providers accept as proof of Medicare coverage?
Answer: Medicare Beneficiary Identifier (MBI) card
13. What is the purpose of the ABN?
Answer: To notify beneficiaries of non-covered services
14. What type of program is Medicare?
Answer: Federal health insurance
15. Which part covers DME?
Answer: Part B
16. A beneficiary must be enrolled in which parts to join a Medicare
Advantage plan?
Answer: Part A and Part B
17. What is the penalty for late Part B enrollment called?
Answer: Part B late-enrollment penalty
18. Which Medicare Part includes preventive services?
Answer: Part B
, 19. What is the name of the annual summary of Medicare coverage?
Answer: Medicare & You Handbook
20. Does Original Medicare have an annual out-of-pocket maximum?
Answer: No
21. What is the benefit period for Part A?
Answer: Begins at hospital admission and ends after 60 days without inpatient care
22. Who is automatically enrolled in Medicare?
Answer: Individuals receiving Social Security at age 65
23. What is assignment under Medicare?
Answer: Provider agrees to accept Medicare-approved amount
24. Which Medicare program is optional?
Answer: Part D prescription drug coverage
25. What type of program is Medicaid?
Answer: Joint federal–state program
26. Dual-eligible individuals have what type of coverage?
Answer: Medicare + Medicaid
27. What is the national Medicare help number?
Answer: 1-800-MEDICARE
28. Which Medicare part covers home health?
Answer: Part A and Part B
29. Medicare Advantage plans must cover what at minimum?
Answer: All Original Medicare services (Parts A & B)
