AHIP 2026 FINAL PRACTICE EXAM &
STUDY GUIDE 2026 PDF
1. Which part of Medicare covers inpatient hospital care, skilled nursing, and
hospice? A. Part A
B. Part B
C. Part C
D. Part D
✅ Answer: A
. Rationale: Part A is hospital insurance — it pays for inpatient stays, skilled
nursing, hospice, and some home health care.
2. What is the primary source of funding for Medicare Part A?
A. Income taxes
B. Payroll taxes
C. Beneficiary premiums
D. State general funds
✅ Answer: B
. Rationale: Part A is funded by the FICA payroll tax paid by employees and
employers.
3. Which of the following individuals automatically qualifies for Medicare?
A. A 50-year-old with hypertension
B. A 62-year-old spouse of a Medicare beneficiary
C. A 68-year-old with 40 quarters of covered employment
D. A 63-year-old with employer insurance
✅ Answer: C
. Rationale: Anyone aged 65+ with at least 40 quarters of covered work qualifies
automatically.
4. How many quarters of coverage must someone earn for premium-free Part A?
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, A. 20
B. 30
C. 40
D. 50 ✅ Answer: C
. Rationale: 40 quarters (10 years) of covered employment grants premium-free
Part A.
5. Which service is not covered under Medicare Part A?
A. Inpatient hospital stay
B. Home health care
C. Physician services
D. Hospice care
✅ Answer: C
. Rationale: Physician services are covered under Part B, not Part A.
🏥 MODULE 2: Medicare Advantage (Part C)
6. What is the main feature of Medicare Advantage plans?
A. Managed by the federal government
B. Combine Parts A & B (and often D) under private plans
C. For low-income individuals only
D. Replace Medigap
✅ Answer: B
. Rationale: MA plans are offered by private insurers and must provide at least the
same benefits as Original Medicare (A & B).
7. Which MA plan requires a provider network and usually a primary care
provider? A. PFFS
B. PPO
C. HMO
D. MSA ✅ Answer: C
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STUDY GUIDE 2026 PDF
1. Which part of Medicare covers inpatient hospital care, skilled nursing, and
hospice? A. Part A
B. Part B
C. Part C
D. Part D
✅ Answer: A
. Rationale: Part A is hospital insurance — it pays for inpatient stays, skilled
nursing, hospice, and some home health care.
2. What is the primary source of funding for Medicare Part A?
A. Income taxes
B. Payroll taxes
C. Beneficiary premiums
D. State general funds
✅ Answer: B
. Rationale: Part A is funded by the FICA payroll tax paid by employees and
employers.
3. Which of the following individuals automatically qualifies for Medicare?
A. A 50-year-old with hypertension
B. A 62-year-old spouse of a Medicare beneficiary
C. A 68-year-old with 40 quarters of covered employment
D. A 63-year-old with employer insurance
✅ Answer: C
. Rationale: Anyone aged 65+ with at least 40 quarters of covered work qualifies
automatically.
4. How many quarters of coverage must someone earn for premium-free Part A?
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, A. 20
B. 30
C. 40
D. 50 ✅ Answer: C
. Rationale: 40 quarters (10 years) of covered employment grants premium-free
Part A.
5. Which service is not covered under Medicare Part A?
A. Inpatient hospital stay
B. Home health care
C. Physician services
D. Hospice care
✅ Answer: C
. Rationale: Physician services are covered under Part B, not Part A.
🏥 MODULE 2: Medicare Advantage (Part C)
6. What is the main feature of Medicare Advantage plans?
A. Managed by the federal government
B. Combine Parts A & B (and often D) under private plans
C. For low-income individuals only
D. Replace Medigap
✅ Answer: B
. Rationale: MA plans are offered by private insurers and must provide at least the
same benefits as Original Medicare (A & B).
7. Which MA plan requires a provider network and usually a primary care
provider? A. PFFS
B. PPO
C. HMO
D. MSA ✅ Answer: C
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