Exam (elaborations)
AHIP 2025 Exam Verified and Trusted Answers 2024/2025
- Course
- Institution
AHIP 2025 Exam Verified and Trusted Answers 2024/2025
[Show more]
3 reviews
By: alex71 • 7 months ago
By: TheAlphanurse • 8 months ago
GREAT DOC!! DETAILED ANSWERS. VALUE FOR MONEY HONESTLY. GOOD WORK
By: getAs • 8 months ago
GREAT DOCUMENT. VERIFIED EXAM QUESTIONS. GREAT VALUE FOR MONEY
Content preview
1. What is the primary goal of the Affordable Care Act (ACA) in termsof health insurance?
A) To reduce the cost of health insurance premiums
B) To eliminate private health insurance companies
C) To increase the number of Americans covered by health insurance
D) To provide government-run health insurance for all Americans
Answer: C) To increase the number of Americans covered by health
insurance
Rationale: The Affordable Care Act was designed to expand health
insurance coverage, reduce the number of uninsured individuals, and
make health insurance more affordable through provisions like
Medicaid expansion and health insurance marketplaces.
2. Under the ACA, which of the following is a requirement for health
insurance plans?
A) To provide coverage for maternity and newborn care
B) To exclude mental health services from coverage
C) To charge individuals based on pre-existing conditions
D) To allow insurance companies to limit lifetime benefits
Answer: A) To provide coverage for maternity and newborn care
Rationale: The ACA mandates that all health insurance plans offered in
the individual and small group markets must include coverage for
essential health benefits, which include maternity and newborn care,
mental health services, and preventive care.
3. Which of the following is a feature of a Health Maintenance
Organization (HMO)?
,A) Members can choose any healthcare provider without needing a
referral.
B) HMO plans require members to have a primary care physician (PCP).
C) HMO plans offer nationwide coverage.
D) Members can see specialists without a referral or network
restrictions.
Answer: B) HMO plans require members to have a primary care
physician (PCP).
Rationale: HMOs typically require members to choose a PCP, who acts
as a gatekeeper for referrals to specialists. This model is designed to
reduce costs and coordinate care more efficiently within a network.
4. Which of the following types of health insurance plans generally
offers the most flexibility in choosing healthcare providers?
A) Health Maintenance Organization (HMO)
B) Preferred Provider Organization (PPO)
C) Exclusive Provider Organization (EPO)
D) Point of Service (POS)
Answer: B) Preferred Provider Organization (PPO)
Rationale: PPOs offer greater flexibility than HMOs, allowing members
to see out-of-network providers, although at a higher cost. Members
don’t need a referral to see a specialist, which provides more freedom
in choosing healthcare providers.
5. Which of the following is an example of a government-funded
health insurance program?
,A) Health Savings Account (HSA)
B) Medicare
C) Preferred Provider Organization (PPO)
D) Health Maintenance Organization (HMO)
Answer: B) Medicare
Rationale: Medicare is a government-funded program that provides
health insurance to individuals aged 65 and older, as well as certain
younger individuals with disabilities or chronic conditions.
6. What is the purpose of the Health Insurance Marketplace (also
known as the Exchange)?
A) To provide free healthcare to low-income individuals
B) To help individuals and small businesses compare and purchase
health insurance
C) To offer government-run health insurance exclusively
D) To collect premiums for Medicare
Answer: B) To help individuals and small businesses compare and
purchase health insurance
Rationale: The Health Insurance Marketplace allows individuals and
small businesses to compare various health insurance plans and apply
for subsidies based on their income to make insurance more affordable.
7. In which of the following scenarios would a person likely qualify for
Medicaid coverage?
A) A low-income individual who is over the age of 65
B) A person with a disability who has low income
, C) A middle-income family with children
D) An individual who earns $50,000 annually
Answer: B) A person with a disability who has low income
Rationale: Medicaid is a joint federal and state program designed to
provide health coverage to low-income individuals, including those with
disabilities, children, pregnant women, and some elderly individuals.
8. Which of the following is NOT considered an essential health
benefit under the ACA?
A) Emergency services
B) Prescription drugs
C) Cosmetic surgery
D) Mental health services
Answer: C) Cosmetic surgery
Rationale: The ACA requires health insurance plans to cover essential
health benefits, including emergency services, prescription drugs, and
mental health services. Cosmetic surgery, unless medically necessary, is
not considered an essential health benefit.
9. What does the term "network" refer to in health insurance plans?
A) A group of healthcare providers who are contracted with the
insurance company
B) A government program for low-income individuals
C) The amount of money a person must pay for health services
D) The process by which insurance companies process claims
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller stuuviaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
63950 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now
Recently viewed by you
Summary ·
Psychologie - volledige samenvatting a.d.h.v. het boek psychologische stromingen vroeger en vandaag
Exam (elaborations) ·
Ivy Tech APHY 101 Exam 4 Midterm Exam Questions and Answers 2024 / 2025 | 100% Verified Answers
Exam (elaborations) ·
NEW AZ 104 RENEWAL EXAM QUESTION AND ANSWER UPDATED ALL ANSWERS AVAILABLE 2023-2024 update
Package deal ·
A Package Deal For WGU-C175 Exam Questions And Correct Answers |100% Guaranteed Success |Verified
Package deal ·
ATI Pharmacology Proctored Exams || ATI Pharmacology Test Banks {Bundle Compilation 2024/2025
Exam (elaborations) ·
NUTR 331 NUTRITION FOR HEALTH CHAPTER 1 EXAM QUESTIONS AND ACCURATE ANSWERS ATHABASCA UNIVERSITY
Exam (elaborations) ·
Test Bank Exploring Macroeconomics, 8th Edition /graded A+ (questions and answer) year 2024/2025
Exam (elaborations) ·
ANCC REVIEW QUESTIONS (PMHNP IQ)BANK ANSWERED ALL CORRECTLYANSWERED; LATEST UPDATED 2023-2024
