Exam (elaborations)
AHIP 2025 Final Test Verified Solutions for a Sure Pass
- Course
- Institution
AHIP 2025 Final Test Verified Solutions for a Sure Pass
[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. Which of the following is a primary goal of the Affordable Care Act(ACA)?
A) To increase the number of uninsured Americans
B) To reduce healthcare costs through cost-sharing only
C) To provide affordable health insurance to more Americans
D) To eliminate private health insurance in favor of public plans
Answer: C) To provide affordable health insurance to more Americans
Rationale: The ACA was designed to make health insurance more
affordable for Americans and reduce the number of uninsured
individuals. It did this through mechanisms like Medicaid expansion,
health insurance marketplaces, and regulations that prevent insurers
from denying coverage due to pre-existing conditions.
2. Which of the following is true about Medicare Advantage (MA)
plans?
A) They are run by the federal government
B) They provide benefits only for seniors over the age of 80
C) They offer benefits through private insurance companies approved
by Medicare
D) They are part of the Medicaid program
Answer: C) They offer benefits through private insurance companies
approved by Medicare
Rationale: Medicare Advantage plans are a part of Medicare but are
offered through private insurance companies that contract with the
federal government to provide benefits. They must cover at least the
same services as Original Medicare, but may offer additional benefits
such as vision, dental, and hearing.
,3. What is the primary purpose of the Health Insurance Marketplace
(Marketplace)?
A) To serve as a government-run insurance program
B) To provide a forum for insurance companies to sell plans without
restrictions
C) To allow individuals and families to shop for and enroll in affordable
health insurance plans
D) To regulate healthcare providers
Answer: C) To allow individuals and families to shop for and enroll in
affordable health insurance plans
Rationale: The Health Insurance Marketplace allows individuals and
families to compare different health insurance plans and find coverage
that fits their needs and budget. It was created by the Affordable Care
Act (ACA).
4. Which of the following is an example of a Medicare Part D benefit?
A) Hospital care
B) Prescription drug coverage
C) Skilled nursing facility care
D) Emergency care
Answer: B) Prescription drug coverage
Rationale: Medicare Part D provides prescription drug coverage, which
is essential for beneficiaries who need medication. It is separate from
the hospital insurance (Part A) and medical insurance (Part B) parts of
Medicare.
,5. Under the ACA, what is the "individual mandate"?
A) Individuals are required to purchase insurance from their employer
B) Individuals must maintain health insurance or pay a penalty
C) Individuals can only purchase insurance during the open enrollment
period
D) Individuals must select their insurance based on their income level
Answer: B) Individuals must maintain health insurance or pay a
penalty
Rationale: The individual mandate, which was part of the ACA, required
most Americans to have health insurance or pay a penalty when filing
their taxes. However, the penalty was effectively eliminated at the
federal level starting in 2019, though some states have their own
mandates.
6. What is the purpose of Medicaid?
A) To provide healthcare to those with a high income
B) To offer health insurance to the elderly only
C) To provide health insurance to low-income individuals and families
D) To cover health expenses for military personnel
Answer: C) To provide health insurance to low-income individuals and
families
Rationale: Medicaid is a joint federal and state program that provides
health coverage to low-income individuals, including families, the
elderly, pregnant women, and people with disabilities. It is designed to
help people who cannot afford private insurance.
, 7. Which of the following is NOT covered under the ACA’s essential
health benefits?
A) Maternity and newborn care
B) Prescription drugs
C) Cosmetic surgery
D) Mental health and substance use disorder services
Answer: C) Cosmetic surgery
Rationale: Cosmetic surgery is not considered one of the ACA's
essential health benefits. Essential health benefits include services like
maternity care, prescription drugs, and mental health services, but they
do not cover elective procedures like cosmetic surgery unless medically
necessary.
8. What is a common feature of a Health Maintenance Organization
(HMO) plan?
A) It allows for out-of-network coverage without additional charges
B) It requires members to get a referral from a primary care physician
(PCP) to see a specialist
C) It offers a large network of providers with no need for referrals
D) It covers only emergency care
Answer: B) It requires members to get a referral from a primary care
physician (PCP) to see a specialist
Rationale: HMO plans require members to choose a primary care
physician (PCP) and get referrals from the PCP to see specialists. They
typically have a more limited network of doctors but often have lower
premiums.
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 $12.99. 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
Exam (elaborations) ·
Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion
Exam (elaborations) ·
Test Bank For Biological Psychology, 14th Edition, James W. Kalat || Complete Guide A+||Latest Update 2024
Exam (elaborations) ·
ATI MENTAL HEALTH A , B , C ,2019 PROCTORED EXAM AND ATI MENTAL HEALTH PROCTORED 2019 RETAKE EXAM
Exam (elaborations) ·
HESI GERONTOLOGY 2020 TEST BANK 39 Q/A OUT OF 55 COMPLETE WITH ALL THE ANSWERS LATEST UPDATES
Exam (elaborations) ·
WGU C157 -Essentials of Advanced Nursing Practice 2023 Questions and Answers (Verified Answers)
Exam (elaborations) ·
DCOM 101 Final Exam Review | 75 Questions with 100% Correct Answers | Verified | Latest Update 2024
Exam (elaborations) ·
Aetna MA/MAPD/DSNP Mastery Test | Questions with 100% Correct Answers | Verified | Latest Update 2024
Package deal ·
EVITP EXAM QUESTIONS WITH VERIFIED CORRECT ANSWERS LATEST 2 DIFFERENTVERSIONS 2024 PACKAGE
