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Prepare with Confidence Using 100% Verified AHIP 2025 Final Exam Answers That Guarantee Success in the 2024/2025 Assessment.

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Prepare with Confidence Using 100% Verified AHIP 2025 Final Exam Answers That Guarantee Success in the 2024/2025 Assessment.

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  • June 11, 2024
  • December 25, 2024
  • 9
  • 2023/2024
  • Exam (elaborations)
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Question 1
Which of the following is the primary purpose of Medicare?
A. Provide healthcare coverage for children under 18 years old
B. Offer healthcare coverage for individuals 65 years and older
C. Offer healthcare coverage to employees and their families
D. Provide healthcare coverage only to veterans
Answer: B
Rationale: Medicare is a federal program providing healthcare coverage
primarily to individuals 65 years and older, as well as certain younger
individuals with disabilities.


Question 2
What is the initial enrollment period for Medicare?
A. 3 months before and 3 months after the 65th birthday
B. 7 months around the 65th birthday
C. 12 months after the 65th birthday
D. During open enrollment only
Answer: B
Rationale: The initial enrollment period for Medicare lasts for 7 months,
beginning 3 months before the month of the individual's 65th birthday,
the month of their birthday, and ending 3 months after.


Question 3
Which part of Medicare covers inpatient hospital care?
A. Part A
B. Part B

,C. Part C
D. Part D
Answer: A
Rationale: Medicare Part A provides coverage for inpatient hospital
care, skilled nursing facilities, hospice, and some home health services.


Question 4
What does Medicare Part D cover?
A. Hospital stays
B. Prescription drugs
C. Preventive services
D. Durable medical equipment
Answer: B
Rationale: Medicare Part D is specifically designed to cover the cost of
prescription drugs.


Question 5
Which of the following is a characteristic of a Medicare Advantage Plan
(Part C)?
A. It is free for all beneficiaries
B. It combines Part A and Part B coverage, often with additional benefits
C. It only covers inpatient services
D. It is a supplemental insurance policy
Answer: B
Rationale: Medicare Advantage Plans (Part C) combine the benefits of
Part A and Part B and may include additional benefits such as vision,
dental, and hearing coverage.

,Question 6
Which of the following individuals is eligible for Medicaid?
A. All U.S. citizens regardless of income
B. Low-income individuals and families, including pregnant women and
children
C. Only individuals over the age of 65
D. Those who have private insurance
Answer: B
Rationale: Medicaid provides health coverage to low-income individuals
and families, including children, pregnant women, and individuals with
disabilities.


Question 7
What is the primary purpose of the Affordable Care Act (ACA)?
A. Reduce taxes for health insurance companies
B. Ensure that all Americans have access to affordable health insurance
C. Replace Medicare with private insurance
D. Provide free health insurance to everyone
Answer: B
Rationale: The ACA aims to make health insurance affordable and
accessible for all Americans while reducing healthcare costs and
improving healthcare outcomes.


Question 8
Under the ACA, what is the penalty for not having health insurance (as
of 2023)?

, A. A fine of $500
B. A percentage of income
C. There is no federal penalty
D. Loss of tax refund
Answer: C
Rationale: The individual mandate penalty under the ACA was reduced
to $0 at the federal level starting in 2019, though some states may
impose their own penalties.


Question 9
What is the main role of Medigap policies?
A. Provide vision and dental coverage
B. Offer long-term care services
C. Cover gaps in Original Medicare, such as copayments and deductibles
D. Act as a replacement for Medicare
Answer: C
Rationale: Medigap policies are supplemental insurance plans that help
pay for out-of-pocket costs not covered by Original Medicare.


Question 10
What is the primary difference between an HMO and a PPO health
plan?
A. HMOs allow more freedom to see out-of-network providers
B. PPOs require referrals for specialist visits
C. HMOs typically have lower premiums but require care within a
network
D. PPOs do not cover preventive services

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