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Achieve Guaranteed Success on the AHIP 2025 Final Exam with Fully Verified and Accurate Answers for the 2024/2025 Edition. CA$26.29
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Achieve Guaranteed Success on the AHIP 2025 Final Exam with Fully Verified and Accurate Answers for the 2024/2025 Edition.

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Achieve Guaranteed Success on the AHIP 2025 Final Exam with Fully Verified and Accurate Answers for the 2024/2025 Edition.

Last document update: 1 month ago

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  • June 11, 2024
  • December 25, 2024
  • 11
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • achieve guaranteed success on the ahip 2025 final

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By: alex71 • 6 months ago

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By: TheAlphanurse • 7 months ago

GREAT DOC!! DETAILED ANSWERS. VALUE FOR MONEY HONESTLY. GOOD WORK

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By: getAs • 7 months ago

GREAT DOCUMENT. VERIFIED EXAM QUESTIONS. GREAT VALUE FOR MONEY

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1. Which of the following best describes the purpose of the Affordable
Care Act (ACA)?
A) To eliminate the need for employer-sponsored health insurance
B) To increase the availability and affordability of health insurance
coverage
C) To reduce the coverage options for Medicaid recipients
D) To replace Medicare with a privatized system
Answer: B) To increase the availability and affordability of health
insurance coverage
Rationale: The ACA aims to expand access to health insurance, improve
the quality of care, and reduce healthcare costs. This includes
provisions for Medicaid expansion, health insurance marketplaces, and
protections for individuals with pre-existing conditions.


2. What is the purpose of a Health Maintenance Organization (HMO)?
A) To provide coverage for all medical services without restrictions
B) To offer a broad network of healthcare providers for patients to
choose from
C) To emphasize preventative care while requiring members to use a
primary care physician (PCP) for referrals
D) To reduce the number of covered services to save costs
Answer: C) To emphasize preventative care while requiring members to
use a primary care physician (PCP) for referrals
Rationale: HMO plans typically focus on prevention and managing
overall healthcare through a PCP. A referral from a PCP is required for
specialist visits, which is a key characteristic of HMO plans.

,3. Which of the following is true regarding the Medicare Part D
prescription drug benefit?
A) It is available only to individuals with low incomes
B) It covers all prescription drugs with no out-of-pocket costs
C) It helps cover the cost of prescription drugs for eligible Medicare
beneficiaries
D) It is only available to those under the age of 65 with a disability
Answer: C) It helps cover the cost of prescription drugs for eligible
Medicare beneficiaries
Rationale: Medicare Part D provides prescription drug coverage for
those enrolled in Medicare, helping to reduce the out-of-pocket costs
for prescription medications. Part D is available to anyone who is
eligible for Medicare, regardless of income level or age, as long as they
are enrolled in the program.


4. Which of the following is considered an essential health benefit
under the Affordable Care Act?
A) Cosmetic surgery
B) Chiropractic services
C) Maternity and newborn care
D) Alternative medicine treatments
Answer: C) Maternity and newborn care
Rationale: The ACA mandates that certain essential health benefits be
covered in all marketplace insurance plans. These benefits include
maternity and newborn care, mental health services, emergency
services, and preventive care, among others.

,5. What is a key feature of the "metal" levels in Marketplace health
plans (Bronze, Silver, Gold, Platinum)?
A) They determine the amount of premium subsidy a person is eligible
for
B) They indicate how much the plan pays toward healthcare costs and
how much the consumer must pay
C) They refer to the geographic region where the plan is offered
D) They describe the age groups the plan is suitable for
Answer: B) They indicate how much the plan pays toward healthcare
costs and how much the consumer must pay
Rationale: The "metal" levels (Bronze, Silver, Gold, Platinum) represent
the percentage of healthcare costs that the plan pays. Bronze plans pay
about 60% of costs, Silver plans about 70%, Gold plans about 80%, and
Platinum plans about 90%, with the remaining costs being the
responsibility of the insured.


6. What is a key characteristic of a Preferred Provider Organization
(PPO) plan?
A) Members must choose a primary care physician for referrals
B) Members can see any healthcare provider without a referral, though
out-of-network care costs more
C) Members must use only in-network providers for all services
D) The plan requires members to be enrolled in a health savings
account (HSA)
Answer: B) Members can see any healthcare provider without a
referral, though out-of-network care costs more

, Rationale: PPO plans offer flexibility by allowing members to see
specialists and out-of-network providers without a referral. However,
they generally encourage using in-network providers by offering lower
out-of-pocket costs for in-network care.


7. Under the Health Insurance Portability and Accountability Act
(HIPAA), which of the following is a right granted to individuals?
A) The right to choose any insurance provider, regardless of their health
history
B) The right to keep their health information confidential and secure
C) The right to immediate approval for insurance claims
D) The right to access government-subsidized health insurance
Answer: B) The right to keep their health information confidential and
secure
Rationale: HIPAA is primarily designed to protect individuals' health
information and ensure its confidentiality. It sets standards for the
security of health data and grants individuals the right to access their
own health records.


8. Which of the following is an example of a "high-deductible health
plan" (HDHP)?
A) A plan with low monthly premiums and a higher deductible that
must be met before the plan pays for most services
B) A plan with high monthly premiums and low deductibles
C) A plan that covers only preventive services
D) A plan that has a fixed out-of-pocket cost per visit, regardless of the
service

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