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Exam (elaborations)

AHIP 2025 Exam Verified Answer Key for Guaranteed Results

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AHIP 2025 Exam Verified Answer Key for Guaranteed Results

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

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By: alex71 • 5 months ago

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By: TheAlphanurse • 6 months ago

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

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By: kihumba • 6 months ago

GREAT DOCUMENT. VERIFIED EXAM QUESTIONS. GREAT VALUE FOR MONEY

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1. What is the primary purpose of the Affordable Care Act (ACA) in
relation to health insurance?
A) To lower the cost of private insurance
B) To eliminate insurance discrimination based on pre-existing
conditions
C) To provide a government-run insurance program for all Americans
D) To ensure that employers provide health insurance to all employees
Answer: B) To eliminate insurance discrimination based on pre-
existing conditions
Rationale: The Affordable Care Act (ACA) primarily aims to make health
insurance accessible and affordable by prohibiting insurers from
denying coverage based on pre-existing conditions, among other
reforms.


2. Which of the following is true regarding the Medicare program?
A) Medicare provides coverage to individuals under the age of 65 who
have a disability.
B) Medicare is available only to U.S. citizens.
C) Medicare Part A covers outpatient services.
D) Medicare recipients must purchase Part A coverage.
Answer: A) Medicare provides coverage to individuals under the age
of 65 who have a disability.
Rationale: Medicare is a federal health insurance program that
primarily serves individuals age 65 and older. However, it also covers
younger individuals with disabilities, as well as those with certain
conditions like End-Stage Renal Disease (ESRD).

,3. What is the key difference between Medicare Advantage (Part C)
and Original Medicare?
A) Medicare Advantage plans are administered by the federal
government, whereas Original Medicare is administered by private
insurers.
B) Medicare Advantage plans provide extra benefits such as dental and
vision coverage, while Original Medicare does not.
C) Medicare Advantage plans are only available to individuals under 65.
D) There is no difference between Medicare Advantage and Original
Medicare.
Answer: B) Medicare Advantage plans provide extra benefits such as
dental and vision coverage, while Original Medicare does not.
Rationale: Medicare Advantage plans (Part C) are offered by private
insurers and often include additional benefits such as dental, vision, and
hearing coverage that are not covered by Original Medicare (Parts A and
B).


4. Under the Affordable Care Act (ACA), which of the following is
prohibited?
A) Charging higher premiums to individuals based on their age
B) Denying coverage due to pre-existing conditions
C) Offering subsidies to middle-income individuals
D) All of the above
Answer: B) Denying coverage due to pre-existing conditions
Rationale: One of the major provisions of the ACA is the prohibition of
insurance companies from denying coverage based on pre-existing

,conditions. This is a key feature designed to make health insurance
accessible to more people.


5. Which of the following is typically covered by a standard health
insurance policy?
A) Routine dental care
B) Long-term care
C) Preventive services like vaccinations and screenings
D) Cosmetic surgery
Answer: C) Preventive services like vaccinations and screenings
Rationale: Standard health insurance policies often cover preventive
services such as vaccinations and screenings at no additional cost to the
insured. Routine dental care and cosmetic surgery are typically not
covered under standard policies unless specified.


6. Which of the following is a feature of Health Maintenance
Organization (HMO) plans?
A) Members can choose any doctor or hospital for services.
B) Referrals from a primary care physician (PCP) are generally required
for specialist visits.
C) HMO plans have no network restrictions.
D) HMO plans provide coverage for out-of-network care at a lower cost.
Answer: B) Referrals from a primary care physician (PCP) are generally
required for specialist visits.
Rationale: Health Maintenance Organization (HMO) plans require
members to choose a primary care physician (PCP) and get referrals

, from the PCP before seeing specialists. This is a characteristic feature of
HMO networks, which help control costs and provide coordinated care.


7. What is the role of the insurance premium in a health insurance
policy?
A) It is the amount the insured pays each time they visit a doctor.
B) It is the amount the insured pays periodically (monthly, quarterly, or
annually) to maintain their health insurance coverage.
C) It is the amount the insurance company pays to the insured for
covered services.
D) It is the maximum amount the insured has to pay out-of-pocket for
covered services.
Answer: B) It is the amount the insured pays periodically (monthly,
quarterly, or annually) to maintain their health insurance coverage.
Rationale: The premium is the amount that an insured person must pay
to the insurance company on a regular basis to maintain health
insurance coverage. It is distinct from co-payments or deductibles,
which are additional costs incurred when receiving services.


8. Under the ACA, which of the following is a feature of the Health
Insurance Marketplace?
A) Only government-run plans are available.
B) People with incomes between 100% and 400% of the Federal Poverty
Level (FPL) may qualify for subsidies.
C) Marketplace plans do not have coverage for preventive services.
D) The Marketplace is only available to individuals over 65 years of age.

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