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100% Reliable AHIP 2025 Exam Answer Key for Guaranteed Pass

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100% Reliable AHIP 2025 Exam Answer Key for Guaranteed Pass

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

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  • 100 reliable ahip 2025 exam answer key for guaran

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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. Which of the following best describes the role of the Centers for
Medicare & Medicaid Services (CMS)?
A) Provide direct healthcare services to individuals
B) Administer health insurance programs like Medicare and Medicaid
C) Set premiums for private health insurance companies
D) Regulate the pharmaceutical industry
Answer: B) Administer health insurance programs like Medicare and
Medicaid
Rationale: CMS is the federal agency responsible for overseeing the
Medicare and Medicaid programs. It doesn't provide direct healthcare
services but instead administers and regulates these public health
insurance programs.


2. What is the primary purpose of the Affordable Care Act (ACA)?
A) To increase the profits of private health insurance companies
B) To provide universal healthcare coverage through a single-payer
system
C) To expand access to health insurance and reduce healthcare costs
D) To reduce the federal budget for healthcare spending
Answer: C) To expand access to health insurance and reduce
healthcare costs
Rationale: The ACA aimed to increase access to health insurance for
Americans, reduce the number of uninsured individuals, and make
healthcare more affordable by implementing measures such as
Medicaid expansion and Health Insurance Marketplaces.

,3. Which of the following is a characteristic of a Health Maintenance
Organization (HMO)?
A) Patients can see any specialist without a referral
B) Patients must choose a primary care physician (PCP) and get referrals
to see specialists
C) It typically offers a larger network of healthcare providers compared
to PPO plans
D) No need for a network of doctors or hospitals
Answer: B) Patients must choose a primary care physician (PCP) and
get referrals to see specialists
Rationale: HMOs typically require members to select a PCP, who acts as
a gatekeeper for accessing specialist care. Referrals are generally
needed for specialist visits, and care is usually provided within a limited
network of providers.


4. What is the purpose of a deductible in a health insurance plan?
A) To cover the cost of preventive care
B) To set the maximum amount a person will have to pay for covered
services
C) To require the insured person to pay a specified amount out-of-
pocket before insurance begins to pay
D) To pay for non-covered services like cosmetic procedures
Answer: C) To require the insured person to pay a specified amount
out-of-pocket before insurance begins to pay
Rationale: The deductible is the amount the insured must pay out-of-
pocket for healthcare services before the insurance coverage kicks in.

,Once the deductible is met, the insurance starts paying according to the
plan’s terms.


5. Which of the following is a key feature of a Preferred Provider
Organization (PPO) plan?
A) Requires members to choose a primary care physician
B) Offers a limited network of doctors
C) Allows members to see out-of-network providers, though at a higher
cost
D) Does not cover out-of-network services
Answer: C) Allows members to see out-of-network providers, though
at a higher cost
Rationale: PPOs provide more flexibility compared to HMOs by allowing
members to see out-of-network providers without a referral, although
the costs are higher for out-of-network care.


6. Which of the following is a type of managed care plan that requires
members to get a referral from their primary care physician before
seeing a specialist?
A) PPO
B) HMO
C) POS
D) HDHP
Answer: B) HMO
Rationale: HMO (Health Maintenance Organization) plans require
members to have a primary care physician who coordinates their care
and provides referrals for specialist visits.

, 7. Under the Medicare program, what is the coverage for prescription
drugs known as?
A) Part A
B) Part B
C) Part C
D) Part D
Answer: D) Part D
Rationale: Medicare Part D provides prescription drug coverage for
Medicare beneficiaries. It is an optional program that helps lower the
cost of prescription medications.


8. Which of the following is a feature of a High Deductible Health Plan
(HDHP)?
A) Low premiums and low deductibles
B) High premiums and high deductibles
C) High premiums with low out-of-pocket costs
D) High deductibles paired with a Health Savings Account (HSA)
Answer: D) High deductibles paired with a Health Savings Account
(HSA)
Rationale: HDHPs typically have higher deductibles, but they are often
paired with Health Savings Accounts (HSAs), which allow individuals to
save money tax-free to pay for healthcare expenses.


9. What is the purpose of the Health Insurance Marketplace (also
known as the Exchange)?

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