AHIP MODULE 1-5 EXAM
(Questions & Answers)
MODULE 1: Medicare Basics
1.What is the primary purpose of Medicare Part A?oA) Covers prescription drugs oB) Provides inpatient hospital coverage oC) Offers supplemental private insurance oD) Covers outpatient services
Answer: B) Provides inpatient hospital coverage
Rationale: Medicare Part A is known as "Hospital Insurance" and covers inpatient care, skilled nursing facility care, hospice, and some home health services.
2.Which Medicare part covers outpatient services, including doctor visits and preventive care?oA) Part A oB) Part B oC) Part C oD) Part D
Answer: B) Part B
Rationale: Medicare Part B covers medically necessary services (doctor visits, lab tests, preventive care) and outpatient care.
3.What is the standard premium for Medicare Part B in 2025? 1 / 2
oA) $0 oB) $174.70 oC) $240.60 oD) Varies based on income
Answer: B) $174.70
Rationale: The standard Part B premium in 2025 is $174.70, though higher-income beneficiaries pay more (IRMAA).
MODULE 2: Medicare Advantage (Part C)
4.Which of the following is a key feature of Medicare Advantage (Part C)?oA) Only covers inpatient care oB) Replaces Original Medicare (Parts A & B) oC) Does not include prescription drug coverage oD) Requires Medigap enrollment
Answer: B) Replaces Original Medicare (Parts A & B)
Rationale: Medicare Advantage plans are offered by private insurers and bundle
Parts A, B, and often Part D (drug coverage).
5.What is the maximum out-of-pocket (MOOP) limit for Medicare Advantage plans in 2025?oA) $3,000 oB) $5,300 oC) $8,850 oD) No limit
- / 2