AHIP MCQ 3

Question 1

What is the primary purpose of a Health Savings Account (HSA)?

Accepted Answer

To save pre-tax dollars for qualified medical expenses paired with an HDHP

Answer

HSAs allow individuals with HDHPs to contribute pre-tax funds for qualified medical expenses, with a triple tax advantage.

Question 2

Which of the following best describes the difference between coinsurance and a copayment?

Accepted Answer

Coinsurance is a percentage of the claim cost; copayment is a flat dollar amount

Answer

Coinsurance is the member's percentage share of a covered service cost, while a copayment is a fixed dollar amount per visit or service.

Question 3

A Medicare beneficiary who disenrolls from a Medicare Advantage plan during the Medicare Advantage Open Enrollment Period (MA OEP) can do which of the following?

Accepted Answer

Enroll in a different MA plan or return to Original Medicare with or without a standalone Part D plan

Answer

During the MA OEP (January 1–March 31), beneficiaries can switch to another MA plan or drop MA and return to Original Medicare, and may add a PDP.

Question 4

Under the Affordable Care Act, which metal tier plan has the highest actuarial value?

Accepted Answer

Platinum

Answer

Platinum plans have an actuarial value of approximately 90%, meaning the plan pays 90% of covered expenses on average.

Question 5

Which of the following is a key difference between Medicare Supplement (Medigap) and Medicare Advantage plans?

Accepted Answer

Medigap plans work alongside Original Medicare; Medicare Advantage replaces it

Answer

Medigap plans supplement Original Medicare by covering cost-sharing gaps, while Medicare Advantage replaces Original Medicare with a private plan.

AHIP - America's Health Insurance Plans Practice Test

AHIP - America's Health Insurance Plans Practice Test

AHIP MCQ 3