MCQ Flashcards
7 cards from real AHIP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 MCQ flashcards as text
What is the primary purpose of a Health Savings Account (HSA)?
Answer: To save pre-tax dollars for qualified medical expenses paired with an HDHP
HSAs allow individuals with HDHPs to contribute pre-tax funds for qualified medical expenses, with a triple tax advantage.
Which of the following best describes the difference between coinsurance and a copayment?
Answer: Coinsurance is a percentage of the claim cost; copayment is a flat dollar amount
Coinsurance is the member's percentage share of a covered service cost, while a copayment is a fixed dollar amount per visit or service.
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?
Answer: Enroll in a different MA plan or return to Original Medicare with or without a standalone Part D plan
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.
Under the Affordable Care Act, which metal tier plan has the highest actuarial value?
Answer: Platinum
Platinum plans have an actuarial value of approximately 90%, meaning the plan pays 90% of covered expenses on average.
Which of the following is a key difference between Medicare Supplement (Medigap) and Medicare Advantage plans?
Answer: Medigap plans work alongside Original Medicare; Medicare Advantage replaces it
Medigap plans supplement Original Medicare by covering cost-sharing gaps, while Medicare Advantage replaces Original Medicare with a private plan.
When calculating an ACA marketplace subsidy (Premium Tax Credit), which income benchmark is used?
Answer: Modified Adjusted Gross Income (MAGI)
The Premium Tax Credit is based on MAGI, which includes AGI plus certain non-taxable income such as Social Security benefits.
Which federal law prohibits group health plans from imposing pre-existing condition exclusions on enrollees who have maintained creditable coverage with no break of more than 63 days?
Answer: HIPAA
HIPAA's portability provisions restrict pre-existing condition exclusion periods based on prior creditable coverage before the ACA eliminated them for most plans.