AHIP 2025 Final Exam Practice Test(200 Latest Questions and Answers(100% Verified Answers, Exams of Nursing

Download AHIP 2025 Final Exam Practice Test(200 Latest Questions and Answers(100% Verified Answers and more Exams Nursing in PDF only on Docsity!

AHIP 2024 final exam

· Which of the following is a characteristic of a high-deductible health plan (HDHP)? · A) Lower premiums B) Lower deductibles C) More comprehensive coverage D) No out-of-pocket costs · Correct Answer: A) Lower premiums · · Which of the following is a true statement about Medicare Part A? · A) It covers prescription drugs. B) It is free for most beneficiaries. C) It covers hospital stays. D) It has no coverage limits. · Correct Answer: C) It covers hospital stays. · · Which of the following is NOT an advantage of a Health Maintenance Organization (HMO) plan? · A) Lower out-of-pocket costs B) No need for a primary care physician (PCP) C) Preventive care services are covered D) Coordination of care by a primary care physician · Correct Answer: B) No need for a primary care physician (PCP) · · Which of the following is NOT a factor that can affect health insurance premiums?

· A) Age B) Gender C) Marital status D) Smoking status · Correct Answer: C) Marital status · · Which of the following is a characteristic of a Preferred Provider Organization (PPO) plan? · A) Requires referrals to see specialists B) Limits coverage to in-network providers C) Offers more flexibility in choosing healthcare providers D) Typically has higher out-of-pocket costs · Correct Answer: C) Offers more flexibility in choosing healthcare providers · · Which of the following is a characteristic of a Health Savings Account (HSA)? · A) Contributions are tax-deductible B) Funds can only be used for prescription drugs C) Funds do not roll over from year to year D) Only available to individuals with employer-sponsored health insurance · Correct Answer: A) Contributions are tax-deductible · · Which of the following is a true statement about Medicaid? · A) It is only available to individuals over 65 years old B) It is funded solely by the federal government C) It provides health coverage to low-income individuals and families D) It covers all healthcare services with no out-of-pocket costs · Correct Answer: C) It provides health coverage to low-income individuals and families · · Which of the following is NOT a type of Medicare Advantage plan?

· A) Health Maintenance Organization (HMO) B) Preferred Provider Organization (PPO) C) Exclusive Provider Organization (EPO) D) Fee-for-Service (FFS) · Correct Answer: D) Fee-for-Service (FFS) · · Which of the following is a true statement about Medicare Part D? · A) It covers all prescription drugs at no cost to the beneficiary B) It is only available to individuals enrolled in Medicare Part A C) It is administered by state governments D) It helps cover the cost of prescription drugs · Correct Answer: D) It helps cover the cost of prescription drugs · · Which of the following is a factor that can affect an individual's eligibility for premium tax credits through the Health Insurance Marketplace? · A) Age B) Employment status C) Immigration status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a requirement for an insurance plan to be considered a Qualified Health Plan (QHP) under the Affordable Care Act (ACA)? · A) Coverage for pre-existing conditions B) Coverage for preventive services with no cost-sharing C) Coverage for prescription drugs D) Coverage for all healthcare services with no out-of-pocket costs · Correct Answer: B) Coverage for preventive services with no cost-sharing

· · Which of the following is a true statement about the Children's Health Insurance Program (CHIP)? · A) It is available only to children whose parents are enrolled in Medicaid B) It is funded solely by state governments C) It provides health coverage to low-income children and pregnant women D) It covers only emergency medical services · Correct Answer: C) It provides health coverage to low-income children and pregnant women · · Which of the following is NOT a type of Medicaid managed care plan? · A) Health Maintenance Organization (HMO) B) Preferred Provider Organization (PPO) C) Exclusive Provider Organization (EPO) D) Fee-for-Service (FFS) · Correct Answer: D) Fee-for-Service (FFS) · · Which of the following is a requirement for an insurance plan to be considered a catastrophic health plan? · A) Coverage for preventive services with no cost-sharing B) Coverage for prescription drugs C) Limited coverage for essential health benefits until the deductible is met D) No coverage for pre-existing conditions · Correct Answer: C) Limited coverage for essential health benefits until the deductible is met · · Which of the following is a true statement about the Special Enrollment Period (SEP) for health insurance? · A) It is available only to individuals with employer-sponsored health insurance B) It allows individuals to enroll in a health plan outside of the annual Open Enrollment Period

C) It is only available to individuals under 18 years old D) It is funded solely by the federal government · Correct Answer: B) It allows individuals to enroll in a health plan outside of the annual Open Enrollment Period · · Which of the following is a true statement about the Employer Shared Responsibility provision under the Affordable Care Act (ACA)? · A) It requires all employers to provide health insurance to their employees B) It only applies to employers with fewer than 50 full-time employees C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees D) It does not affect employer-sponsored health insurance plans · Correct Answer: C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees · · Which of the following is a factor that can affect an individual's eligibility for Medicaid? · A) Employment status B) Age C) Immigration status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the Health Insurance Marketplace? · A) It is only available to individuals with employer-sponsored health insurance B) It offers health insurance plans at a fixed price with no subsidies C) It allows individuals to compare and purchase health insurance plans D) It is funded solely by the state governments

· Correct Answer: C) It allows individuals to compare and purchase health insurance plans · · Which of the following is a requirement for an insurance plan to be considered a minimum essential coverage under the Affordable Care Act (ACA)? · A) Coverage for all healthcare services with no out-of-pocket costs B) Coverage for preventive services with no cost-sharing C) Coverage for prescription drugs D) Coverage for pre-existing conditions · Correct Answer: B) Coverage for preventive services with no cost-sharing · · Which of the following is a true statement about the Summary of Benefits and Coverage (SBC)? · A) It is only provided to individuals enrolled in Medicaid B) It is a standardized summary of a health plan's benefits and coverage C) It is required only for employer-sponsored health insurance plans D) It does not need to be provided to individuals who request it · Correct Answer: B) It is a standardized summary of a health plan's benefits and coverage · · Which of the following is a true statement about the coordination of benefits (COB) provision in health insurance? · A) It allows individuals to receive duplicate payments for the same medical expense B) It determines the order in which multiple insurance plans pay for an individual's healthcare expenses C) It is only applicable to Medicare beneficiaries D) It does not apply to prescription drug coverage · Correct Answer: B) It determines the order in which multiple insurance plans pay for an individual's healthcare expenses

· · Which of the following is a requirement for an insurance plan to be considered a grandfathered health plan under the Affordable Care Act (ACA)? · A) It must cover all essential health benefits B) It must have been in existence before March 23, 2010 C) It must be a high-deductible health plan (HDHP) D) It must be offered only through the Health Insurance Marketplace · Correct Answer: B) It must have been in existence before March 23, 2010 · · Which of the following is a true statement about the Medical Loss Ratio (MLR) requirement under the Affordable Care Act (ACA)? · A) It requires insurers to spend a minimum percentage of premium dollars on healthcare services and quality improvement B) It applies only to large group health plans C) It does not apply to self-insured health plans D) It allows insurers to spend more on administrative costs than on healthcare services · Correct Answer: A) It requires insurers to spend a minimum percentage of premium dollars on healthcare services and quality improvement · · Which of the following is a factor that can affect an individual's eligibility for premium subsidies through the Health Insurance Marketplace? · A) Age B) Employment status C) Smoking status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the grace period for premium payments in health insurance?

· A) It allows individuals to continue coverage for up to 90 days without paying premiums B) It is only applicable to employer-sponsored health insurance plans C) It does not apply to Medicaid D) It requires individuals to pay a penalty for late premium payments · Correct Answer: A) It allows individuals to continue coverage for up to 90 days without paying premiums · · Which of the following is a true statement about the Health Insurance Portability and Accountability Act (HIPAA)? · A) It allows insurers to deny coverage based on pre-existing conditions B) It prohibits insurers from imposing lifetime limits on coverage C) It only applies to employer-sponsored health insurance plans D) It does not protect the privacy of individuals' health information · Correct Answer: B) It prohibits insurers from imposing lifetime limits on coverage · · Which of the following is a requirement for an insurance plan to be considered a qualified small employer health reimbursement arrangement (QSEHRA)? · A) It must be offered only to full-time employees B) It must be funded solely by employer contributions C) It must reimburse employees for all healthcare expenses, including premiums for individual health insurance policies D) It must be offered in conjunction with a group health plan · Correct Answer: D) It must be offered in conjunction with a group health plan · · Which of the following is a true statement about the Consolidated Omnibus Budget Reconciliation Act (COBRA)? · A) It allows individuals to continue their employer-sponsored health insurance coverage for a limited period after losing their job B) It only applies to individuals enrolled in Medicare

C) It does not require individuals to pay the full premium for continued coverage D) It only applies to large employers with 100 or more employees · Correct Answer: A) It allows individuals to continue their employer-sponsored health insurance coverage for a limited period after losing their job · · Which of the following is a factor that can affect an individual's eligibility for Medicare Part B premium assistance? · A) Income B) Marital status C) Age D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the premium tax credit? · A) It is available only to individuals with employer-sponsored health insurance B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace C) It is not based on income D) It is funded solely by the federal government · Correct Answer: B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace · · Which of the following is a true statement about the Medicare Savings Programs (MSPs)? · A) They are only available to individuals enrolled in Medicare Part D B) They help low-income individuals and families pay for Medicare premiums and cost-sharing C) They are funded solely by the federal government D) They cover all healthcare services with no out-of-pocket costs

· Correct Answer: B) They help low-income individuals and families pay for Medicare premiums and cost-sharing · · Which of the following is a requirement for an insurance plan to be considered a qualified health plan (QHP) under the Affordable Care Act (ACA)? · A) It must cover all healthcare services with no out-of-pocket costs B) It must offer coverage for prescription drugs C) It must be offered only to individuals under 18 years old D) It must meet certain standards set by the Health Insurance Marketplace · Correct Answer: D) It must meet certain standards set by the Health Insurance Marketplace · · Which of the following is a true statement about Medicare Supplement Insurance (Medigap)? · A) It is a government program that provides prescription drug coverage to Medicare beneficiaries B) It is only available to individuals enrolled in Medicare Advantage plans C) It helps pay for some of the costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles D) It is funded solely by the state governments · Correct Answer: C) It helps pay for some of the costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles · · Which of the following is a factor that can affect an individual's eligibility for Medicaid expansion under the Affordable Care Act (ACA)? · A) Employment status B) Age C) Immigration status D) All of the above · Correct Answer: D) All of the above

· · Which of the following is a true statement about the Essential Health Benefits (EHB) under the Affordable Care Act (ACA)? · A) They include coverage for cosmetic surgery B) They vary from state to state C) They include coverage for preventive services with no cost-sharing D) They do not apply to employer-sponsored health insurance plans · Correct Answer: C) They include coverage for preventive services with no cost- sharing · · Which of the following is a true statement about the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA)? · A) It established the Medicaid program B) It created the Medicare Advantage program C) It required all Medicare beneficiaries to enroll in Medicare Part D D) It provided prescription drug coverage to Medicare beneficiaries through Medicare Part D · Correct Answer: D) It provided prescription drug coverage to Medicare beneficiaries through Medicare Part D · · Which of the following is a requirement for an insurance plan to be considered a minimum value health plan (MVHP) under the Affordable Care Act (ACA)? · A) It must cover all healthcare services with no out-of-pocket costs B) It must have an actuarial value of at least 60% C) It must be offered only to individuals under 18 years old D) It must cover only emergency medical services · Correct Answer: B) It must have an actuarial value of at least 60% · · Which of the following is a true statement about the Medicare Part D Coverage Gap (or "donut hole")?

· A) It refers to the period during which Medicare Part D beneficiaries pay a higher percentage of their prescription drug costs B) It does not apply to generic prescription drugs C) It is a permanent feature of the Medicare Part D program D) It begins after the initial coverage period ends · Correct Answer: A) It refers to the period during which Medicare Part D beneficiaries pay a higher percentage of their prescription drug costs · · Which of the following is a factor that can affect an individual's eligibility for the Special Enrollment Period (SEP) in the Health Insurance Marketplace? · A) Marital status B) Immigration status C) Loss of employer-sponsored coverage D) All of the above · Correct Answer: C) Loss of employer-sponsored coverage · · Which of the following is a true statement about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)? · A) It eliminated the Medicare program B) It established the Children's Health Insurance Program (CHIP) C) It repealed the Sustainable Growth Rate (SGR) formula D) It required all Medicare beneficiaries to enroll in Medicare Part D · Correct Answer: C) It repealed the Sustainable Growth Rate (SGR) formula · · Which of the following is a true statement about the Advanced Premium Tax Credit (APTC)? · A) It is available only to individuals with employer-sponsored health insurance B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace

C) It is not based on income D) It is funded solely by the federal government · Correct Answer: B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace · · Which of the following is a requirement for an insurance plan to be considered a qualified small employer health insurance option (QSEHIO) under the Affordable Care Act (ACA)? · A) It must cover all essential health benefits B) It must be offered only to individuals under 18 years old C) It must be funded solely by employer contributions D) It must be offered through the Health Insurance Marketplace · Correct Answer: A) It must cover all essential health benefits · · Which of the following is a true statement about the Health Reimbursement Arrangement (HRA)? · A) It is funded solely by employee contributions B) It allows employers to reimburse employees for qualified medical expenses, including health insurance premiums C) It is not subject to any restrictions or regulations D) It is available only to individuals enrolled in Medicare · Correct Answer: B) It allows employers to reimburse employees for qualified medical expenses, including health insurance premiums · · Which of the following is a factor that can affect an individual's eligibility for Medicaid in a state that has expanded Medicaid under the Affordable Care Act (ACA)? · A) Age B) Income

C) Employment status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the Children's Health Insurance Program (CHIP)? · A) It is funded solely by the federal government B) It provides health coverage only to children whose parents are enrolled in Medicaid C) It covers all healthcare services with no out-of-pocket costs D) It is administered by state governments · Correct Answer: D) It is administered by state governments · · Which of the following is a true statement about the Employer Shared Responsibility provision under the Affordable Care Act (ACA)? · A) It requires all employers, regardless of size, to offer health insurance to their employees B) It only applies to employers with fewer than 25 employees C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees D) It does not affect employer-sponsored health insurance plans · Correct Answer: C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees · · Which of the following is a requirement for an insurance plan to be considered a minimum essential coverage (MEC) under the Affordable Care Act (ACA)? · A) It must cover all healthcare services with no out-of-pocket costs B) It must offer coverage for prescription drugs C) It must meet certain standards set by the Health Insurance Marketplace D) It must be offered only to individuals under 18 years old

· Correct Answer: C) It must meet certain standards set by the Health Insurance Marketplace · · Which of the following is a true statement about the Medicaid program? · A) It is funded solely by the federal government B) It provides health coverage only to individuals over 65 years old C) It is administered by state governments D) It covers all healthcare services with no out-of-pocket costs · Correct Answer: C) It is administered by state governments · · Which of the following is a factor that can affect an individual's eligibility for premium tax credits through the Health Insurance Marketplace? · A) Employment status B) Age C) Immigration status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the Summary of Benefits and Coverage (SBC)? · A) It is only provided to individuals enrolled in Medicaid B) It is a standardized summary of a health plan's benefits and coverage C) It is required only for employer-sponsored health insurance plans D) It does not need to be provided to individuals who request it · Correct Answer: B) It is a standardized summary of a health plan's benefits and coverage · · Which of the following is a true statement about the Health Insurance Portability and Accountability Act (HIPAA)?

· A) It allows insurers to deny coverage based on pre-existing conditions B) It prohibits insurers from imposing lifetime limits on coverage C) It only applies to employer-sponsored health insurance plans D) It does not protect the privacy of individuals' health information · Correct Answer: B) It prohibits insurers from imposing lifetime limits on coverage · · Which of the following is a requirement for an insurance plan to be considered a grandfathered health plan under the Affordable Care Act (ACA)? · A) It must cover all essential health benefits B) It must have been in existence before March 23, 2010 C) It must be a high-deductible health plan (HDHP) D) It must be offered only through the Health Insurance Marketplace · Correct Answer: B) It must have been in existence before March 23, 2010 · · Which of the following is a true statement about the Medical Loss Ratio (MLR) requirement under the Affordable Care Act (ACA)? · A) It requires insurers to spend a minimum percentage of premium dollars on healthcare services and quality improvement B) It applies only to large group health plans C) It does not apply to self-insured health plans D) It allows insurers to spend more on administrative costs than on healthcare services · Correct Answer: A) It requires insurers to spend a minimum percentage of premium dollars on healthcare services and quality improvement · · Which of the following is a factor that can affect an individual's eligibility for premium subsidies through the Health Insurance Marketplace? · A) Age B) Employment status

C) Smoking status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the grace period for premium payments in health insurance? · A) It allows individuals to continue coverage for up to 90 days without paying premiums B) It is only applicable to employer-sponsored health insurance plans C) It does not apply to Medicaid D) It requires individuals to pay a penalty for late premium payments · Correct Answer: A) It allows individuals to continue coverage for up to 90 days without paying premiums · · Which of the following is a true statement about the Advanced Premium Tax Credit (APTC)? · A) It is available only to individuals with employer-sponsored health insurance B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace C) It is not based on income D) It is funded solely by the federal government · Correct Answer: B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace · · Which of the following is a requirement for an insurance plan to be considered a qualified small employer health insurance option (QSEHIO) under the Affordable Care Act (ACA)? · A) It must cover all essential health benefits B) It must be offered only to individuals under 18 years old

C) It must be funded solely by employer contributions D) It must be offered through the Health Insurance Marketplace · Correct Answer: A) It must cover all essential health benefits · · Which of the following is a true statement about the Health Reimbursement Arrangement (HRA)? · A) It is funded solely by employee contributions B) It allows employers to reimburse employees for qualified medical expenses, including health insurance premiums C) It is not subject to any restrictions or regulations D) It is available only to individuals enrolled in Medicare · Correct Answer: B) It allows employers to reimburse employees for qualified medical expenses, including health insurance premiums · · Which of the following is a factor that can affect an individual's eligibility for Medicaid in a state that has expanded Medicaid under the Affordable Care Act (ACA)? · A) Age B) Income C) Employment status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the Children's Health Insurance Program (CHIP)? · A) It is funded solely by the federal government B) It provides health coverage only to children whose parents are enrolled in Medicaid C) It covers all healthcare services with no out-of-pocket costs D) It is administered by state governments

· Correct Answer: D) It is administered by state governments · · Which of the following is a true statement about the Employer Shared Responsibility provision under the Affordable Care Act (ACA)? · A) It requires all employers, regardless of size, to offer health insurance to their employees B) It only applies to employers with fewer than 25 employees C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees D) It does not affect employer-sponsored health insurance plans · Correct Answer: C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees · · Which of the following is a requirement for an insurance plan to be considered a minimum essential coverage (MEC) under the Affordable Care Act (ACA)? · A) It must cover all healthcare services with no out-of-pocket costs B) It must offer coverage for prescription drugs C) It must meet certain standards set by the Health Insurance Marketplace D) It must be offered only to individuals under 18 years old · Correct Answer: C) It must meet certain standards set by the Health Insurance Marketplace · · Which of the following is a true statement about the Medicaid program? · A) It is funded solely by the federal government B) It provides health coverage only to individuals over 65 years old C) It covers all healthcare services with no out-of-pocket costs D) It is administered by state governments · Correct Answer: D) It is administered by state governments · · Which of the following is a factor that can affect an individual's eligibility for premium tax credits through the Health Insurance Marketplace?

· A) Age B) Employment status C) Immigration status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the Summary of Benefits and Coverage (SBC)? · A) It is only provided to individuals enrolled in Medicaid B) It is a standardized summary of a health plan's benefits and coverage C) It is required only for employer-sponsored health insurance plans D) It does not need to be provided to individuals who request it · Correct Answer: B) It is a standardized summary of a health plan's benefits and coverage · · Which of the following is a true statement about the Advanced Premium Tax Credit (APTC)? · A) It is available only to individuals with employer-sponsored health insurance B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace C) It is not based on income D) It is funded solely by the federal government · Correct Answer: B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace · · Which of the following is a requirement for an insurance plan to be considered a qualified small employer health insurance option (QSEHIO) under the Affordable Care Act (ACA)? · A) It must cover all essential health benefits B) It must be offered only to individuals under 18 years old

C) It must be funded solely by employer contributions D) It must be offered through the Health Insurance Marketplace · Correct Answer: A) It must cover all essential health benefits · · Which of the following is a true statement about the Health Reimbursement Arrangement (HRA)? · A) It is funded solely by employee contributions B) It allows employers to reimburse employees for qualified medical expenses, including health insurance premiums C) It is not subject to any restrictions or regulations D) It is available only to individuals enrolled in Medicare · Correct Answer: B) It allows employers to reimburse employees for qualified medical expenses, including health insurance premiums · · Which of the following is a factor that can affect an individual's eligibility for Medicaid in a state that has expanded Medicaid under the Affordable Care Act (ACA)? · A) Age B) Income C) Employment status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the Children's Health Insurance Program (CHIP)? · A) It is funded solely by the federal government B) It provides health coverage only to children whose parents are enrolled in Medicaid C) It covers all healthcare services with no out-of-pocket costs D) It is administered by state governments

· Correct Answer: D) It is administered by state governments · · Which of the following is a true statement about the Employer Shared Responsibility provision under the Affordable Care Act (ACA)? · A) It requires all employers, regardless of size, to offer health insurance to their employees B) It only applies to employers with fewer than 25 employees C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees D) It does not affect employer-sponsored health insurance plans · Correct Answer: C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees · · Which of the following is a requirement for an insurance plan to be considered a minimum essential coverage (MEC) under the Affordable Care Act (ACA)? · A) It must cover all healthcare services with no out-of-pocket costs B) It must offer coverage for prescription drugs C) It must meet certain standards set by the Health Insurance Marketplace D) It must be offered only to individuals under 18 years old · Correct Answer: C) It must meet certain standards set by the Health Insurance Marketplace · · Which of the following is a true statement about the Medicaid program? · A) It is funded solely by the federal government B) It provides health coverage only to individuals over 65 years old C) It covers all healthcare services with no out-of-pocket costs D) It is administered by state governments · Correct Answer: D) It is administered by state governments · · Which of the following is a factor that can affect an individual's eligibility for premium tax credits through the Health Insurance Marketplace?

· A) Age B) Employment status C) Immigration status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the Summary of Benefits and Coverage (SBC)? · A) It is only provided to individuals enrolled in Medicaid B) It is a standardized summary of a health plan's benefits and coverage C) It is required only for employer-sponsored health insurance plans D) It does not need to be provided to individuals who request it · Correct Answer: B) It is a standardized summary of a health plan's benefits and coverage · · Which of the following is a true statement about the Advanced Premium Tax Credit (APTC)? · A) It is available only to individuals with employer-sponsored health insurance B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace C) It is not based on income D) It is funded solely by the federal government · Correct Answer: B) It helps lower-income individuals and families afford health insurance coverage through the Health Insurance Marketplace · · Which of the following is a requirement for an insurance plan to be considered a qualified small employer health insurance option (QSEHIO) under the Affordable Care Act (ACA)? · A) It must cover all essential health benefits B) It must be offered only to individuals under 18 years old

C) It must be funded solely by employer contributions D) It must be offered through the Health Insurance Marketplace · Correct Answer: A) It must cover all essential health benefits · · Which of the following is a true statement about the Health Reimbursement Arrangement (HRA)? · A) It is funded solely by employee contributions B) It allows employers to reimburse employees for qualified medical expenses, including health insurance premiums C) It is not subject to any restrictions or regulations D) It is available only to individuals enrolled in Medicare · Correct Answer: B) It allows employers to reimburse employees for qualified medical expenses, including health insurance premiums · · Which of the following is a factor that can affect an individual's eligibility for Medicaid in a state that has expanded Medicaid under the Affordable Care Act (ACA)? · A) Age B) Income C) Employment status D) All of the above · Correct Answer: D) All of the above · · Which of the following is a true statement about the Children's Health Insurance Program (CHIP)? · A) It is funded solely by the federal government B) It provides health coverage only to children whose parents are enrolled in Medicaid C) It covers all healthcare services with no out-of-pocket costs D) It is administered by state governments

· Correct Answer: D) It is administered by state governments · · Which of the following is a true statement about the Employer Shared Responsibility provision under the Affordable Care Act (ACA)? · A) It requires all employers, regardless of size, to offer health insurance to their employees B) It only applies to employers with fewer than 25 employees C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees D) It does not affect employer-sponsored health insurance plans · Correct Answer: C) It imposes a penalty on large employers that do not offer affordable health insurance to their full-time employees · · Which of the following is a requirement for an insurance plan to be considered a minimum essential coverage (MEC) under the Affordable Care Act (ACA)? · A) It must cover all healthcare services with no out-of-pocket costs B) It must offer coverage for prescription drugs C) It must meet certain standards set by the Health Insurance Marketplace D) It must be offered only to individuals under 18 years old · Correct Answer: C) It must meet certain standards set by the Health Insurance Marketplace · · Which of the following is a true statement about the Medicaid program? · A) It is funded solely by the federal government B) It provides health coverage only to individuals over 65 years old C) It covers all healthcare services with no out-of-pocket costs D) It is administered by state governments · Correct Answer: D) It is administered by state governments · · Which of the following is a factor that can affect an individual's eligibility for premium tax credits through the Health Insurance Marketplace?