AHIP Test Answers PDF 2023

Free Download AHIP Test Answers PDF exclusively for graduates looking for a career in the health insurance industry. The AHIP test refers to a series of certification exams offered by AHIP (America's Health Insurance Plans) to individuals working in the health insurance industry. This certification can be valuable for individuals seeking to advance their careers, as it demonstrates a level of knowledge and competency in the field. We have provided the Test Answers and sample questions in PDF format for this test below.

AHIP Exam Details

The AHIP certification exams cover a range of topics related to the health insurance industry, such as health insurance products, regulations and compliance, healthcare delivery systems, and health policy. The exams are designed to assess the knowledge and competency of individuals working in the industry and provide a recognized certification to demonstrate their expertise.

There are several different AHIP certification exams, including -

Health Insurance Associate (HIA)
Managed Healthcare Professional (MHP)
Compliance Professional (HACP), among others.

The requirements and format of each exam may vary, but they generally consist of multiple-choice questions and are administered online.

Sample AHIP Test Questions and Answers

Here are some examples of the types of questions you may encounter:

1. Which of the following is not a type of managed care organization?

a. Health Maintenance Organization (HMO)

b. Preferred Provider Organization (PPO)

c. Point of Service Plan (POS)

d. Fee-for-Service Plan (FFS)

2. Under the Affordable Care Act (ACA), which of the following is true regarding essential health benefits?

a. All individual and small group health insurance plans must offer coverage for essential health benefits.

b. Essential health benefits are only required for large group health insurance plans.

c. Essential health benefits are optional for all health insurance plans.

d. Essential health benefits are only required for individual health insurance plans.

3. Which of the following is a characteristic of a High Deductible Health Plan (HDHP)?

a. HDHPs must have a deductible of at least $1,000 for individuals and $2,000 for families.

b. HDHPs do not offer any preventive care benefits.

c. HDHPs cannot be paired with a Health Savings Account (HSA).

d. HDHPs have lower out-of-pocket maximums compared to traditional health plans.

4. Which of the following is true about Medicaid?

a. It is a federal program that provides health coverage to low-income individuals and families.

b. It is a state-run program that provides health coverage to low-income individuals and families.

c. It is a program that provides health coverage to all US citizens and legal residents.

d. It is a program that only covers hospitalizations and emergency room visits.

5. Which of the following is a requirement for a health insurance plan to be considered a Qualified Health Plan (QHP) under the Affordable Care Act (ACA)?

a. It must offer coverage for all essential health benefits.

b. It must be sold through a state-based health insurance exchange.

c. It must be available to all individuals regardless of pre-existing conditions.

d. It must have a deductible of no more than $10,000 for individuals and $20,000 for families.

6. Which of the following is true about Medicare Advantage (MA) plans?

a. They are only available to individuals over the age of 75.

b. They offer more limited benefits than Original Medicare.

c. They are offered by private insurance companies that contract with Medicare.

d. They do not cover prescription drug costs.

7. Which of the following is a requirement for a health insurance plan to be considered a grandfathered plan under the Affordable Care Act (ACA)?

a. It must offer coverage for all essential health benefits.

b. It must have been in existence prior to March 23, 2010.

c. It must be available to all individuals regardless of pre-existing conditions.

d. It must have a deductible of no more than $5,000 for individuals and $10,000 for families.

8. Which of the following is true about the Health Insurance Portability and Accountability Act (HIPAA)?

a. It requires all health insurance plans to cover mental health and substance abuse treatment.

b. It prohibits health insurance plans from discriminating based on pre-existing conditions.

c. It establishes national standards for electronic healthcare transactions and privacy of patient health information.

d. It mandates that all employers with 50 or more employees must offer health insurance coverage to their employees.

9. Which of the following is a benefit of a Health Savings Account (HSA)?

a. Contributions to an HSA are taxable.

b. Funds in an HSA can only be used for medical expenses incurred during the current calendar year.

c. HSA funds can be used to pay for non-medical expenses without penalty.

d. Contributions to an HSA are tax-deductible.