North Carolina Medicare Supplement and Long Term Care Exam Questions and Answers Study Guide Complete 2 Files Insurance License Exam Prep 2026/ 2027

North Carolina Medicare Supplement and Long Term Care Exam Questions and Answers Study Guide Complete 2 Files Insurance License Exam Prep 2026/ 2027 What is a system of classifying hospital patients on the basis of diagnosis consisting of distinct groupings? A. Patient diagnostic system B. Distinct grouping assignment C. Patient classification basis D. Diagnosis-related group - ANSWER -D. Diagnosis-related group What two types of long-term care insurance policies resulted from the Health Insurance Portability and Accountability Act? - ANSWER -Tax qualified and non tax qualified Medicare Part B covers which of the following expenses? A. Hospital care B. Physicians' services C. Hospice care D. Skilled nursing home care - ANSWER -B. Physicians' services Medicare pays the remaining 80% of covered Medicare Part B charges after: A. Premiums are paid B. The annual deductible is met C. The $1,000 deductible is met D. The blood deductible is met - ANSWER -B. The annual deductible is met Medicare Part A covers which of the following services? A. Medications B. Hospital room and board C. Physicians services D. Surgical services - ANSWER -B. Hospital room and board Which of the following services in NOT excluded under Medicare Part B? A. Custodial care B. Skilled nursing care C. Diagnostic tests D. Routine physical exams - ANSWER -C. Diagnostic tests Premiums for Medicare Part B are based on: . - ANSWER -An individual's annual earnings Managed care companies have entered the medicare services market through the expansion of which of the following: A. Part A B. Part B C. Part C D. Medicare supplement policies - ANSWER -C. Part C A Medicare Medical Savings Account is comprised of what? - ANSWER -A high-deductible medicare plan and a savings account All approved charges under Medicare Part A will be covered for ________ after the deductible has been met? A. For days 1 through 60 B For days 91 through 150 C. After 150 days D. For days 61 through 90 - ANSWER -A. For days 1 through 60 An insurance provider suggests to Jim that he purchase a second Medicare supplement policy in order to provide coverage for all his medical costs. What describes this offer? - ANSWER -Illegal. The sale of a supplement that provides the client with more than one medicare supplement is prohibited by law. A tax-qualified long-term care insurance policy enables policy owners deduct premiums as a medical expense and to also do which of the following: A. Receive unlimited benefits tax free B. Receive limited benefits tax free C. Receive a partial return of premium if no claim is filed within ten years D. Receive a partial return of premium if no claim is filed within three years - ANSWER -B. Receive limited benefits tax free J received the following home health services: housekeeping, shopping, custodial care and physical therapy. Which of these services will be covered by Medicare Part A? A. Housekeeping B. Shopping C. Custodial Care D. Physical therapy - ANSWER -D. Physical therapy When can individuals change from Original Medicare to Part C Medicare coverage? - ANSWER -During open enrollment. The open enrollment period is Oct. 15th to Dec. 7th, with coverage beginning on Jan. 1st. Which of the following is covered by Medicare Part C: A. Skilled nursing facility care B. Doctors' services C. Occupational therapy D. Managed care plans - ANSWER -D. Managed care plans