North Carolina Medicare Supplement and
Long Term Care EXAM STUDY GUIDE
2026/2027 COMPLETE QUESTIONS WITH
VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Medicare - ANSWER ✔ Health insurance for those over age 65, people
under 65 with certain disabilities & those with ESRD (end stage renal
disease - permanent kidney failure requiring dialysis or kidney transplant)
2. CMS - ANSWER ✔ Centers for Medicare and Medicaid Services
administers the Medicare program. Social Security Administration handles
most of the enrollment & plays a role in claims appeal process.
3. MAC - ANSWER ✔ Medicare Administrative Contractor - company
contracted to administer Part A & Part B claims.
4. Medicare Part A - ANSWER ✔ -hospital coverage
-no premium requirements for those with 40 "work credits" of FICA or Self
Employment tax credits.
-Those who don't qualify can voluntarily participate by paying a monthly
premium
,5. Medicare Part B - ANSWER ✔ The part of the Medicare program that pays
for physician services, outpatient hospital services, durable medical
equipment, and other services and supplies.
-Has a monthly premium of $135.50 in 2019 which is deducted from SS
check.
-Part B enrollment is optional. You can reject Part B by signing a rejection
form.
6. Medicare Part C - ANSWER ✔ Medicare Advantage Plans that are offered
through private insurance companies that provide both hospital and
physician coverage and possible prescriptions - financed by Social Security
and monthly premiums
7. Medicare Eligibility - ANSWER ✔ -Over age 65 who have earned 40 "work
credits" in order to receive premium free part A benefits
-Permanently disabled prior to age 65 for at least 24 months
-ESRD or kidney disease requiring dialysis or kidney transplant
8. Insurers selling Medicare Supplement Insurance - ANSWER ✔ Required to
pay out a certain percentage of premiums collected each year in benefits.
Insurers are not allowed to make a high profit.
-Group policies- at least 75% of aggregate premiums earned.
-Individual policies- at least 65%
9. Med Supp Disclosure Provisions - ANSWER ✔ -"Outline of Coverage"
must be provided at time of application & a signed acknowledgement of
receipt from applicant must be collected.
-Must include renewal or continuation provision on first page
-Riders added after issuance that affects policy coverage & premium must
have a signed acceptance from insured
-"Reasonable & Customary" must define the term & explained in outline of
coverage.
, -ALL supplement policies MUST have a 30 Day Free Look Period
-All applicant must be provided a NC Buyer's Guide from NAIC AND a
Medicare Supplement Buyer's Guide from CMS at time of application.
10.Open Enrollment for Med Supp - ANSWER ✔ Best time to buy a Medigap
policy is during the 6 month window starting with first month when applied
for Part B benefits. Cannot be declined or rated due to health status for
medical conditions.
-Normal preexisting conditions exclusions still apply
11.Medicare Advantage to Med Supp? - ANSWER ✔ If you dis-enroll from
Medicare Advantage within 12 months, you can still get Med Supp.
12.Marketing Standards for Med Supp - ANSWER ✔ -Comparisons of policies
will be fair & accurate
-Avoid sale or issuance of excessive insurance. Do they have A&H?
-On first page "Notice to buyer: This policy may not cover all your medical
expenses"
-High pressure tactics are prohibited.
-Twisting is prohibited
-Cold lead advertising is prohibited
-All ads must be submitted to Commissioner for approval at least 90 days
prior to use.
-On or before March 1st, ea insurer must report policy #s & issue dates for
each state resident that has duplicate med supp policies
13.Med Supp Application & Replacement - ANSWER ✔ -Both applicant &
agent must sign application containing terms designed to disclose duplicate
or replacement policies
-Agents shall list any other health policies they've sold to applicant within
the last 5 years that are no longer active.
, -If replacement, "Notice Regarding Replacement of Medicare Supplement
Insurance" must be signed by both agent & applicant with each retaining a
copy.
-Insurer must waive time periods if already fulfilled under original policy.
e.g. probationary periods, etc...
-Individual cannot have more than 1 such policy. Illegal for agent to sell a
Medigap to someone who has Medicare Advantage unless switching to
original Medicare.
14.A person who is not eligible for premium-free medicare Part A coverage
must pay:
A. A monthly premium of $115.40
B. A monthly premium of $422
C. A monthly premium of $283
D. A monthly premium of $141.50 - ANSWER ✔ B. A monthly
premium of $422
15.At what point during the year can you switch to a different Part D plan?
A. Between November 15 and Dec. 31
B. Between June 1 & Sept. 1
C. Any time
D. Jan. 1 until March 1 - ANSWER ✔ A. Between Nov. 15 and Dec. 31
16.Which of the following medical services is not covered by Medicare Part B?
A. Preventive care
B. Private duty nursing
C. Physician's fees
D. Outpatient care - ANSWER ✔ B. Private duty nursing
Long Term Care EXAM STUDY GUIDE
2026/2027 COMPLETE QUESTIONS WITH
VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Medicare - ANSWER ✔ Health insurance for those over age 65, people
under 65 with certain disabilities & those with ESRD (end stage renal
disease - permanent kidney failure requiring dialysis or kidney transplant)
2. CMS - ANSWER ✔ Centers for Medicare and Medicaid Services
administers the Medicare program. Social Security Administration handles
most of the enrollment & plays a role in claims appeal process.
3. MAC - ANSWER ✔ Medicare Administrative Contractor - company
contracted to administer Part A & Part B claims.
4. Medicare Part A - ANSWER ✔ -hospital coverage
-no premium requirements for those with 40 "work credits" of FICA or Self
Employment tax credits.
-Those who don't qualify can voluntarily participate by paying a monthly
premium
,5. Medicare Part B - ANSWER ✔ The part of the Medicare program that pays
for physician services, outpatient hospital services, durable medical
equipment, and other services and supplies.
-Has a monthly premium of $135.50 in 2019 which is deducted from SS
check.
-Part B enrollment is optional. You can reject Part B by signing a rejection
form.
6. Medicare Part C - ANSWER ✔ Medicare Advantage Plans that are offered
through private insurance companies that provide both hospital and
physician coverage and possible prescriptions - financed by Social Security
and monthly premiums
7. Medicare Eligibility - ANSWER ✔ -Over age 65 who have earned 40 "work
credits" in order to receive premium free part A benefits
-Permanently disabled prior to age 65 for at least 24 months
-ESRD or kidney disease requiring dialysis or kidney transplant
8. Insurers selling Medicare Supplement Insurance - ANSWER ✔ Required to
pay out a certain percentage of premiums collected each year in benefits.
Insurers are not allowed to make a high profit.
-Group policies- at least 75% of aggregate premiums earned.
-Individual policies- at least 65%
9. Med Supp Disclosure Provisions - ANSWER ✔ -"Outline of Coverage"
must be provided at time of application & a signed acknowledgement of
receipt from applicant must be collected.
-Must include renewal or continuation provision on first page
-Riders added after issuance that affects policy coverage & premium must
have a signed acceptance from insured
-"Reasonable & Customary" must define the term & explained in outline of
coverage.
, -ALL supplement policies MUST have a 30 Day Free Look Period
-All applicant must be provided a NC Buyer's Guide from NAIC AND a
Medicare Supplement Buyer's Guide from CMS at time of application.
10.Open Enrollment for Med Supp - ANSWER ✔ Best time to buy a Medigap
policy is during the 6 month window starting with first month when applied
for Part B benefits. Cannot be declined or rated due to health status for
medical conditions.
-Normal preexisting conditions exclusions still apply
11.Medicare Advantage to Med Supp? - ANSWER ✔ If you dis-enroll from
Medicare Advantage within 12 months, you can still get Med Supp.
12.Marketing Standards for Med Supp - ANSWER ✔ -Comparisons of policies
will be fair & accurate
-Avoid sale or issuance of excessive insurance. Do they have A&H?
-On first page "Notice to buyer: This policy may not cover all your medical
expenses"
-High pressure tactics are prohibited.
-Twisting is prohibited
-Cold lead advertising is prohibited
-All ads must be submitted to Commissioner for approval at least 90 days
prior to use.
-On or before March 1st, ea insurer must report policy #s & issue dates for
each state resident that has duplicate med supp policies
13.Med Supp Application & Replacement - ANSWER ✔ -Both applicant &
agent must sign application containing terms designed to disclose duplicate
or replacement policies
-Agents shall list any other health policies they've sold to applicant within
the last 5 years that are no longer active.
, -If replacement, "Notice Regarding Replacement of Medicare Supplement
Insurance" must be signed by both agent & applicant with each retaining a
copy.
-Insurer must waive time periods if already fulfilled under original policy.
e.g. probationary periods, etc...
-Individual cannot have more than 1 such policy. Illegal for agent to sell a
Medigap to someone who has Medicare Advantage unless switching to
original Medicare.
14.A person who is not eligible for premium-free medicare Part A coverage
must pay:
A. A monthly premium of $115.40
B. A monthly premium of $422
C. A monthly premium of $283
D. A monthly premium of $141.50 - ANSWER ✔ B. A monthly
premium of $422
15.At what point during the year can you switch to a different Part D plan?
A. Between November 15 and Dec. 31
B. Between June 1 & Sept. 1
C. Any time
D. Jan. 1 until March 1 - ANSWER ✔ A. Between Nov. 15 and Dec. 31
16.Which of the following medical services is not covered by Medicare Part B?
A. Preventive care
B. Private duty nursing
C. Physician's fees
D. Outpatient care - ANSWER ✔ B. Private duty nursing
