Term Care EXAM STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH VERIFIED
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Terms in this set (68)
An individual who is not eligible for A. All of the above
premium-free Medicare Part A
coverage may apply for coverage
during which of the following
enrollment periods?
A. All of the above
B. Initial enrollment period
C. General enrollment period
D. Special enrollment period
,Medicare makes what payment for A. Conditional payment
services in which another payer may
be responsible:
A. Conditional payment
B. Interim payment
C. Transitional payment
D. Temporary payment
Insurers must offer inflation C. Long-Term Care
protection in which of the following
policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid
What program safeguards against D. Utilization review program
unnecessary and inappropriate
medical care rendered to Medicaid
recipients?
A. Medicaid review program
B. Utilization renew program
C. Quality improvement organization
D. Utilization review program
, Which of the following is not a C. Policies must accrue cash value.
requirement for long-term care
plans?
A. The individual must be unable to
perform at least two ADLs
B. Inflation protection must be
provided
C. Policies must accrue cash value
D. Coveraged cannot reimburse
insureds for medical expenses or
services covered by Medicare.
Which entity handles claims from B. Intermediary
hospitals, skilled nursing facilities,
home health agencies and hospices?
A. Carrier
B. Intermediary
C. Quality Improvement
Organization
D. Utilization Review Committee
What is the term for private A. Carriers
organizations that administer
Medicare Part B benefits?
A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organizations