Which of the following types of care requires the training of a licensed medical professional,
is prescribed and medically necessary, and is available on a 24-hour basis?
A. Provisional Care
B. Skilled Care
C. Administrative Care
D. Respite Care - ANSWER B. Skilled Care
In Long Term Care policies, the insured may qualify for benefits if unable to perform at least
how many activities pf ADLs?
A. 3
B. 2
C. 1
D. All 6 - ANSWER B. 2
Prescription drugs are covered under Medicare's
A. Part A
B. Part D
C. Part B
D. Part C - ANSWER B. Part D
Which of the following types of long-term care is also known as personal care?
1
,A. Adult Day care
B. Home Health Care
C. Respite Care
D. Custodial Care - ANSWER D. Custodial Care
Medicare's home health services cover skilled nursing care on what basis?
A. Full-time
B. First come, first serve
C. Intermittent
D. Individual - ANSWER C. Intermittent
Which of the following persons would qualify for Medicare Part A?
A. Anyone living in the United States over age 65
B. Veterans
C. Anyone who has permanent kidney failure
D. Medicaid recipients - ANSWER C. Anyone who has permanent kidney failure
In a Medicare HMO, who manages an enrollee's health care needs?
A. Specialists
B. Primary care doctor
C. HMO conservator
D. Pre-approval manager - ANSWER B. Primary care doctor
2
,After a policy is delivered, how much time do policyholders have to return a Medigap policy
for a refund of premiums paid?
A. 10 days
B. 45 days
C. 30 days
D. 15 days - ANSWER C. 30 days
In which of the following are recipients of Medicare benefits enrolled automatically?
A. Part D
B. Part A
C. Parts A and B
D. Parts B and C - ANSWER B. Part A
Radiation therapy provided on an outpatient basis is covered by
A. Medicare Part A
B. Medicare Part A or Medicare Part B
C. The patient
D. Medicare Part B - ANSWER D. Medicare Part B
A Medicare supplement plan must have at least which of the following renewal provisions?
A. Noncancellable
B. Guaranteed renewable
C. Nonrenewable
D. Conditionally renewable - ANSWER B. Guaranteed renewable
3
, What percentage of Rural Health Clinic fees is a patient responsible for paying?
A. 35%
B. 10%
C. 25%
D. 20% - ANSWER D. 20%
A doctor establishes a physical therapy regimen for a patient under Medicare Part B. Once
the patient pays their annual Part B deductible, Medicare is responsible for what percent of
the Medicare-approved amount?
A. 75%
B. 90%
C. 80%
D. 50% - ANSWER C. 80%
Renewal commissions on a Medigap policy must be paid for at least
A. 1 renewal year
B. 6 renewal years
C. 3 renewal years
D. 5 renewal years - ANSWER D. 5 renewal years
An insurer is planning to raise premiums on its long-term care policies. How much notice
must it give policyholders before the new premium goes into effect?
A. 45 days
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is prescribed and medically necessary, and is available on a 24-hour basis?
A. Provisional Care
B. Skilled Care
C. Administrative Care
D. Respite Care - ANSWER B. Skilled Care
In Long Term Care policies, the insured may qualify for benefits if unable to perform at least
how many activities pf ADLs?
A. 3
B. 2
C. 1
D. All 6 - ANSWER B. 2
Prescription drugs are covered under Medicare's
A. Part A
B. Part D
C. Part B
D. Part C - ANSWER B. Part D
Which of the following types of long-term care is also known as personal care?
1
,A. Adult Day care
B. Home Health Care
C. Respite Care
D. Custodial Care - ANSWER D. Custodial Care
Medicare's home health services cover skilled nursing care on what basis?
A. Full-time
B. First come, first serve
C. Intermittent
D. Individual - ANSWER C. Intermittent
Which of the following persons would qualify for Medicare Part A?
A. Anyone living in the United States over age 65
B. Veterans
C. Anyone who has permanent kidney failure
D. Medicaid recipients - ANSWER C. Anyone who has permanent kidney failure
In a Medicare HMO, who manages an enrollee's health care needs?
A. Specialists
B. Primary care doctor
C. HMO conservator
D. Pre-approval manager - ANSWER B. Primary care doctor
2
,After a policy is delivered, how much time do policyholders have to return a Medigap policy
for a refund of premiums paid?
A. 10 days
B. 45 days
C. 30 days
D. 15 days - ANSWER C. 30 days
In which of the following are recipients of Medicare benefits enrolled automatically?
A. Part D
B. Part A
C. Parts A and B
D. Parts B and C - ANSWER B. Part A
Radiation therapy provided on an outpatient basis is covered by
A. Medicare Part A
B. Medicare Part A or Medicare Part B
C. The patient
D. Medicare Part B - ANSWER D. Medicare Part B
A Medicare supplement plan must have at least which of the following renewal provisions?
A. Noncancellable
B. Guaranteed renewable
C. Nonrenewable
D. Conditionally renewable - ANSWER B. Guaranteed renewable
3
, What percentage of Rural Health Clinic fees is a patient responsible for paying?
A. 35%
B. 10%
C. 25%
D. 20% - ANSWER D. 20%
A doctor establishes a physical therapy regimen for a patient under Medicare Part B. Once
the patient pays their annual Part B deductible, Medicare is responsible for what percent of
the Medicare-approved amount?
A. 75%
B. 90%
C. 80%
D. 50% - ANSWER C. 80%
Renewal commissions on a Medigap policy must be paid for at least
A. 1 renewal year
B. 6 renewal years
C. 3 renewal years
D. 5 renewal years - ANSWER D. 5 renewal years
An insurer is planning to raise premiums on its long-term care policies. How much notice
must it give policyholders before the new premium goes into effect?
A. 45 days
4
