Medicare Supplement and Long Term Care NC Study Set Exam Q & A

Medicare Supplement and Long Term Care NC Study Set Exam Q & A what facility is long term care NOT provided in - CORRECT ANSWER-Hospital an insured receives health care through both Medicare and Medicaid. She Currently has prescription drug coverage through Medicaid. does the insured need to enroll in Medicare part D? - CORRECT ANSWER-Yes, she must begin receiving her prescription Drug coverage through Part D To quality for skilled nursing care a patient must - CORRECT ANSWER-have a qualifying hospital stay of at least 3 consecutive days if a insured returns a Medicare supplement policy too the insurer with in 30 days of policy delivery without providing a reason, how much of policy premium with be refunded? - CORRECT ANSWER-100% An individual long term care insurance policy holder has the right to return the policy for a full refund of premium with in 30 days of the policy - CORRECT ANSWER-delivery to the insured If an agent receives 1000 in commissions upon the first renewal of a medigap policy what is the maximin compensation that the agent may receive on the fourth renewal - CORRECT ANSWER-1000 dollars claim for Medicare part a services are filed by - CORRECT ANSWER-the provider with the Medicare intermediary An agent sells medigap insurance in north Carolina, her renewal commission is 10% the most that the agent can receive in first year commission is? - CORRECT ANSWER-20 percent What Medicare part WILL allow an assignment payment method? - CORRECT ANSWER-Part B If a patient is admitted to a hospital for special care, inpatient dialyze treatments are covered under what? - CORRECT ANSWER-Medicare Part A How many lifetime reserve days does Medicare part a have? - CORRECT ANSWER-60 days Medicare pays the first 20 days of skilled nursing facility care. For days 21 through 100, Medicare pays what? - CORRECT ANSWER-235 per day A man is considered homebound and is eligible for Medicare Home Health services. He has Medicare Part A and Medicare Part B. Medicare will pay for covered home health visits. The patient's share of the cost is what percent? - CORRECT ANSWER-20% How many days of care in a skilled nursing facility does Medicare Part A cover? - CORRECT ANSWER-100 days As compared to Part A deductible, the coinsurance amount for days 61 - 90 is how much of the deductible? - CORRECT ANSWER-1/4 An individual insured under a Medicare plan moves, but his current plan's service area does not include his new home. He has not chosen a new plan during this Special Enrollment Period. What will happen? - CORRECT ANSWER-He will automatically be enrolled in Original Medicare. What is not a diagnosis-related groups according to the classification by the Prospective