Verified North Carolina Medicare Supplement & Medicare Licensing Exam

Verified North Carolina Medicare Supplement & Medicare Licensing Exam Which is NOT true regarding Medicare Part A home health care? - CORRECT ANSWER-It pays for 60% of common medical supplies like bandages and gauze. Which of the following can't be excluded in a Medicare Supplement Policy? - CORRECT ANSWER-Alzheimer's If an LTC policy has a return of premium option, the amount returned to the beneficiaries is based on which of the following? - CORRECT ANSWER-The amount of benefits the person used After an accident, J stayed in the hospital for a week. Medicare Part B will cover all of the following EXCEPT: - CORRECT ANSWER-The Meals When is a person is automatically enrolled in Medicare Part A? - CORRECT ANSWERIf a person is enrolled for Social Security benefits Who will pay the $1000 in medical bills this month, if J who has Medicare Part A and B but is now eligible for Medicaid? - CORRECT ANSWER-Medicare will pay it After an accident, P stayed in the hospital for a week. Medicare Part A will cover all of the following EXCEPT: - CORRECT ANSWER-Doctor's Bill Medicare Part B covers which of the following? - CORRECT ANSWER-Doctors, Medical Services All of the following are optional benefits for long-term care policies EXCEPT: - CORRECT ANSWER-Guaranteed Renewable When must coinsurance be paid for hospital stay under Medicare Part A? - CORRECT ANSWER-Days 61-90 If an individual has no-fault group health coverage through an employer or union and Medicare coverage, Medicare is: - CORRECT ANSWER-Secondary Home health care will be provided by Medicare Part B if which condition is met? - CORRECT ANSWER-The care is ordered by doctor or health provider. Cash was injured in a car crash. Medicare paid his medical bills, but it was determined that the other driver was at fault. What allows Medicare to be repaid? - CORRECT ANSWER-Medicare Conditional Payments J's hospital stay is over 90 days, what can she use to pay? - CORRECT ANSWER-The 60-day lifetime reserve MSP plans must be designated as one of the 10 standard plans, A through L. Which MSP plan is mandatory if a company offers them? - CORRECT ANSWER-Plan A What program safeguards against unnecessary and inappropriate medical care rendered to Medicare recipients? - CORRECT ANSWER-Utilization Review Program What type renewability provision states that a policy can't be cancelled or changed except for an unpaid premium but premiums can be raised? - CORRECT ANSWERGuaranteed Renewable After an accident, J stayed in the hospital for a week. Medicare Part B will cover all of the following EXCEPT: - CORRECT ANSWER-The inpatient prescription drugs With the waiver of premium provision in a long-term care policy, what does that mean regarding paying premiums? - CORRECT ANSWER-The insured can stop paying premiums after starting LTC benefits. Which of the following can't be a condition for long-term care benefits? - CORRECT ANSWER-Hospitalization Long-term Care and Medicare Supplement polices can be returned for a full refund within: - CORRECT ANSWER-30 Days Preexisting conditions coverage in a Long-term Care or Medicare Supplement policy can't be denied or for more than: - CORRECT ANSWER-6 months after effective date of coverage With Medicare Part A, how many skilled nursing facility days are fully covered? - CORRECT ANSWER-20 The term for when a medical provider or doctor agrees to accept Medicare payments is - CORRECT ANSWER-Medicare assignment At age 70, K is about to retire and is covered