Correct Answers and Rationailes/ Latest Version 2024 –
Rated A+.
Which one of the following is not a typical way to plan for the management of property if a client
becomes incapacitated?
A) Create a durable power of attorney.
B) Spend down the assets.
C) Nominate a conservator for the property.
D) Create a trust. - ANSWER - B)Spend down the assets.
Spending down assets has limited usefulness in planning for incapacity. It is clearly not a recommended
action prior to incapacitation, and the negative effects outweigh the positive that might accrue if a
person became incapacitated.
All of the following are true regarding living wills except ?
A) they must be witnessed by people who are not heirs of the maker.
B) they allow the maker to dictate what life-sustaining measures may be taken if the maker becomes
incapable of consenting to treatment.
C) they must be signed.
D) they apply to routine illnesses. - ANSWER - D) they apply to routine illnesses.
Living wills apply only when the maker has a terminal illness and death is imminent.
Which one of the following is true regarding Medicare Part A?
A) It pays doctor bills.
B) It covers outpatient hospital care.
C) It helps pay for care in a skilled nursing facility for up to 100 days.
pg. 1
,D) It costs approximately $413 per month for most individuals. - ANSWER - C) It helps pay for care in a
skilled nursing facility for up to 100 days.
Within certain parameters, Medicare Part A helps pay for care in a skilled nursing facility. Medicare Part
A is free for most recipients (who have worked in covered employment for at least 40 quarters). Doctor
bills and outpatient hospital care are covered by Medicare Part B. On the other hand, Medicare has only
very limited coverage for long-term care. Having Medicare does not mean a person has adequate LTC
coverage. Medicare LTC coverage should be seen as rehabilitative care rather than as true LTC.
npatient hospital care under Medicare Part A coverage includes all the following costs except
A) inpatient prescription drugs.
B) meals.
C) operating and recovery rooms.
D) private rooms. - ANSWER - D) private rooms.
Inpatient hospital care includes costs for semiprivate rooms, meals, operating and recovery rooms, and
prescription drugs. It does not cover the cost of private rooms.
Which of the following costs is not normally covered by Medicare Part B?
A) Physician services
B) Preventive care
C) Prescription drugs
D) Home health care - ANSWER - C)Prescription drugs
Medicare Part B does not normally cover eyeglasses, cosmetic surgery, most prescription drugs, and
other types of expenses. Note that preventive care is covered under Part B.
Which of the following is not an acceptable strategy for filling gaps between actual costs and Medicare
coverage?
A) enrolling in Medicare Advantage and purchasing a coordinating Medigap policy
B) for low-income seniors, qualifying for Medicaid
C) purchasing Medigap policies from private vendors
D) maintaining coverage through an employer-provided health plan - ANSWER - A)enrolling in Medicare
Advantage and purchasing a coordinating Medigap policy
pg. 2
,People who enroll in a Medicare Advantage plan cannot also maintain a Medigap insurance policy.
Purchasing Medigap insurance, maintaining coverage through an employer-provided health plan, and
qualifying for Medicaid are all plausible strategies to fill gaps between actual costs and Medicare
coverage.
All the following are health plan options under Medicare Advantage plans except
A) private fee-for-service plans.
B) Medicaid provider plans (MPPs).
C) preferred provider organizations (PPOs).
D) health maintenance organizations (HMOs). - ANSWER - B)Medicaid provider plans (MPPs).
There is no such entity as a Medicaid provider plan. All other options are available under Medicare
Advantage plans.
All of the following are true about the deductibles that apply to health insurance except
A) health insurance deductibles apply per incident.
B) the deductible for catastrophic and bronze plans will be larger than for gold or platinum plans.
C)a deductible is the amount that the insured must pay before the plan pays anything.
D)deductibles do not apply to many forms of preventive care. - ANSWER - A)health insurance deductibles
apply per incident.
Unlike a homeowners or automobile policy, a health insurance deductible is an annual amount, not a per
incident amount. Preventive care and wellness benefits, such as mammograms and well-baby care, are
often paid 100% by the insurance company without a required deductible.
Which of these is false regarding the tax-deductibility of qualified long-term care insurance (QLTCI)
premiums?
A) Self-employed individuals can deduct QLTCI premiums as a business expense.
B) Partners can deduct QLTCI premiums as a business expense.
C) Individuals and couples filing jointly can deduct medical expenses that exceed 7.5% of adjusted gross
income (AGI) in 2021. QLTCI premiums qualify as medical expenses.
D) QLTCI premiums are deductible for this year only, after which they are no longer deductible. -
ANSWER - D)QLTCI premiums are deductible for this year only, after which they are no longer deductible.
pg. 3
, The deductibility of QLTCI premiums does not expire after the current year. There are no known plans for
such an expiration date to be implemented.
Which of the following is true regarding Medicare coverage of long-term care (LTC) expenses?
A) Medicare will cover LTC expenses in any facility of the individual's choosing.
B) A doctor must certify the need for skilled nursing care or else Medicare will not pay expenses.
C) Medicare covers expenses for up to five years of LTC.
D) Medicare will cover expenses for individuals who move into LTC facilities without being hospitalized. -
ANSWER - B)A doctor must certify the need for skilled nursing care or else Medicare will not pay
expenses.
Medicare will not pay expenses unless a doctor has certified the need for skilled nursing care. A hospital
stay is required prior to being eligible for long-term care coverage and it must be rehabilitative care.
Medicare will only pay for long-term care for 20 days with no coinsurance and then only up to another
80 days (100 total) with coinsurance applied. Care must be delivered at a Medicare-approved facility.
All of the following are true regarding Medicare except
A) Medicare is a social insurance program.
B) enrollment during a "special enrollment period" requires documentation that you were previously
enrolled in an employer-sponsored plan.
C) Medicare Advantage plans are available as an alternative to traditional Medicare.
D) if you miss your initial enrollment period you will face a one-time penalty equal to 10% of your
premium. - ANSWER - D)if you miss your initial enrollment period you will face a one-time penalty equal
to 10% of your premium.
If you miss your initial enrollment period, you will face a cumulative penalty equal to 10% of your
premium for every 12-month period during which you could have signed up but didn't. All other
statements are true.
Which one of these is correct regarding Medicare Part D?
A) Medicare Part D is often purchased by individuals choosing Medicare Advantage Plans to add
coverage for prescription drugs.
B) Individuals can select from among plans labeled A through N.
C) These plans are not available through private companies under contract with Medicare.
pg. 4