NC Medicare/LTC
5 (15 reviews)
Terms in this set (43)
Registered nurses, licensed practical nurses, community-
Home health care covers
based professionals (like hospice).
occasional visits from who?
**Does NOT cover visits from attending physicians.
Programs that are provided State-only Medicaid programs
to people who are too poor
to qualify for Medicaid.
LTC provision that provides a Nonforfeiture
guarantee that certain policy
benefits will remain available
even if the insured stops
paying premiums. (Offers
option of a paid-up policy
providing the same benefits
for a shorter period, etc.)
When must the outline of At the time of application.
coverage for a Medigap
policy be provided to the
, insured?
Home health equipment Medicare Part B (Considered an outpatient service)
such as dialysis equipment
and supplies are covered
under which part of
Medicare?
What is the Medicare Part B 3 months before the month in which the individual turns 65, as
enrollment period for an well as the 3 months following that month (7 months).
individual who is turning 65?
What is the copayment of the 20% paid by the insured individual.
Medicare approved amount?
Prospective review Physician submits claim information prior to providing
(Precertification provision) treatment to know in advance if the procedure is covered
and what the rate will be.
5 (15 reviews)
Terms in this set (43)
Registered nurses, licensed practical nurses, community-
Home health care covers
based professionals (like hospice).
occasional visits from who?
**Does NOT cover visits from attending physicians.
Programs that are provided State-only Medicaid programs
to people who are too poor
to qualify for Medicaid.
LTC provision that provides a Nonforfeiture
guarantee that certain policy
benefits will remain available
even if the insured stops
paying premiums. (Offers
option of a paid-up policy
providing the same benefits
for a shorter period, etc.)
When must the outline of At the time of application.
coverage for a Medigap
policy be provided to the
, insured?
Home health equipment Medicare Part B (Considered an outpatient service)
such as dialysis equipment
and supplies are covered
under which part of
Medicare?
What is the Medicare Part B 3 months before the month in which the individual turns 65, as
enrollment period for an well as the 3 months following that month (7 months).
individual who is turning 65?
What is the copayment of the 20% paid by the insured individual.
Medicare approved amount?
Prospective review Physician submits claim information prior to providing
(Precertification provision) treatment to know in advance if the procedure is covered
and what the rate will be.
