North Carolina Medicare Supplement and Long-
Term Care questions and verified answers (detailed
& elaborated) ACTUAL EXAM 2025 TESTS!!
An individual who is not eligible for premium-free Medicare Part A coverage may apply for coverage
during which of the following enrollment periods?
A. All of the above
B. Initial enrollment period
C. General enrollment period
D. Special enrollment period
ans: A. All of the above
Quiz Medicare makes what payment for services in which another payer may be responsible:
A. Conditional payment
B. Interim payment
C. Transitional payment
D. Temporary payment
ans: A. Conditional payment
,Quiz Insurers must offer inflation protection in which of the following policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid
ans: C. Long-Term Care
Quiz What program safeguards against unnecessary and inappropriate medical care rendered to
Medicaid recipients?
A. Medicaid review program
B. Utilization renew program
C. Quality improvement organization
D. Utilization review program
ans: D. Utilization review program
Quiz Which of the following is not a requirement for long-term care plans?
A. The individual must be unable to perform at least two ADLs
B. Inflation protection must be provided
C. Policies must accrue cash value
D. Coveraged cannot reimburse insureds for medical expenses or services covered by Medicare.
, ans: C. Policies must accrue cash value.
Quiz Which entity handles claims from hospitals, skilled nursing facilities, home health agencies and
hospices?
A. Carrier
B. Intermediary
C. Quality Improvement Organization
D. Utilization Review Committee
ans: B. Intermediary
Quiz What is the term for private organizations that administer Medicare Part B benefits?
A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organizations
ans: A. Carriers
Quiz All of the following are requirements for long-term care and medigap policy except:
A. The agent must provide the applicant with a notice regarding replacement
B. The notice regarding replacement must contain the free look period
Term Care questions and verified answers (detailed
& elaborated) ACTUAL EXAM 2025 TESTS!!
An individual who is not eligible for premium-free Medicare Part A coverage may apply for coverage
during which of the following enrollment periods?
A. All of the above
B. Initial enrollment period
C. General enrollment period
D. Special enrollment period
ans: A. All of the above
Quiz Medicare makes what payment for services in which another payer may be responsible:
A. Conditional payment
B. Interim payment
C. Transitional payment
D. Temporary payment
ans: A. Conditional payment
,Quiz Insurers must offer inflation protection in which of the following policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid
ans: C. Long-Term Care
Quiz What program safeguards against unnecessary and inappropriate medical care rendered to
Medicaid recipients?
A. Medicaid review program
B. Utilization renew program
C. Quality improvement organization
D. Utilization review program
ans: D. Utilization review program
Quiz Which of the following is not a requirement for long-term care plans?
A. The individual must be unable to perform at least two ADLs
B. Inflation protection must be provided
C. Policies must accrue cash value
D. Coveraged cannot reimburse insureds for medical expenses or services covered by Medicare.
, ans: C. Policies must accrue cash value.
Quiz Which entity handles claims from hospitals, skilled nursing facilities, home health agencies and
hospices?
A. Carrier
B. Intermediary
C. Quality Improvement Organization
D. Utilization Review Committee
ans: B. Intermediary
Quiz What is the term for private organizations that administer Medicare Part B benefits?
A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organizations
ans: A. Carriers
Quiz All of the following are requirements for long-term care and medigap policy except:
A. The agent must provide the applicant with a notice regarding replacement
B. The notice regarding replacement must contain the free look period
