North Carolina Medicare Supplement & |\ |\ |\ |\ |\
Long-term Care exam with verified |\ |\ |\ |\ |\
answers
Z sells a MSP to a sick 72-year-old person, that he knows already
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has a Medicare supplement. The sale is
|\ |\ |\ |\ |\ |\
Not allowed because a person cant have multiple MSPs
|\ |\ |\ |\ |\ |\ |\ |\
Which of the following does not qualify for Medicare under 65
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
years old? |\
Z who has pancreatic cancer
|\ |\ |\ |\
All of the following are NOT correct regarding Medicare
|\ |\ |\ |\ |\ |\ |\ |\ |\
Advantage HMO and PPO plans EXCEPT: |\ |\ |\ |\ |\
Medicare Advantage PPOs do NOT use a gatekeeper.
|\ |\ |\ |\ |\ |\ |\
Which of the following is the primary point of contact to enroll
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Medicare providers? |\
a. MACs
|\
,What coverage under Medicare Part A covers 80% of the cost for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
durable medical equipment? |\ |\
Home Health Care |\ |\
Most people become eligible for Medicare at what age?
|\ |\ |\ |\ |\ |\ |\ |\
c. 65
|\
After the deductible is paid, which is true regarding expenses
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
paid by Medicare Part B?
|\ |\ |\ |\
a. Part B pays 80%.
|\ |\ |\ |\
Which of the following dos not receive Medicaid payments
|\ |\ |\ |\ |\ |\ |\ |\ |\
directly?
b. A patient in hospice
|\ |\ |\ |\
What type renewability provision states that a policy can't be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cancelled or changed except for an unpaid premium but
|\ |\ |\ |\ |\ |\ |\ |\ |\
premiums can be raised? |\ |\ |\
a. Guaranteed renewable
|\ |\
,D's Medicare Supplement premium is based on her age when the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
policy started. Why can't the insurer increase the premium for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inflation?
It uses issue age.
|\ |\ |\
With Medicare Part A, how many skilled nursing facility days are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fully covered? |\
20
A long-term care policy that is tax-qualified by HIPAA, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
premiums and benefits are considered? |\ |\ |\ |\
Tax-favored
If C did not sign up for Medicare Part B when she was initially
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
eligible, when can she sign up? |\ |\ |\ |\ |\
d. During the General Enrollment Period (AEP)
|\ |\ |\ |\ |\ |\
Policy rates and schedules must be filed with the Commissioner
|\ |\ |\ |\ |\ |\ |\ |\ |\
Annually
, In order to make sure Medicare provides appropriate, quality and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effective care to patients, which group is used as a monitor?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. A Quality Improvement Organization (QIO)
|\ |\ |\ |\ |\
What is true about a Medicare Select policy?
|\ |\ |\ |\ |\ |\ |\
The insured won't be covered for out-of-network expenses.
|\ |\ |\ |\ |\ |\ |\
Preexisting conditions coverage in a Long-term Care or Medicare
|\ |\ |\ |\ |\ |\ |\ |\ |\
Supplement policy cant be denied or for more than: |\ |\ |\ |\ |\ |\ |\ |\
a. 6 months after effective date of coverage
|\ |\ |\ |\ |\ |\ |\
X is a 40-year-old factory worker with kidney disease that has a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
great group health plan through his employer. Why would he be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on Medicare? |\
d. His employer group policy has paid for at least 30 months, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
then he moved to Medicare.
|\ |\ |\ |\ |\
A Medicare Advantage Prescription Drug Plan offers which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following?
Part D prescription drug coverage, Part A, and Part B benefits in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
one plan. |\
Long-term Care exam with verified |\ |\ |\ |\ |\
answers
Z sells a MSP to a sick 72-year-old person, that he knows already
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has a Medicare supplement. The sale is
|\ |\ |\ |\ |\ |\
Not allowed because a person cant have multiple MSPs
|\ |\ |\ |\ |\ |\ |\ |\
Which of the following does not qualify for Medicare under 65
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
years old? |\
Z who has pancreatic cancer
|\ |\ |\ |\
All of the following are NOT correct regarding Medicare
|\ |\ |\ |\ |\ |\ |\ |\ |\
Advantage HMO and PPO plans EXCEPT: |\ |\ |\ |\ |\
Medicare Advantage PPOs do NOT use a gatekeeper.
|\ |\ |\ |\ |\ |\ |\
Which of the following is the primary point of contact to enroll
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Medicare providers? |\
a. MACs
|\
,What coverage under Medicare Part A covers 80% of the cost for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
durable medical equipment? |\ |\
Home Health Care |\ |\
Most people become eligible for Medicare at what age?
|\ |\ |\ |\ |\ |\ |\ |\
c. 65
|\
After the deductible is paid, which is true regarding expenses
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
paid by Medicare Part B?
|\ |\ |\ |\
a. Part B pays 80%.
|\ |\ |\ |\
Which of the following dos not receive Medicaid payments
|\ |\ |\ |\ |\ |\ |\ |\ |\
directly?
b. A patient in hospice
|\ |\ |\ |\
What type renewability provision states that a policy can't be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cancelled or changed except for an unpaid premium but
|\ |\ |\ |\ |\ |\ |\ |\ |\
premiums can be raised? |\ |\ |\
a. Guaranteed renewable
|\ |\
,D's Medicare Supplement premium is based on her age when the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
policy started. Why can't the insurer increase the premium for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inflation?
It uses issue age.
|\ |\ |\
With Medicare Part A, how many skilled nursing facility days are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fully covered? |\
20
A long-term care policy that is tax-qualified by HIPAA, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
premiums and benefits are considered? |\ |\ |\ |\
Tax-favored
If C did not sign up for Medicare Part B when she was initially
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
eligible, when can she sign up? |\ |\ |\ |\ |\
d. During the General Enrollment Period (AEP)
|\ |\ |\ |\ |\ |\
Policy rates and schedules must be filed with the Commissioner
|\ |\ |\ |\ |\ |\ |\ |\ |\
Annually
, In order to make sure Medicare provides appropriate, quality and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effective care to patients, which group is used as a monitor?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. A Quality Improvement Organization (QIO)
|\ |\ |\ |\ |\
What is true about a Medicare Select policy?
|\ |\ |\ |\ |\ |\ |\
The insured won't be covered for out-of-network expenses.
|\ |\ |\ |\ |\ |\ |\
Preexisting conditions coverage in a Long-term Care or Medicare
|\ |\ |\ |\ |\ |\ |\ |\ |\
Supplement policy cant be denied or for more than: |\ |\ |\ |\ |\ |\ |\ |\
a. 6 months after effective date of coverage
|\ |\ |\ |\ |\ |\ |\
X is a 40-year-old factory worker with kidney disease that has a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
great group health plan through his employer. Why would he be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on Medicare? |\
d. His employer group policy has paid for at least 30 months, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
then he moved to Medicare.
|\ |\ |\ |\ |\
A Medicare Advantage Prescription Drug Plan offers which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following?
Part D prescription drug coverage, Part A, and Part B benefits in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
one plan. |\
