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LTC / Medicare - NC Questions and Answers with complete solution

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Under Part B, individuals pay a deductible each... - Answer-Year After deductible is satisfied, Part B pays what percentage of all approved charges? - Answer-80% Doctors and suppliers who agree to accept the amount medicare will pay are said to have agreed to... - Answer-Assignment An optional long-term carer insurance benefit that provides a reduced paid-up benefit amount is the... - Answer-Nonforfeiture benefit A man has just completed an inpatient hospital stay of 100 consecutive days. How many lifetime reserve days has he used? - Answer-10 After initial deductible is met, Medicare pays for all covered hospital charges for how many days when first hospitalized? After first benefit days, how many days does Medicare cover expenses with a daily copay? How many days is the lifetime reserve? - Answer-60 30 60 Doctors and hospitals who join a Medicare HMO are called the plan's... - Answer-Network Every insurer providing long-term care insurance in North Carolina is required to issue a Shopper's Guide, when? - Answer-Before Sale / As requested but no later than sale Medicare may pay for ambulance transportation to... - Answer-Nearest medical facilityImmunosuppressive drugs are... - Answer-Needed for life An insured receives health care through both Medicare and Medicaid. She currently has prescription drug coverage through Medicaid. Does the insured need to enroll in Medicare Part D? - Answer-Yes, she must begin receiving her prescription drug coverage through Part D When does enrollment begin for a person that becomes age 65? - Answer-Enrollment begins on the first day of the month the person becomes age 65 Automatic Enrollment - Answer-If you are receiving Social Security your enrolled in Medicare automatically. General Enrollment Period Dates? - Answer-January 1 through March 31


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