Medicare Licensing Exam NC Already Graded A+

Medicare Licensing Exam NC Already Graded A+ Which is NOT true regarding Medicare Part A home health care? medical supplies like bandages and gauze. It pays for 60% of common Which of the following can't be excluded in a Medicare Supplement Policy? Alzheimer's If an LTC policy has a return of premium option, the amount returned to the beneficiaries is based on which of the following? The amount of benefits the person used After an accident, J stayed in the hospital for a week. Medicare Part B will cover all of the following EXCEPT: The Meals When is a person is automatically enrolled in Medicare Part A? Security benefits If a person is enrolled for Social Who will pay the $1000 in medical bills this month, if J who has Medicare Part A and B but is now eligible for Medicaid? Medicare will pay it After an accident, P stayed in the hospital for a week. Medicare Part A will cover all of the following EXCEPT: Doctor's Bill Medicare Part B covers which of the following? Doctors, Medical Services All of the following are optional benefits for long-term care policies EXCEPT: Renewable When must coinsurance be paid for hospital stay under Medicare Part A? Guaranteed Days 61-90 If an individual has no-fault group health coverage through an employer or union and Medicare coverage, Medicare is: Secondary Home health care will be provided by Medicare Part B if which condition is met? The care is ordered by doctor or health provider. Cash was injured in a car crash. Medicare paid his medical bills, but it was determined that the other driver was at fault. What allows Medicare to be repaid? Medicare Conditional Payments J's hospital stay is over 90 days, what can she use to pay? The 60-day lifetime reserve MSP plans must be designated as one of the 10 standard plans, A through L. Which MSP plan is mandatory if a company offers them? Plan A What program safeguards against unnecessary and inappropriate medical care rendered to Medicare recipients? Utilization Review Program What type renewability provision states that a policy can't be cancelled or changed except for an unpaid premium but premiums can be raised? Guaranteed Renewable After an accident, J stayed in the hospital for a week. Medicare Part B will cover all of the following EXCEPT: The inpatient prescription drugs With the waiver of premium provision in a long-term care policy, what does that mean regarding paying premiums? The insured can stop paying premiums after starting LTC benefits. Which of the following can't be a condition for long-term care benefits? Hospitalization Long-term Care and Medicare Supplement polices can be returned for a full refund within: Days 30 Preexisting conditions coverage in a Long-term Care or Medicare Supplement policy can't be denied or for more than: 6 months after effective date of coverage With Medicare Part A, how many skilled nursing facility days are fully covered? 20 The term for when a medical provider or doctor agrees to accept Medicare payments is assignment Medicare At age 70, K is about to retire and is covered by her group medical plan. How long does she have to enroll in Medicare Part B after her group plan ends without having to pay penalty? 8 Months What coverage under Medicare Part A covers 80% of the cost for durable medical equipment? Home Health Care The definition of LTC in NC requires all the following coverages EXCEPT: Restatorative When must the outline of coverage be given for a Medicare Supplement Plan B? at the time of application. It must be given After the deductible is paid, which is true regarding expenses paid by Medicare Part B? 80% K's mother needs medical and personal care all the time. Which care is best suited? Nursing Care Which of the following does not receive Medicaid payments directly? Part B pays Skilled A patient in hospice What is true about a Medicare Select policy? expenses. The insured won't be covered for out-of-network After a surgery, T stayed in the hospital for 5 days. Medicare Part A will cover all of the following EXCEPT: Doctor's Bill Which of the following will Medicare-Aid NOT pay for if K is a Qualified Medicare Beneficiary (QMB)? Part D Prescriptions 100% Which of the following does not qualify for Medicare under 65 years old? cancer A Medicare Advantage Prescription Drug Plan offers which of the following? Z who has pancreatic Part D prescription drug coverage, Part A, and Part B benefits in one plan.