Final Exam for NC Medicare Supplement/Long
Term Care
An insured has 10 years of work experience. She participated in the Social Security
program for 10 years. Her medicare Part A premium is most likely to be
A. $0
B. $458 per month
C. About 5% of monthly income
D. $458 per month - Correct Answer - $0
EXPLANATION: People do not pay a monthly Part A premium because they or their
spouse have 40 or more quarters of Medicare-covered employment.
A patient has 20 day stay in Medicare covered SNF. All of these services are covered
EXCEPT
A. Medications
B. Home Health Care
C. Meals
D. Skilled Nursing Care - Correct Answer - Home Health Care
EXPLANATION: HHC may be covered when the patient is at home but does not apply
in a skilled nursing facility
In LTC policies, as the benefit period lengthens, the premium ...
A. Increases
B. Remains unchanged
C. LTC premiums are not based on benefit periods
D. Decreases - Correct Answer - Increases
EXPLANATION: The longer benefit period, the high the will be.
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? - Correct Answer - Yes, she must begin receiving her prescription
drug coverage through Part D
EXPLANATION: Anyone enrolled in both Medicare and Medicaid, and who receives
prescription drug coverage through Medicaid should enroll in Medicare Part D for
prescription drug coverage.
How often does Medicare send out a Medicare Summary Notice to people who receive
services covered by the Original Medicare? - Correct Answer - Every 3 months
EXPLANATION: MSN are usually mailed 4 times a year (every 3 months) and contain
information about charges billed to medicare
Term Care
An insured has 10 years of work experience. She participated in the Social Security
program for 10 years. Her medicare Part A premium is most likely to be
A. $0
B. $458 per month
C. About 5% of monthly income
D. $458 per month - Correct Answer - $0
EXPLANATION: People do not pay a monthly Part A premium because they or their
spouse have 40 or more quarters of Medicare-covered employment.
A patient has 20 day stay in Medicare covered SNF. All of these services are covered
EXCEPT
A. Medications
B. Home Health Care
C. Meals
D. Skilled Nursing Care - Correct Answer - Home Health Care
EXPLANATION: HHC may be covered when the patient is at home but does not apply
in a skilled nursing facility
In LTC policies, as the benefit period lengthens, the premium ...
A. Increases
B. Remains unchanged
C. LTC premiums are not based on benefit periods
D. Decreases - Correct Answer - Increases
EXPLANATION: The longer benefit period, the high the will be.
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? - Correct Answer - Yes, she must begin receiving her prescription
drug coverage through Part D
EXPLANATION: Anyone enrolled in both Medicare and Medicaid, and who receives
prescription drug coverage through Medicaid should enroll in Medicare Part D for
prescription drug coverage.
How often does Medicare send out a Medicare Summary Notice to people who receive
services covered by the Original Medicare? - Correct Answer - Every 3 months
EXPLANATION: MSN are usually mailed 4 times a year (every 3 months) and contain
information about charges billed to medicare
