9/1/24, 3:41 AM
NC Medicare/LTC
Jeremiah
Terms in this set (43)
Registered nurses, licensed practical nurses, community-based professionals (like
Home health care covers occasional visits
hospice).
from who?
**Does NOT cover visits from attending physicians.
Programs that are provided to people who State-only Medicaid programs
are too poor to qualify for Medicaid.
LTC provision that provides a guarantee that Nonforfeiture
certain policy benefits will remain available
even if the insured stops paying premiums.
(Offers option of a paid-up policy providing
the same benefits for a shorter period, etc.)
When must the outline of coverage for a At the time of application.
Medigap policy be provided to the insured?
Home health equipment such as dialysis Medicare Part B (Considered an outpatient service)
equipment and supplies are covered under
which part of Medicare?
What is the Medicare Part B enrollment 3 months before the month in which the individual turns 65, as well as the 3 months
period for an individual who is turning 65? following that month (7 months).
What is the copayment of the Medicare 20% paid by the insured individual.
approved amount?
Prospective review (Precertification Physician submits claim information prior to providing treatment to know in advance if
provision) the procedure is covered and what the rate will be.
What options does an insured person have 1) Receive prescription drug coverage through the Medicare Advantage Plan.
for prescription drug coverage if they are 2) Sign up for separate prescription drug plan through Medicare Part D.
enrolled in a Medicare Advantage Plan?
Who facilitates processing Medicare The Social Security Administration
applications, collects Medicare premiums,
and provides general information about
Medicare?
Who administers Medicare? Centers for Medicare and Medicaid Services (CMS)
NC Medicare/LTC
1/3
NC Medicare/LTC
Jeremiah
Terms in this set (43)
Registered nurses, licensed practical nurses, community-based professionals (like
Home health care covers occasional visits
hospice).
from who?
**Does NOT cover visits from attending physicians.
Programs that are provided to people who State-only Medicaid programs
are too poor to qualify for Medicaid.
LTC provision that provides a guarantee that Nonforfeiture
certain policy benefits will remain available
even if the insured stops paying premiums.
(Offers option of a paid-up policy providing
the same benefits for a shorter period, etc.)
When must the outline of coverage for a At the time of application.
Medigap policy be provided to the insured?
Home health equipment such as dialysis Medicare Part B (Considered an outpatient service)
equipment and supplies are covered under
which part of Medicare?
What is the Medicare Part B enrollment 3 months before the month in which the individual turns 65, as well as the 3 months
period for an individual who is turning 65? following that month (7 months).
What is the copayment of the Medicare 20% paid by the insured individual.
approved amount?
Prospective review (Precertification Physician submits claim information prior to providing treatment to know in advance if
provision) the procedure is covered and what the rate will be.
What options does an insured person have 1) Receive prescription drug coverage through the Medicare Advantage Plan.
for prescription drug coverage if they are 2) Sign up for separate prescription drug plan through Medicare Part D.
enrolled in a Medicare Advantage Plan?
Who facilitates processing Medicare The Social Security Administration
applications, collects Medicare premiums,
and provides general information about
Medicare?
Who administers Medicare? Centers for Medicare and Medicaid Services (CMS)
NC Medicare/LTC
1/3
