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North Carolina Medicare Supplement and Long-Term Care exam questions with answers

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North Carolina Medicare Supplement and Long-Term Care exam questions with answers

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North Carolina Medicare
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North Carolina Medicare










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Institution
North Carolina Medicare
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North Carolina Medicare

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Uploaded on
January 26, 2025
Number of pages
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Written in
2024/2025
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North Carolina Medicare Supplement and
Long-Term Care exam questions with
answers
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An individual who is not eligible for premium-free Medicare Part A coverage may
apply for coverage during which of the following enrollment periods?



A. All of the above

B. Initial enrollment period

C. General enrollment period

D. Special enrollment period - CORRECT ANSWERS ✔✔A. All of the above



Medicare makes what payment for services in which another payer may be
responsible:



A. Conditional payment

B. Interim payment

C. Transitional payment

D. Temporary payment - CORRECT ANSWERS ✔✔A. Conditional payment



Insurers must offer inflation protection in which of the following policies?



A. Medicare Part C

B. Medigap

C. Long-Term Care

,D. Medicaid - CORRECT ANSWERS ✔✔C. Long-Term Care



What program safeguards against unnecessary and inappropriate medical care
rendered to Medicaid recipients?



A. Medicaid review program

B. Utilization renew program

C. Quality improvement organization

D. Utilization review program - CORRECT ANSWERS ✔✔D. Utilization review
program



Which of the following is not a requirement for long-term care plans?



A. The individual must be unable to perform at least two ADLs

B. Inflation protection must be provided

C. Policies must accrue cash value

D. Coveraged cannot reimburse insureds for medical expenses or services covered by
Medicare. - CORRECT ANSWERS ✔✔C. Policies must accrue cash value.



Which entity handles claims from hospitals, skilled nursing facilities, home health
agencies and hospices?



A. Carrier

B. Intermediary

C. Quality Improvement Organization

, D. Utilization Review Committee - CORRECT ANSWERS ✔✔B. Intermediary



What is the term for private organizations that administer Medicare Part B benefits?



A. Carriers

B. Medical Providers

C. Intermediaries

D. Peer review organizations - CORRECT ANSWERS ✔✔A. Carriers



All of the following are requirements for long-term care and medigap policy except:



A. The agent must provide the applicant with a notice regarding replacement

B. The notice regarding replacement must contain the free look period

C. The notice regarding replacement explains the replacing coverage in comparison
to the existing coverage

D. A 60-day free look period must be provided - CORRECT ANSWERS ✔✔D. A 60-
day free look period must be provided.



Which of the following is not an optional benefit provided by long-term care policies?



A. Inflation protection

B. Guaranteed insurability

C. Nonforfeiture options

D. Guaranteed renewable or noncancelable - CORRECT ANSWERS ✔✔D.
Guaranteed renewable or noncancelable

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