North Carolina Medicare Supplement and Long-Term
Care Exam Ques ons and answers RATED A+ 2025/2026
100% VERIFIED CORRECT NEW!!
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. Ini al enrollment period
C. General enrollment period
D. Special enrollment period - Answers A. All of the above
Medicare makes what payment for services in which another payer may be responsible:
A. Condi onal payment
B. Interim payment
C. Transi onal payment
D. Temporary payment - Answers A. Condi onal payment
Insurers must offer infla on protec on in which of the following policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid - Answers C. Long-Term Care
,What program safeguards against unnecessary and inappropriate medical care rendered to
Medicaid recipients?
A. Medicaid review program
B. U liza on renew program
C. Quality improvement organiza on
D. U liza on review program - Answers D. U liza on 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. Infla on protec on must be provided
C. Policies must accrue cash value
D. Coveraged cannot reimburse insureds for medical expenses or services covered by Medicare.
- Answers C. Policies must accrue cash value.
Which en ty handles claims from hospitals, skilled nursing facili es, home health agencies and
hospices?
A. Carrier
B. Intermediary
C. Quality Improvement Organiza on
D. U liza on Review Commi3ee - Answers B. Intermediary
What is the term for private organiza ons that administer Medicare Part B benefits?
, A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organiza ons - 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 no ce regarding replacement
B. The no ce regarding replacement must contain the free look period
C. The no ce regarding replacement explains the replacing coverage in comparison to the
exis ng coverage
D. A 60-day free look period must be provided - Answers D. A 60-day free look period must be
provided.
Which of the following is not an op onal benefit provided by long-term care policies?
A. Infla on protec on
B. Guaranteed insurability
C. Nonforfeiture op ons
D. Guaranteed renewable or noncancelable - Answers D. Guaranteed renewable or
noncancelable
All of the following are required to qualify for Medicare's nursing facility benefit except:
A. The pa ent must spend at least three days in a hospital within 30 past days
B. The pa ent must meet stated income limits
C. The pa ent's physician must cer fy that skilled care is required
Care Exam Ques ons and answers RATED A+ 2025/2026
100% VERIFIED CORRECT NEW!!
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. Ini al enrollment period
C. General enrollment period
D. Special enrollment period - Answers A. All of the above
Medicare makes what payment for services in which another payer may be responsible:
A. Condi onal payment
B. Interim payment
C. Transi onal payment
D. Temporary payment - Answers A. Condi onal payment
Insurers must offer infla on protec on in which of the following policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid - Answers C. Long-Term Care
,What program safeguards against unnecessary and inappropriate medical care rendered to
Medicaid recipients?
A. Medicaid review program
B. U liza on renew program
C. Quality improvement organiza on
D. U liza on review program - Answers D. U liza on 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. Infla on protec on must be provided
C. Policies must accrue cash value
D. Coveraged cannot reimburse insureds for medical expenses or services covered by Medicare.
- Answers C. Policies must accrue cash value.
Which en ty handles claims from hospitals, skilled nursing facili es, home health agencies and
hospices?
A. Carrier
B. Intermediary
C. Quality Improvement Organiza on
D. U liza on Review Commi3ee - Answers B. Intermediary
What is the term for private organiza ons that administer Medicare Part B benefits?
, A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organiza ons - 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 no ce regarding replacement
B. The no ce regarding replacement must contain the free look period
C. The no ce regarding replacement explains the replacing coverage in comparison to the
exis ng coverage
D. A 60-day free look period must be provided - Answers D. A 60-day free look period must be
provided.
Which of the following is not an op onal benefit provided by long-term care policies?
A. Infla on protec on
B. Guaranteed insurability
C. Nonforfeiture op ons
D. Guaranteed renewable or noncancelable - Answers D. Guaranteed renewable or
noncancelable
All of the following are required to qualify for Medicare's nursing facility benefit except:
A. The pa ent must spend at least three days in a hospital within 30 past days
B. The pa ent must meet stated income limits
C. The pa ent's physician must cer fy that skilled care is required
