COMPLETE QUESTIONS AND ANSWERS | 2025/206 LATEST UPDATED | 100 % RATED
AND VERIFIED SOLUTIONS | GET AN A+
1. Z sells a MSP to a sick 72-year-old person, that he knows already has a
Medicare supplement. The sale is: Not allowed because a person cant have multiple MSPs
2. Which of the following does not qualify for Medicare under 65 years old?: Z who has pancreatic
cancer
3. All of the following are NOT correct regarding Medicare Advantage HMO and
PPO plans EXCEPT:: Medicare Advantage PPOs do NOT use a gatekeeper.
4. Which of the following is the primary point of contact to enroll Medicare providers?: a. MACs
5. What coverage under Medicare Part A covers 80% of the cost for durable medical equipment?:
Home Health Care
6. Most people become eligible for Medicare at what age?: c. 65
7. After the deductible is paid, which is true regarding expenses paid by Medicare Part B?: a. Part B
pays 80%.
8. Which of the following dos not receive Medicaid payments directly?: b. A patient in hospice
9. What type renewability provision states that a policy can't be cancelled or changed except for an
unpaid premium but premiums can be raised?: a. Guaranteed renewable
,10. D's Medicare Supplement premium is based on her age when the policy started. Why can't the
insurer increase the premium for inflation?: It uses issue age. 11. With Medicare Part A, how many
skilled nursing facility days are fully covered?: 20
12. A long-term care policy that is tax-qualified by HIPAA, the premiums and benefits are considered?:
Tax-favored
13. If C did not sign up for Medicare Part B when she was initially eligible, when
can she sign up?: d. During the General Enrollment Period (AEP)
14. Policy rates and schedules must be filed with the Commissioner: Annually
15. In order to make sure Medicare provides appropriate, quality and effective care to patients, which
group is used as a monitor?: a. A Quality Improvement Organization
(QIO)
16. What is true about a Medicare Select policy?: The insured won't be covered for out-of-network
expenses.
17 Preexisting conditions coverage in a Long-term Care or Medicare Supplement policy cant be denied
or for more than:: a. 6 months after effective date of coverage
18. X is a 40-year-old factory worker with kidney disease that has a great group health plan through
his employer. Why would he be on Medicare?: d. His employer group policy has paid for at least 30
months, and then he moved to Medicare.
19. A Medicare Advantage Prescription Drug Plan offers which of the following?-
: Part D prescription drug coverage, Part A, and Part B benefits in one plan.
, 20. Home health care will be provided by Medicare Part B if which condition is met?: a. The care is
ordered by doctor or health provider.
21. This type temporary care gives a caregiver rest or time off?: a. Respite Care
22. What type marketing fails to disclose the reason for contacting a person is to sell insurance?: d.
Cold Lead Advertising
23. Which is true, if T was injured and needed a blood transfusion?: d. Medicare Part
A and B will make B pay for the first three pints.
24. Which of the following can't be excluded in a Medicare Supplement Policy?: d.
Alzheimers
25. P has a Medicare Supplement Policy, it:: Cannot be more restrictive than Medicare.
26. Medicare does not pay for any part of which of the following?: d. Eyeglasses
27. K's mother needs medical and personal care all the time. Which care is best suited?: d. Skilled
Nursing Care
28. Which of the following Medicare-Aid pays only the premiums for Medicare
Part B?: c. Specified Low-Income Beneficiary (SLMB)
29. The term for when a medical provider or doctor agrees to accept Medicare payments is: c. Medicare
Assignment
30. D bought a Medicare supplement policy. It must be guaranteed renewable for any reason
EXCEPT:: a. Nonpayment of premium
31. What was done to fill in the costs or gaps in Medicare Part A and B coverage?-