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North Carolina Medicare Supplement & Long-Term Care Insurance Exam Guide 2026 – Questions & Answers

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A comprehensive study guide featuring real exam-style questions and verified answers for the North Carolina Medicare Supplement (Medigap) and Long-Term Care Insurance licensing exam. This resource covers essential topics including Medicare Parts A, B, C, and D; Medicaid eligibility; MSP regulations; LTC policy provisions; HIPAA qualifications; and state-specific rules for North Carolina insurance professionals. Ideal for exam preparation and continuing education.

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2025/2026
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Voorbeeld van de inhoud

North Carolina Medicare Supplement
And Long-Term Care Real Exam latest
2026 Already Graded A+.




Z sells a MSP to a sick 72-year-old person, that he knows already has a

Medicare supplement. The sale is - ANSWER-Not allowed because a person

cant have multiple MSPs




Which of the following does not qualify for Medicare under 65 years old? -

ANSWER-Z who has pancreatic cancer




All of the following are NOT correct regarding Medicare Advantage HMO and

PPO plans EXCEPT: - ANSWER-Medicare Advantage PPOs do NOT use a

gatekeeper.




Which of the following is the primary point of contact to enroll Medicare

providers? - ANSWER-a. MACs

,What coverage under Medicare Part A covers 80% of the cost for durable

medical equipment? - ANSWER-Home Health Care




Most people become eligible for Medicare at what age? - ANSWER-c. 65




After the deductible is paid, which is true regarding expenses paid by

Medicare Part B? - ANSWER-a. Part B pays 80%.




Which of the following dos not receive Medicaid payments directly? -

ANSWER-b. A patient in hospice




What type renewability provision states that a policy can't be cancelled or

changed except for an unpaid premium but premiums can be raised? -

ANSWER-a. Guaranteed renewable

,D's Medicare Supplement premium is based on her age when the policy

started. Why can't the insurer increase the premium for inflation? - ANSWER-

It uses issue age.




With Medicare Part A, how many skilled nursing facility days are fully

covered? - ANSWER-20




A long-term care policy that is tax-qualified by HIPAA, the premiums and

benefits are considered? - ANSWER-Tax-favored




If C did not sign up for Medicare Part B when she was initially eligible, when

can she sign up? - ANSWER-d. During the General Enrollment Period (AEP)




Policy rates and schedules must be filed with the Commissioner - ANSWER-

Annually




In order to make sure Medicare provides appropriate, quality and effective

care to patients, which group is used as a monitor? - ANSWER-a. A Quality

Improvement Organization (QIO)

, What is true about a Medicare Select policy? - ANSWER-The insured won't be

covered for out-of-network expenses.




Preexisting conditions coverage in a Long-term Care or Medicare Supplement

policy cant be denied or for more than: - ANSWER-a. 6 months after effective

date of coverage




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? - ANSWER-

d. His employer group policy has paid for at least 30 months, and then he

moved to Medicare.




A Medicare Advantage Prescription Drug Plan offers which of the following? -

ANSWER-Part D prescription drug coverage, Part A, and Part B benefits in one

plan.




Home health care will be provided by Medicare Part B if which condition is

met? - ANSWER-a. The care is ordered by doctor or health provider.

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