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.