NC MEDICARE TEST BANK 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ carriers. Answer: the insurance companies that handle claims with
respect to services provided by physicians and other providers are called
__________
◉ Medicare Administrative Contractors. Answer: the companies who
handle Medicare Part A and/or Part B claims
◉ 65. Answer: To be eligible for Medicare, you must be _____ or older
◉ 24. Answer: To be eligible for Medicare, you must be entitled to
benefits under the Social Security program for _____ months
◉ Railroad Retirement. Answer: If you receive _____ _____ monthly
cash benefits, you are automatically eligible for Medicare
◉ 18 , 22. Answer: To be eligible for Medicare, you must be a child ___
or over who disabled before age ___
,◉ True. Answer: True or False: If you have permanent kidney failure
and require dialysis, you immediately qualify for Medicare coverage
◉ survivors (such as widows) , dependents. Answer: To be potentially
eligible for Medicare without being qualified yourself, you must be the
________ or _________ of individuals who qualify
◉ Part A. Answer: Which Medicare Part primarily covers inpatient care
(aka Hospital Insurance)?
◉ Part B. Answer: Which Medicare Part covers doctor's services,
outpatient care, etc. (Medical Insurance)?
◉ Part D. Answer: Which Medicare Part offers prescription drug
coverage?
◉ Part C. Answer: Which Medicare Part offers Medicare-Managed care
plans such as HMOs, PPOs, PFFS plans and Medicare special needs
plans?
◉ Health Maintenance Organization. Answer: What does HMO stand
for?
◉ HMOs
,(Health Maintenance Organization). Answer: A type of health insurance
plan that usually limits coverage to care from doctors who work for or
contract with the plan. It generally won't cover out-of-network care
except in an emergency. It may require you to live or work in its service
area to be eligible for coverage. They often provide integrated care and
focus on prevention and wellness
◉ Preferred Provider Organization. Answer: What does PPO stand for?
◉ PPOs
(Preffered Provider Organization). Answer: A type of health plan that
contracts with medical providers, such as hospitals and doctors, to create
a network of participating providers. You pay less if you use providers
that belong to the plan's network. You can use doctors, hospitals, and
providers outside of the network for an additional cost.
◉ Private Fee-For-Service. Answer: What does PFFS stand for?
◉ PFFS
(Private Fee-For-Service). Answer: A type of Medicare Advantage Plan
(Part C) offered by a private insurance company
, ◉ 40 million. Answer: How many Americans are covered by Medicare?
◉ No. Answer: Covered under Medicare Part A:
Routine Physicals
◉ No. Answer: Covered under Medicare Part A:
Eye and Hearing Exams
◉ No. Answer: Covered under Medicare Part A:
Dental Care
◉ False. Answer: True or False: Typical medical products and services
are covered under Medicare Part A
◉ False. Answer: True or False: Long-Term health problems requiring
custodial or private nursing care are covered under Medicare Part A
◉ No. Answer: Covered under Medicare Part A:
WITH SOLUTIONS GRADED A+
◉ carriers. Answer: the insurance companies that handle claims with
respect to services provided by physicians and other providers are called
__________
◉ Medicare Administrative Contractors. Answer: the companies who
handle Medicare Part A and/or Part B claims
◉ 65. Answer: To be eligible for Medicare, you must be _____ or older
◉ 24. Answer: To be eligible for Medicare, you must be entitled to
benefits under the Social Security program for _____ months
◉ Railroad Retirement. Answer: If you receive _____ _____ monthly
cash benefits, you are automatically eligible for Medicare
◉ 18 , 22. Answer: To be eligible for Medicare, you must be a child ___
or over who disabled before age ___
,◉ True. Answer: True or False: If you have permanent kidney failure
and require dialysis, you immediately qualify for Medicare coverage
◉ survivors (such as widows) , dependents. Answer: To be potentially
eligible for Medicare without being qualified yourself, you must be the
________ or _________ of individuals who qualify
◉ Part A. Answer: Which Medicare Part primarily covers inpatient care
(aka Hospital Insurance)?
◉ Part B. Answer: Which Medicare Part covers doctor's services,
outpatient care, etc. (Medical Insurance)?
◉ Part D. Answer: Which Medicare Part offers prescription drug
coverage?
◉ Part C. Answer: Which Medicare Part offers Medicare-Managed care
plans such as HMOs, PPOs, PFFS plans and Medicare special needs
plans?
◉ Health Maintenance Organization. Answer: What does HMO stand
for?
◉ HMOs
,(Health Maintenance Organization). Answer: A type of health insurance
plan that usually limits coverage to care from doctors who work for or
contract with the plan. It generally won't cover out-of-network care
except in an emergency. It may require you to live or work in its service
area to be eligible for coverage. They often provide integrated care and
focus on prevention and wellness
◉ Preferred Provider Organization. Answer: What does PPO stand for?
◉ PPOs
(Preffered Provider Organization). Answer: A type of health plan that
contracts with medical providers, such as hospitals and doctors, to create
a network of participating providers. You pay less if you use providers
that belong to the plan's network. You can use doctors, hospitals, and
providers outside of the network for an additional cost.
◉ Private Fee-For-Service. Answer: What does PFFS stand for?
◉ PFFS
(Private Fee-For-Service). Answer: A type of Medicare Advantage Plan
(Part C) offered by a private insurance company
, ◉ 40 million. Answer: How many Americans are covered by Medicare?
◉ No. Answer: Covered under Medicare Part A:
Routine Physicals
◉ No. Answer: Covered under Medicare Part A:
Eye and Hearing Exams
◉ No. Answer: Covered under Medicare Part A:
Dental Care
◉ False. Answer: True or False: Typical medical products and services
are covered under Medicare Part A
◉ False. Answer: True or False: Long-Term health problems requiring
custodial or private nursing care are covered under Medicare Part A
◉ No. Answer: Covered under Medicare Part A:
