NC MEDICARE SUPPLEMENT AND LONG
TERM CARE INSURANCE LICENSING
COMPLETE REVIEW 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉13) The Medicare Part A benefit period (spell of illness) for
hospital and SNF ends. Answer: 60 days after discharge.
◉14) Medicare provides Days 1-90 on a. Answer: non-exhaustible
basis for each benefit period.
◉15) The exhaustible Reserve Day percentage is. Answer: 50%.
◉16) Medicare Part A Hospital is the only one with an exhaustible
benefit. Answer: (60 days lifetime after Days 1-90).
◉17) Medicare Part A SNF benefit requires 3 days in the hospital
before admission;. Answer: the patient must go within 30 days of
discharge, and a doctor must certify need daily.
, ◉18) _________ monitors the quality of health care in CMS approved
facilities. Answer: The state funded QIO (or PRO), made up of
doctors and other health care professionals .
◉19) The Medicare Administrative Contractor (Part B) issues the
MSN, it determines. Answer: approved charges, and pays 80% of
approved charges to the provider, but does not seek refunds of
overcharges from providers.
◉20) Providers must submit claims to the MAC within. Answer: one
year or face a reduction in payment.
◉21) The "Free-look" for both Medicare Supplement and LTC is.
Answer: 30 days.
◉22) If the insurer wishes to reduce benefits on an existing policy,
written agreement by the owner/insured is required.. Answer:
◉23) If a Medicare beneficiary elects to stay in an Employer Group
Plan (EGP),. Answer: the plan will be primary payer and Medicare
will be secondary payer.
◉24) Medicare Part A Home Health benefits must be provided on
an. Answer: intermittent basis, i.e., no more than an 8-hour shift for
no more than 21 consecutive days.
TERM CARE INSURANCE LICENSING
COMPLETE REVIEW 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉13) The Medicare Part A benefit period (spell of illness) for
hospital and SNF ends. Answer: 60 days after discharge.
◉14) Medicare provides Days 1-90 on a. Answer: non-exhaustible
basis for each benefit period.
◉15) The exhaustible Reserve Day percentage is. Answer: 50%.
◉16) Medicare Part A Hospital is the only one with an exhaustible
benefit. Answer: (60 days lifetime after Days 1-90).
◉17) Medicare Part A SNF benefit requires 3 days in the hospital
before admission;. Answer: the patient must go within 30 days of
discharge, and a doctor must certify need daily.
, ◉18) _________ monitors the quality of health care in CMS approved
facilities. Answer: The state funded QIO (or PRO), made up of
doctors and other health care professionals .
◉19) The Medicare Administrative Contractor (Part B) issues the
MSN, it determines. Answer: approved charges, and pays 80% of
approved charges to the provider, but does not seek refunds of
overcharges from providers.
◉20) Providers must submit claims to the MAC within. Answer: one
year or face a reduction in payment.
◉21) The "Free-look" for both Medicare Supplement and LTC is.
Answer: 30 days.
◉22) If the insurer wishes to reduce benefits on an existing policy,
written agreement by the owner/insured is required.. Answer:
◉23) If a Medicare beneficiary elects to stay in an Employer Group
Plan (EGP),. Answer: the plan will be primary payer and Medicare
will be secondary payer.
◉24) Medicare Part A Home Health benefits must be provided on
an. Answer: intermittent basis, i.e., no more than an 8-hour shift for
no more than 21 consecutive days.
