NC MEDICARE SUPPLEMENT AND LONG
TERM CARE INSURANCE LICENSING
COMPREHENSIVE STUDY GUIDE 2026
QUESTIONS WITH CORRECT SOLUTIONS
GRADED A+
◉Every insurer providing Medigap policies or certificates in NC is
required to file the policy's rates, rating schedules and supporting
documents, This information must be filed Answer: annually
◉Medicare Hospice Care benefit will pay for all the following except
Answer: Care in an emergency room is excluded
◉Home Health Care is Answer: treatment if an illness or injury,
it is not full-time (intermittent)
skilled nursing care
physical therapy or speech language pathology services
No deductible for home health care
◉Medicare Part B will cover services received from a doctor if
performed Answer: Anywhere
, ◉When doctors and suppliers agree to accept assignment, they
accept which of the following as a full payment Answer: The
Medicare approved amount
◉To qualify for skilled care nursing care, a patient must Answer:
Have a qualifying hospital stay of at least 3 consecutive days(not
including discharge.
Custodial care is not skilled care
hospice benefit is for terminally ill patients only
◉What would a physician utilize if they wanted to know if a
treatment is covered under an insured's plan and what rate it will be
paid? Answer: Prospective Review-
Review of pre-certification provision, physicians can submit claim
information prior to providing treatment to know in advance if the
procedure is covered under the insured's plan and at what rate it
will be paid
◉What is another name for medicare supplement policies Answer:
Medigap-to fill in the gaps in medicare
◉What is excluded from coverage under Medicare Part B Answer:
Custodial Care received at home
TERM CARE INSURANCE LICENSING
COMPREHENSIVE STUDY GUIDE 2026
QUESTIONS WITH CORRECT SOLUTIONS
GRADED A+
◉Every insurer providing Medigap policies or certificates in NC is
required to file the policy's rates, rating schedules and supporting
documents, This information must be filed Answer: annually
◉Medicare Hospice Care benefit will pay for all the following except
Answer: Care in an emergency room is excluded
◉Home Health Care is Answer: treatment if an illness or injury,
it is not full-time (intermittent)
skilled nursing care
physical therapy or speech language pathology services
No deductible for home health care
◉Medicare Part B will cover services received from a doctor if
performed Answer: Anywhere
, ◉When doctors and suppliers agree to accept assignment, they
accept which of the following as a full payment Answer: The
Medicare approved amount
◉To qualify for skilled care nursing care, a patient must Answer:
Have a qualifying hospital stay of at least 3 consecutive days(not
including discharge.
Custodial care is not skilled care
hospice benefit is for terminally ill patients only
◉What would a physician utilize if they wanted to know if a
treatment is covered under an insured's plan and what rate it will be
paid? Answer: Prospective Review-
Review of pre-certification provision, physicians can submit claim
information prior to providing treatment to know in advance if the
procedure is covered under the insured's plan and at what rate it
will be paid
◉What is another name for medicare supplement policies Answer:
Medigap-to fill in the gaps in medicare
◉What is excluded from coverage under Medicare Part B Answer:
Custodial Care received at home
