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MEDICARE SUPPLEMENT_LTC NC ACTUAL QUESTIONS WITH COMPLETE ANSWERS

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MEDICARE SUPPLEMENT_LTC NC ACTUAL QUESTIONS WITH COMPLETE ANSWERS

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Optional Medigap benefits


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Skilled nursing facility care, born travel emergency care, part a deductible,
part B deductible, part B excess doctor charges




To enroll in a Medicare advantage beneficiaries must

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Reside in the plans service area. Beneficiaries may not belong to more than
one Medicare advantage plan at a time




Core benefits of Medicare supplement(Medigap) plans


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Payment of the Medicare part A, insurance and has bill cost for up to an
additional 365 days after Medicare benefits have been used




Regarding the Medicare part a blood deductible


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The blood required by a beneficiary to receive treatment is paid for except
the first 3 pints




Prospective payment systems


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A federal government system introduced two Chainz hospital behavior
through financial incentives and encourage more cost efficient delivery of
medical care. Hospitals are paid a predetermined rate for each Medicare
admission based on the diagnosis related groups (DRG)

, Non-participating providers can charge


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More than the Medicare approved amount and Medicare beneficiaries are
responsible for paying the difference in addition to their deductibles and
coinsurance




To be eligible to enroll in Medicare individuals must be


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Age 65 or older, social security disability beneficiaries (Generally after two
years) Are suffering from end-stage renal disease




Special needs plans (SNP)


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Provide specialized care for specific groups of people such as
beneficiaries who: Are eligible for both Medicare and Medicaid, live in a
nursing home, or suffer from certain chronic medical conditions




Quality improvement organization


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