TERM CARE INSURANCE LICENSING
ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉Who under 65 may qualify for Medicare? Answer: Individuals who
have disabilities such as permanent kidney failure or ALS
◉Medicare part A covers what? Answer: Hospital
◉Which part of Medicare covers medical insurance? Answer: Part B
◉Which part of Medicare is known as Medicare Advantage?
Answer: Part C
◉What criteria must be met to qualify for enrollment in Medicare
Advantage Answer: Must be enrolled in Part A & B
◉Which part expands Original Medicare Benefits through Private
Health Insurance Programs? Answer: Part C
,◉Which part of Medicare covers prescription Drugs? Answer: Part
D
◉Medicare parts A and B are administered only by whom Answer:
The Federal Government
◉How many Medicare savings programs are there Answer: 4
◉How are persons who are age 65 or older who do not participate
in Social Security eligible for Medicare? Answer: If premium is paid
◉Is Medicare Part B a voluntary health insurance program?
Answer: Yes
◉What does the limited Medicare savings program MQB-B Pay for?
Answer: (Part B Premium Only)
◉To participate in Medicare a person must be what? Answer: A US
citizen or a permanent legal resident)
◉When does the initial enrollment period for Medicare Part B
begin? Answer: 3 months before the month that the enrollee turns
65
, ◉For employers with 20 or more employees who offer group
converge, would Medicare be considered the primary or secondary
coverage? Answer: Secondary
◉What does the acronym PPS stand for? Answer: Prospective
Payment System
◉What is the primary function of the MAC? Answer: Medical
reviews to ensure that services covered are reasonable and
necessary)
◉Under which review can a physician submit claim information
prior to providing treatment to know in advance if the procedure is
covered under the insured's plan? Answer: (Prospective Review)
◉Medicare Part A allows how many reserve days per lifetime?
Answer: (60)
◉Under Medicare part A how many days can patients get coverage
in a Skilled Nursing Facility Coverage in a benefit period? Answer:
Up to 100 Days
◉Are only the first 20 days (about 3 weeks) in a Skilled Nursing
Facility covered in full, True or False Answer: True