NC MEDICARE SUPPLEMENT 2026 QUESTIONS
AND ANSWERS SURE A+
✔✔Regarding long-term care policies, what is not included in activities of daily living -
✔✔Sleeping
-ADL's include bathing, toileting, transferring (or mobility) continence and eating.To be
eligible for benefits from long-term care policy, the insured must be unable to perform
some of the activities of daily living(ADL's)
✔✔If an insured appeals a service on the Medicare Summary Notice (MSN) and sends
a request to the Medicare Administrative Contractor, within, how many will the MAC
generally send the decision to the insured - ✔✔60 Days
- usually 60 days after receipt of the request.
✔✔The traditional Pay-pay-visit arrangement available nationwide is known as -
✔✔Original Medicare Plan
✔✔A woman has enrolled in Medicare Part B, effective July 1. She schedules an
appointment for a wellness exam on December 1. Medicare Part B will - ✔✔Cover the
Cost
- initial wellness visits within 12 months of the day the persons 1st enrolls in Medicare
Part B is covered as well as one wellness exam every 12 months thereafter
, ✔✔Medicare-covered hospital expenses include - ✔✔Semi-Private Room
Meals
General Nursing
Hospital Services and supplies
-critical access hospitals and impatient mental health care.
Surgeon Feed are paid from Part B
✔✔A long-term care policy that is guaranteed renewable means that - ✔✔Guaranteed
renewable means that the policy must be renewed as long as the insured is paying
premiums, but the premiums may be increased
✔✔According to NC Law, the person who seeks to contract a medigap insurance policy
is known as the - ✔✔The applicant
-
✔✔What is the Medicare Payment System - ✔✔PPS- Prospective Payment System
- medicare payment system used to provide coverage to approximately 40 million
Americans who are eligible for Medicare
✔✔A patients is treated by a physician who accepts assignment. The doctor charges
$150.00.The Medicare approved amount is $100.The patient has met his deductible for
the year. How much will the patient have to pay? - ✔✔20.00
=20% copayment
✔✔What is a Medigap policy rating in which the rates increase as the insured ages -
✔✔Attained Age
-means the rates increase as the insured ages on by the age group which the insured is
in
✔✔Instruction for the patient and for the person helping the patient with self-dialysis
training for home dialysis treatment is - ✔✔Covered by Medicare Part B
-self-dialysis training(including instruction for the patient and for the person helping the
patient with home dialysis treatment)is covered by Medicare Part B
✔✔Medicare may pay for ambulance transportation - ✔✔To the nearest Medical facility.
-some non emergency ambulance transportation
✔✔An eligible individual did not enroll into Medicare Part B during the general
enrollment period. For each full 12 month period the individual could have been
enrolled, but was not, the premium will be increased by what percentage - ✔✔10%
-for each full 12-month period the individual could of been enrolled, but was not. The
10% penalty also applied to people who drop out of Part B and re-enroll
AND ANSWERS SURE A+
✔✔Regarding long-term care policies, what is not included in activities of daily living -
✔✔Sleeping
-ADL's include bathing, toileting, transferring (or mobility) continence and eating.To be
eligible for benefits from long-term care policy, the insured must be unable to perform
some of the activities of daily living(ADL's)
✔✔If an insured appeals a service on the Medicare Summary Notice (MSN) and sends
a request to the Medicare Administrative Contractor, within, how many will the MAC
generally send the decision to the insured - ✔✔60 Days
- usually 60 days after receipt of the request.
✔✔The traditional Pay-pay-visit arrangement available nationwide is known as -
✔✔Original Medicare Plan
✔✔A woman has enrolled in Medicare Part B, effective July 1. She schedules an
appointment for a wellness exam on December 1. Medicare Part B will - ✔✔Cover the
Cost
- initial wellness visits within 12 months of the day the persons 1st enrolls in Medicare
Part B is covered as well as one wellness exam every 12 months thereafter
, ✔✔Medicare-covered hospital expenses include - ✔✔Semi-Private Room
Meals
General Nursing
Hospital Services and supplies
-critical access hospitals and impatient mental health care.
Surgeon Feed are paid from Part B
✔✔A long-term care policy that is guaranteed renewable means that - ✔✔Guaranteed
renewable means that the policy must be renewed as long as the insured is paying
premiums, but the premiums may be increased
✔✔According to NC Law, the person who seeks to contract a medigap insurance policy
is known as the - ✔✔The applicant
-
✔✔What is the Medicare Payment System - ✔✔PPS- Prospective Payment System
- medicare payment system used to provide coverage to approximately 40 million
Americans who are eligible for Medicare
✔✔A patients is treated by a physician who accepts assignment. The doctor charges
$150.00.The Medicare approved amount is $100.The patient has met his deductible for
the year. How much will the patient have to pay? - ✔✔20.00
=20% copayment
✔✔What is a Medigap policy rating in which the rates increase as the insured ages -
✔✔Attained Age
-means the rates increase as the insured ages on by the age group which the insured is
in
✔✔Instruction for the patient and for the person helping the patient with self-dialysis
training for home dialysis treatment is - ✔✔Covered by Medicare Part B
-self-dialysis training(including instruction for the patient and for the person helping the
patient with home dialysis treatment)is covered by Medicare Part B
✔✔Medicare may pay for ambulance transportation - ✔✔To the nearest Medical facility.
-some non emergency ambulance transportation
✔✔An eligible individual did not enroll into Medicare Part B during the general
enrollment period. For each full 12 month period the individual could have been
enrolled, but was not, the premium will be increased by what percentage - ✔✔10%
-for each full 12-month period the individual could of been enrolled, but was not. The
10% penalty also applied to people who drop out of Part B and re-enroll
