MEDICARE SUPPLEMENT AND LONG
TERM CARE INSURANCE LICENSING FINAL
PAPER UPDATED COMPLETE QUESTIONS
AND CORRECT ANSWERS
●● Medicare makes what payment for services in which another payer
may be responsible:
A. Conditional payment
B. Interim payment
C. Transitional payment
D. Temporary payment
Answer: A. Conditional payment
●● Insurers must offer inflation protection in which of the following
policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid
Answer: C. Long-Term Care
,●● What program safeguards against unnecessary and inappropriate
medical care rendered to Medicaid recipients?
A. Medicaid review program
B. Utilization renew program
C. Quality improvement organization
D. Utilization review program
Answer: D. Utilization review program
●● Which of the following is not a requirement for long-term care
plans?
A. The individual must be unable to perform at least two ADLs
B. Inflation protection must be provided
C. Policies must accrue cash value
D. Coveraged cannot reimburse insureds for medical expenses or
services covered by Medicare.
Answer: C. Policies must accrue cash value.
●● Which entity handles claims from hospitals, skilled nursing facilities,
home health agencies and hospices?
, A. Carrier
B. Intermediary
C. Quality Improvement Organization
D. Utilization Review Committee
Answer: B. Intermediary
●● What is the term for private organizations that administer Medicare
Part B benefits?
A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organizations
Answer: A. Carriers
●● All of the following are requirements for long-term care and medigap
policy except:
A. The agent must provide the applicant with a notice regarding
replacement
B. The notice regarding replacement must contain the free look period
C. The notice regarding replacement explains the replacing coverage in
comparison to the existing coverage
TERM CARE INSURANCE LICENSING FINAL
PAPER UPDATED COMPLETE QUESTIONS
AND CORRECT ANSWERS
●● Medicare makes what payment for services in which another payer
may be responsible:
A. Conditional payment
B. Interim payment
C. Transitional payment
D. Temporary payment
Answer: A. Conditional payment
●● Insurers must offer inflation protection in which of the following
policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid
Answer: C. Long-Term Care
,●● What program safeguards against unnecessary and inappropriate
medical care rendered to Medicaid recipients?
A. Medicaid review program
B. Utilization renew program
C. Quality improvement organization
D. Utilization review program
Answer: D. Utilization review program
●● Which of the following is not a requirement for long-term care
plans?
A. The individual must be unable to perform at least two ADLs
B. Inflation protection must be provided
C. Policies must accrue cash value
D. Coveraged cannot reimburse insureds for medical expenses or
services covered by Medicare.
Answer: C. Policies must accrue cash value.
●● Which entity handles claims from hospitals, skilled nursing facilities,
home health agencies and hospices?
, A. Carrier
B. Intermediary
C. Quality Improvement Organization
D. Utilization Review Committee
Answer: B. Intermediary
●● What is the term for private organizations that administer Medicare
Part B benefits?
A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organizations
Answer: A. Carriers
●● All of the following are requirements for long-term care and medigap
policy except:
A. The agent must provide the applicant with a notice regarding
replacement
B. The notice regarding replacement must contain the free look period
C. The notice regarding replacement explains the replacing coverage in
comparison to the existing coverage
