NORTH CAROLINA MEDICARE SUPPLEMENT
AND LONG TERM CARE EXAM SCRIPT
COMPLETE SOLVED QUESTIONS
◉ What is Medicare? Answer: Government health insurance program
for people over 65 or younger people who may qualify.
◉ 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
◉ Skilled nursing care and certain other health care services that a
patient receives at home for an illness or injury is defined as what?
Answer: (Home health Care)
◉ What does First Dollar Coverage Mean? Answer: No Deductible
AND LONG TERM CARE EXAM SCRIPT
COMPLETE SOLVED QUESTIONS
◉ What is Medicare? Answer: Government health insurance program
for people over 65 or younger people who may qualify.
◉ 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
◉ Skilled nursing care and certain other health care services that a
patient receives at home for an illness or injury is defined as what?
Answer: (Home health Care)
◉ What does First Dollar Coverage Mean? Answer: No Deductible
