NORTH CAROLINA MEDICARE SUPPLEMENT
AND LONG TERM CARE EXAM QUESTIONS
AND ANSWERS COMPLETE SOLUTIONS
◉ An individual who is not eligible for premium-free Medicare Part A
coverage may apply for coverage during which of the following
enrollment periods?
A. All of the above
B. Initial enrollment period
C. General enrollment period
D. Special enrollment period. Answer: A. All of the above
◉ 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
AND LONG TERM CARE EXAM QUESTIONS
AND ANSWERS COMPLETE SOLUTIONS
◉ An individual who is not eligible for premium-free Medicare Part A
coverage may apply for coverage during which of the following
enrollment periods?
A. All of the above
B. Initial enrollment period
C. General enrollment period
D. Special enrollment period. Answer: A. All of the above
◉ 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
