NC Medicare/LTC Exam Questions And Answers

NC Medicare/LTC Exam Questions And Answers Home health care covers occasional visits from who? - ANS Registered nurses, licensed practical nurses, community-based professionals (like hospice). **Does NOT cover visits from attending physicians. Programs that are provided to people who are too poor to qualify for Medicaid. - ANS State-only Medicaid programs LTC provision that provides a guarantee that certain policy benefits will remain available even if the insured stops paying premiums. (Offers option of a paid-up policy providing the same benefits for a shorter period, etc.) - ANS Nonforfeiture When must the outline of coverage for a Medigap policy be provided to the insured? - ANS At the time of application. Home health equipment such as dialysis equipment and supplies are covered under which part of Medicare? - ANS Medicare Part B (Considered an outpatient service) What is the Medicare Part B enrollment period for an individual who is turning 65? - ANS 3 months before the month in which the individual turns 65, as well as the 3 months following that month (7 months). What is the copayment of the Medicare approved amount? - ANS 20% paid by the insured individual. Prospective review (Precertification provision) - ANS Physician submits claim information prior to providing treatment to know in advance if the procedure is covered and what the rate will be.