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Exam (elaborations)

Med Sup Exam || A+ Graded Already.

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Which of the following is NOT true regarding Medicare Supplement plans available to individuals eligible for Medicare by reason of disability? correct answers Those who managed care plan coverage has been terminated are not eligible. Medicare Supplement business was transferred from one issuer to another. What is this action called? correct answers Discontinuance A North Carolina resident needs custodial care for the performance of activities of daily living. She has a long-term care insurance policy and wishes to receive the care in a facility other than a long-term facility. Under what conditions will the long-term care policy pay a benefit? correct answers The care must be provided as long as the insured is confined as an inpatient in any facility licensed by the state Individuals who move out of their Medicare Plan's service area may do any of the following EXCEPT correct answers Submit an appeal to have the new area included in their current plan's service area Skilled Nursing care is primarily correct answers Round the clock nursing care in a Medicare approved skilled nursing facility A Medicare patient was hospitalized on October 18, and discharged on October 21. The same patient was admitted again on November 1 of the same year. How many deductible payments are required? correct answers 1 Regarding Medicare SELECT policies, what are restricted network provisions? correct answers They condition the payment of benefits Which of the following provisions helps protect an insured against unintentional lapse of a long-term care policy? correct answers Secondary addressee Assessments of activities of daily living and cognitive impairment will be performed by correct answers Licensed or certified professionals As defined by long-term care policies as an activity of daily living, the term toileting includes which of the following? correct answers Performing personal hygiene The initial enrollment period for Medicare Part B is correct answers 7 months An example of skilled care is correct answers Changing sterile dressings Under a special low-income Medicare Beneficiary program, which part is the beneficiary responsible for? correct answers Medicare deductible and coinsurance Which of the following is a Medicare-approved private insurance plan in which Medicare pays the plan premium for Medicare-covered services and the plan provides all Medicare benefits? correct answers Private-Fee-for-Service Plan (PFFS)

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Medicare
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