Medicare Supplement and Long Term Care
UPDATED ACTUAL Exam Questions and
CORRECT Answers
what facility is long term care NOT provided in - CORRECT ANSWER- Hospital
an insured receives health care through both Medicare and Medicaid. She Currently has
prescription drug coverage through Medicaid. does the insured need to enroll in Medicare part
D? - CORRECT ANSWER- Yes, she must begin receiving her prescription Drug coverage
through Part D
To quality for skilled nursing care a patient must - CORRECT ANSWER- have a qualifying
hospital stay of at least 3 consecutive days
if a insured returns a Medicare supplement policy too the insurer with in 30 days of policy
delivery without providing a reason, how much of policy premium with be refunded? -
CORRECT ANSWER- 100%
An individual long term care insurance policy holder has the right to return the policy for a full
refund of premium with in 30 days of the policy - CORRECT ANSWER- delivery to the
insured
If an agent receives 1000 in commissions upon the first renewal of a medigap policy what is the
maximin compensation that the agent may receive on the fourth renewal - CORRECT
ANSWER- 1000 dollars
claim for Medicare part a services are filed by - CORRECT ANSWER- the provider with the
Medicare intermediary
An agent sells medigap insurance in north Carolina, her renewal commission is 10% the most
that the agent can receive in first year commission is? - CORRECT ANSWER- 20 percent
, What Medicare part WILL allow an assignment payment method? - CORRECT ANSWER-
Part B
If a patient is admitted to a hospital for special care, inpatient dialyze treatments are covered
under what? - CORRECT ANSWER- Medicare Part A
How many lifetime reserve days does Medicare part a have? - CORRECT ANSWER- 60
days
Medicare pays the first 20 days of skilled nursing facility care. For days 21 through 100,
Medicare pays what? - CORRECT ANSWER- 235 per day
A man is considered homebound and is eligible for Medicare Home Health services. He has
Medicare Part A and Medicare Part B. Medicare will pay for covered home health visits. The
patient's share of the cost is what percent? - CORRECT ANSWER- 20%
How many days of care in a skilled nursing facility does Medicare Part A cover? - CORRECT
ANSWER- 100 days
As compared to Part A deductible, the coinsurance amount for days 61 - 90 is how much of the
deductible? - CORRECT ANSWER- 1/4
An individual insured under a Medicare plan moves, but his current plan's service area does not
include his new home. He has not chosen a new plan during this Special Enrollment Period.
What will happen? - CORRECT ANSWER- He will automatically be enrolled in Original
Medicare.
What is not a diagnosis-related groups according to the classification by the Prospective Payment
System (PPS)? - CORRECT ANSWER- Prescription drug payment.
UPDATED ACTUAL Exam Questions and
CORRECT Answers
what facility is long term care NOT provided in - CORRECT ANSWER- Hospital
an insured receives health care through both Medicare and Medicaid. She Currently has
prescription drug coverage through Medicaid. does the insured need to enroll in Medicare part
D? - CORRECT ANSWER- Yes, she must begin receiving her prescription Drug coverage
through Part D
To quality for skilled nursing care a patient must - CORRECT ANSWER- have a qualifying
hospital stay of at least 3 consecutive days
if a insured returns a Medicare supplement policy too the insurer with in 30 days of policy
delivery without providing a reason, how much of policy premium with be refunded? -
CORRECT ANSWER- 100%
An individual long term care insurance policy holder has the right to return the policy for a full
refund of premium with in 30 days of the policy - CORRECT ANSWER- delivery to the
insured
If an agent receives 1000 in commissions upon the first renewal of a medigap policy what is the
maximin compensation that the agent may receive on the fourth renewal - CORRECT
ANSWER- 1000 dollars
claim for Medicare part a services are filed by - CORRECT ANSWER- the provider with the
Medicare intermediary
An agent sells medigap insurance in north Carolina, her renewal commission is 10% the most
that the agent can receive in first year commission is? - CORRECT ANSWER- 20 percent
, What Medicare part WILL allow an assignment payment method? - CORRECT ANSWER-
Part B
If a patient is admitted to a hospital for special care, inpatient dialyze treatments are covered
under what? - CORRECT ANSWER- Medicare Part A
How many lifetime reserve days does Medicare part a have? - CORRECT ANSWER- 60
days
Medicare pays the first 20 days of skilled nursing facility care. For days 21 through 100,
Medicare pays what? - CORRECT ANSWER- 235 per day
A man is considered homebound and is eligible for Medicare Home Health services. He has
Medicare Part A and Medicare Part B. Medicare will pay for covered home health visits. The
patient's share of the cost is what percent? - CORRECT ANSWER- 20%
How many days of care in a skilled nursing facility does Medicare Part A cover? - CORRECT
ANSWER- 100 days
As compared to Part A deductible, the coinsurance amount for days 61 - 90 is how much of the
deductible? - CORRECT ANSWER- 1/4
An individual insured under a Medicare plan moves, but his current plan's service area does not
include his new home. He has not chosen a new plan during this Special Enrollment Period.
What will happen? - CORRECT ANSWER- He will automatically be enrolled in Original
Medicare.
What is not a diagnosis-related groups according to the classification by the Prospective Payment
System (PPS)? - CORRECT ANSWER- Prescription drug payment.
