Medicare/LTC Quizzes UPDATED ACTUAL Exam Questions and CORRECT Answers

Medicare/LTC Quizzes UPDATED ACTUAL
Exam Questions and CORRECT Answers
Which type of health insurance plan is particularly suitable for the senior insurance market? -
CORRECT ANSWER - managed care
term insurance
*Medicare plans*
long-term care


Medicare is a federal health insurance program designed for people who are 65 years old and
older and certain disabled individuals.


How does Part C change the delivery of health care services under Medicare? - CORRECT
ANSWER - It increases accessibility to services for eligible individuals.
It limits the coverage of Parts A and B.
It reduces the coverage of Parts and B.
*It uses managed care providers.*


Part C offers Parts A and B services through managed care plans and private fee-for-service
plans.


Who would NOT be eligible for Medicare enrollment? - CORRECT ANSWER - a person
with end-stage renal disease
a person who is 65 years old
*a person under age 65 who has received Social Security disability benefits for six months*
a person who has amyotrophic lateral sclerosis


Medicare coverage is available to U.S. citizens and certain permanent residents who are at least
65 years old or have received Social Security disability benefits for at least two years, have end-
stage renal disease, or have amyotrophic lateral sclerosis.

,After the deductible is paid, the insured can expect Medicare Part A to cover all eligible hospital
expenses without a copayment for up to: - CORRECT ANSWER - *60 days*
45 days
10 days
30 days


After the insured pays the deductible, Part A pays all eligible hospital costs without a copayment
from the insured for up to 60 days.


Which statement does NOT describe Medicare supplement policies? - CORRECT
ANSWER - Insurers selling Medicare supplement policies must sell Plan A.
*Medicare adjusts its deductibles and copayments to match insurers' benefits.*
Plan A provides the core benefits of Medicare supplement insurance.
Medicare supplement policies are guaranteed renewable.


When Medicare adjusts its deductibles and copayments, Medicare supplement policies must
align benefits with the adjustments.


Which product supplements Medicare by offering benefits delivered through a network of health
care providers? - CORRECT ANSWER - *Medicare SELECT plan*
long-term care insurance
Medicaid
tax-qualified long-term care


Medicare supplement coverage offered in this way is called a Medicare SELECT plan. Like
other managed care plans, a Medicare SELECT plan requires the insured to use health care
providers within its network to be eligible for full benefits.


Which statement does NOT describe the standard Medicare supplement plans? - CORRECT
ANSWER - *A plan may be cancelled if the insured's health significantly deteriorates.*

,Plans B through N include Plan A's core benefits.
Plan A provides the basic core benefits.
Insurers selling Medicare supplement policies must offer Plan A.


A policy cannot be canceled because of the insured's health.


What must Medicare supplement policies do whenever Medicare adjusts its deductibles and
copayment requirements? - CORRECT ANSWER - reduce benefits to avoid duplicating
Medicare's adjustments
*align benefits to match the adjustments*
increase benefits to exceed Medicare's deductibles and copayment requirements
maintain benefits


Medicare supplement policies must align their benefits to match Medicare's adjustments to
deductible and copayment requirements.


Even though they offer the same benefits as Medicare supplement policies, why do Medicare
SELECT plan's charge a lower premium? - CORRECT ANSWER - Medicare supplement
policies are guaranteed renewable.
Medicare SELECT policies do not cover nursing home or custodial care.
*Medicare SELECT plans deliver health care through a network of providers.*
Medicare supplement policies must adjust to changes in Medicare.


Medicare SELECT plans deliver health care through a network of providers, which reduces the
cost of care.


What is another name for Medicare supplement policies? - CORRECT ANSWER - major
medical
*Medigap*
Medicaid

, Original Medicare


Medicare supplement policies are also known as Medigap policies. Medicaid is a separate
program, distinct from Medicare, which provides health care and health-related services to
people with low incomes. Original Medicare is Medicare Parts A and B. Major medical is
medical expense insurance.


Insurers that offer Medicare supplement insurance must, in addition to Plan A, offer at least: -
CORRECT ANSWER - *Plan C or Plan F*
Plan C and Plan F
Plan C
Plan D


All insurers that offer Medicare supplement insurance must offer Plan A. They must also offer
Plan C or Plan F.


Which Medicare supplement plan covers the copayment for the 61st through 90th day of
hospitalization? - CORRECT ANSWER - *Plans A through N*
Plans A, B, and C only
Plans A and B only
Plan C only


All plans pay the 61st through 90th days' copayment for hospitalization, as well as the 91st
through 150th days' copayment for each lifetime reserve day, and hospital costs up to 365 days.


When a person applies for Medicaid, the limits and the types of income and assets counted vary
depending on: - CORRECT ANSWER - whether the applicant is at least 65 years of age
whether the applicant previously applied for Medicaid assistance
*whether the applicant has a spouse who needs support*
whether the applicant has relatives who require support