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NC Medicare/LTC exam questions
Questions and Correct Answers/ Latest
Update / Already Graded
LTC policies may not include
Ans: the right to refuse to renew upon age or deterioration of health.
Medicare Supplement policies must maintain minimum loss ratios
Ans: (75% Group, and 65% Individual) through annual audited reports to
DOI.
If inadequate loss ratios
Ans: refunds or premium credits are required to be made.
LTC must provide benefits for a minimum of
Ans: 12 months and cannot provide skilled care only.
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LTC insurers must provide ____ days advance notice of cancellation
to both insured and alternate-named person.
Ans: 30
LTC Outline of coverage must be delivered no later than
Ans: at policy delivery.
After admission to a custodial facility most LTC policies have a ______
Ans: Elimination Period ("Time Deductible")
Medicare enrollment is done at
Ans: local Social Security offices.
Medicare Supplement policies are designed primarily to cover the
Ans: "cost-sharing" features of Medicare.
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Home Health benefits cover DME's ____%.
Ans: 80
Medicare in-patient Psychiatric benefits are limited to
Ans: 190 days lifetime.
Medicare SNF benefits are structured how?
Ans: 100 days per benefit period. Days 1-20 with no copayment; Days 21-
100 are 1/8 of the Part A Deductible.
13) The Medicare Part A benefit period (spell of illness) for hospital
and SNF ends
Ans: 60 days after discharge.
14) Medicare provides Days 1-90 on a
Ans: non-exhaustible basis for each benefit period.
NC Medicare/LTC exam questions
Questions and Correct Answers/ Latest
Update / Already Graded
LTC policies may not include
Ans: the right to refuse to renew upon age or deterioration of health.
Medicare Supplement policies must maintain minimum loss ratios
Ans: (75% Group, and 65% Individual) through annual audited reports to
DOI.
If inadequate loss ratios
Ans: refunds or premium credits are required to be made.
LTC must provide benefits for a minimum of
Ans: 12 months and cannot provide skilled care only.
,2 | Page
LTC insurers must provide ____ days advance notice of cancellation
to both insured and alternate-named person.
Ans: 30
LTC Outline of coverage must be delivered no later than
Ans: at policy delivery.
After admission to a custodial facility most LTC policies have a ______
Ans: Elimination Period ("Time Deductible")
Medicare enrollment is done at
Ans: local Social Security offices.
Medicare Supplement policies are designed primarily to cover the
Ans: "cost-sharing" features of Medicare.
, 3 | Page
Home Health benefits cover DME's ____%.
Ans: 80
Medicare in-patient Psychiatric benefits are limited to
Ans: 190 days lifetime.
Medicare SNF benefits are structured how?
Ans: 100 days per benefit period. Days 1-20 with no copayment; Days 21-
100 are 1/8 of the Part A Deductible.
13) The Medicare Part A benefit period (spell of illness) for hospital
and SNF ends
Ans: 60 days after discharge.
14) Medicare provides Days 1-90 on a
Ans: non-exhaustible basis for each benefit period.
