pp pp pp pp
pp Exam Guide With Correct Answers Final Exam
pp pp pp pp pp pp
pp With Lab| All Answers Are Expert Verified For
pp pp pp pp pp pp pp
pp
Guaranteed Pass pp pp
pp
pp
Home pphealth ppcare ppcovers ppoccasional ppvisits ppfrom ppwho? pp- ppCORRECT
ppANSWERRegistered ppnurses, pplicensed pppractical ppnurses, ppcommunity-based
ppprofessionals pp(like pphospice). pp
**Does ppNOT ppcover ppvisits ppfrom ppattending ppphysicians. pp
pp
Programs ppthat ppare ppprovided ppto pppeople ppwho ppare pptoo pppoor ppto ppqualify ppfor
ppMedicaid. pp-
pp
CORRECT ppANSWER-State-only ppMedicaid
ppprograms
pp
LTC ppprovision ppthat ppprovides ppa ppguarantee ppthat ppcertain pppolicy ppbenefits ppwill ppremain
ppavailable ppeven ppif ppthe ppinsured ppstops pppaying pppremiums. pp(Offers ppoption ppof ppa
pppaid-up pppolicy ppproviding ppthe ppsame ppbenefits ppfor ppa ppshorter ppperiod, ppetc.) pp-
ppCORRECT ppANSWER-Nonforfeiture pp
pp
When ppmust ppthe ppoutline ppof ppcoverage ppfor ppa ppMedigap pppolicy ppbe ppprovided ppto ppthe
ppinsured? pp-
pp
CORRECT ppANSWER-At ppthe pptime ppof
ppapplication.
pp
Home pphealth ppequipment ppsuch ppas ppdialysis ppequipment ppand ppsupplies ppare
ppcovered ppunder pp
pp
which pppart ppof ppMedicare? pp- ppCORRECT ppANSWER-Medicare ppPart ppB
pp(Considered ppan
pp
outpatient
ppservice)
pp
What ppis ppthe ppMedicare ppPart ppB ppenrollment ppperiod ppfor ppan ppindividual ppwho ppis
ppturning pp65? pp- ppCORRECT ppANSWER-3 ppmonths ppbefore ppthe ppmonth ppin ppwhich ppthe
ppindividual ppturns pp65, ppas ppwell ppas ppthe pp3 ppmonths ppfollowing ppthat ppmonth pp(7
ppmonths). pp
pp
What ppis ppthe ppcopayment ppof ppthe ppMedicare ppapproved ppamount? pp- ppCORRECT
ppANSWER-20% pp
pp
paid ppby ppthe ppinsured
ppindividual.
pp
, Prospective ppreview pp(Precertification ppprovision) pp- ppCORRECT ppANSWER-Physician
ppsubmits ppclaim ppinformation ppprior ppto ppproviding pptreatment ppto ppknow ppin ppadvance ppif
ppthe ppprocedure ppis ppcovered ppand ppwhat ppthe pprate ppwill ppbe. pp
pp
What ppoptions ppdoes ppan ppinsured ppperson pphave ppfor ppprescription ppdrug ppcoverage ppif
ppthey ppare ppenrolled ppin ppa ppMedicare ppAdvantage ppPlan? pp- ppCORRECT ppANSWER-1)
ppReceive ppprescription ppdrug ppcoverage ppthrough ppthe ppMedicare ppAdvantage ppPlan. pp
2) ppSign ppup ppfor ppseparate ppprescription ppdrug ppplan ppthrough ppMedicare ppPart ppD. pp
pp
Who ppfacilitates ppprocessing ppMedicare ppapplications, ppcollects ppMedicare pppremiums,
ppand ppprovides ppgeneral ppinformation ppabout ppMedicare? pp- ppCORRECT ppANSWER-The
ppSocial ppSecurity ppAdministration pp
pp
Who ppadministers ppMedicare? pp- ppCORRECT ppANSWER-Centers ppfor ppMedicare ppand
ppMedicaid pp
pp
Services
pp(CMS)
pp
How ppare ppLTC ppbenefits pptriggered? pp- ppCORRECT ppANSWER-Insured ppmust ppbe
ppunable ppto ppperform ppat ppleast pp2 ppADLs ppwithout ppsubstantial ppassistance. pp
(Cannot ppbe pptriggered ppsolely ppdue ppto ppmedical ppnecessity) pp
pp
T/F. ppRelating ppto ppa pptax ppqualified ppLTC pppolicy, ppthe pppremiums pppaid ppfor ppthe pppolicy
ppmay ppbe ppa ppdeductible ppexpense, ppand ppthe ppbenefits pppaid ppare ppalso ppnot ppconsidered
pptaxable ppincome. pp- pp
CORRECT ppANSWER-True. pp
pp
Skilled ppnursing ppfacility ppcoinsurance ppis pphow ppmuch ppper ppday ppand ppstarts ppafter pphow
ppmany ppdays pp
pp
of ppcare? pp- ppCORRECT ppANSWER-$170.50 ppper ppday, ppbeginning ppon ppafter ppthe ppfirst
pp20 ppdays.
pp
(100 ppdays ppof
ppcoverage)
pp
What ppis ppa ppqualifying pphospital ppstay? pp- ppCORRECT ppANSWER-3 pp days
pphospitalization pp
pp
(Provides ppMedicare ppcoverage ppafter pp30 ppdays pphave
ppelapsed)
pp
Qualified ppmedical ppexpenses pppaid ppfor ppfrom ppa ppMedical ppSavings ppAccount pp(MSA)
ppare pptaxed pphow? pp- ppCORRECT ppANSWER-Not pptaxable. pp(Funds ppare ppused ppto pppay
ppdeductibles ppduring ppthe ppyear) pp
*Only pptaxable ppwhen ppfunds ppare ppused ppfor ppanything ppother ppthan ppqualified ppmedical
ppexpenses. pp
pp
Medicare ppPart ppA ppCoverages ppand ppCopayment pp- ppCORRECT ppANSWER-Days
pp1-60: ppAll pp