NORTH CAROLINA MEDICARE
SUPPLEMENT/LONG TERM CARE
EXAM WITH ACCURATE SOLUTIONS
What xis xMedicare? x- xcorrect xanswers x-Government xhealth xinsurance xprogram xfor
xpeople xover x65 xor xyounger xpeople xwho xmay xqualify.
Who xunder x65 xmay xqualify xfor xMedicare? x- xcorrect xanswers x-Individuals xwho
xhave xdisabilities xsuch xas xpermanent xkidney xfailure xor xALS
Medicare xpart xA xcovers xwhat? x- xcorrect xanswers x-Hospital
Which xpart xof xMedicare xcovers xmedical xinsurance? x- xcorrect xanswers x-Part xB
Which xpart xof xMedicare xis xknown xas xMedicare xAdvantage? x- xcorrect xanswers x-
Part xC
, What xcriteria xmust xbe xmet xto xqualify xfor xenrollment xin xMedicare xAdvantage x-
xcorrect xanswers x-Must xbe xenrolled xin xPart xA x& xB
Which xpart xexpands xOriginal xMedicare xBenefits xthrough xPrivate xHealth xInsurance
xPrograms? x- xcorrect xanswers x-Part xC
Which xpart xof xMedicare xcovers xprescription xDrugs? x- xcorrect xanswers x-Part xD
Medicare xparts xA xand xB xare xadministered xonly xby xwhom x- xcorrect xanswers x-The
xFederal xGovernment
How xmany xMedicare xsavings xprograms xare xthere x- xcorrect xanswers x-4
How xare xpersons xwho xare xage x65 xor xolder xwho xdo xnot xparticipate xin xSocial
xSecurity xeligible xfor xMedicare? x- xcorrect xanswers x-If xpremium xis xpaid
Is xMedicare xPart xB xa xvoluntary xhealth xinsurance xprogram? x- xcorrect xanswers x-
Yes
What xdoes xthe xlimited xMedicare xsavings xprogram xMQB-B xPay xfor? x- xcorrect
xanswers x-(Part xB xPremium xOnly)
To xparticipate xin xMedicare xa xperson xmust xbe xwhat? x- xcorrect xanswers x-A xUS
xcitizen xor xa xpermanent xlegal xresident)
When xdoes xthe xinitial xenrollment xperiod xfor xMedicare xPart xB xbegin? x- xcorrect
xanswers x-3 xmonths xbefore xthe xmonth xthat xthe xenrollee xturns x65
For xemployers xwith x20 xor xmore xemployees xwho xoffer xgroup xconverge, xwould
xMedicare xbe xconsidered xthe xprimary xor xsecondary xcoverage? x- xcorrect xanswers
x-Secondary
What xdoes xthe xacronym xPPS xstand xfor? x- xcorrect xanswers x-Prospective xPayment
xSystem
What xis xthe xprimary xfunction xof xthe xMAC? x- xcorrect xanswers x-Medical xreviews xto
xensure xthat xservices xcovered xare xreasonable xand xnecessary)
Under xwhich xreview xcan xa xphysician xsubmit xclaim xinformation xprior xto xproviding
xtreatment xto xknow xin xadvance xif xthe xprocedure xis xcovered xunder xthe xinsured's
xplan? x- xcorrect xanswers x-(Prospective xReview)
Medicare xPart xA xallows xhow xmany xreserve xdays xper xlifetime? x- xcorrect xanswers
x-(60)
SUPPLEMENT/LONG TERM CARE
EXAM WITH ACCURATE SOLUTIONS
What xis xMedicare? x- xcorrect xanswers x-Government xhealth xinsurance xprogram xfor
xpeople xover x65 xor xyounger xpeople xwho xmay xqualify.
Who xunder x65 xmay xqualify xfor xMedicare? x- xcorrect xanswers x-Individuals xwho
xhave xdisabilities xsuch xas xpermanent xkidney xfailure xor xALS
Medicare xpart xA xcovers xwhat? x- xcorrect xanswers x-Hospital
Which xpart xof xMedicare xcovers xmedical xinsurance? x- xcorrect xanswers x-Part xB
Which xpart xof xMedicare xis xknown xas xMedicare xAdvantage? x- xcorrect xanswers x-
Part xC
, What xcriteria xmust xbe xmet xto xqualify xfor xenrollment xin xMedicare xAdvantage x-
xcorrect xanswers x-Must xbe xenrolled xin xPart xA x& xB
Which xpart xexpands xOriginal xMedicare xBenefits xthrough xPrivate xHealth xInsurance
xPrograms? x- xcorrect xanswers x-Part xC
Which xpart xof xMedicare xcovers xprescription xDrugs? x- xcorrect xanswers x-Part xD
Medicare xparts xA xand xB xare xadministered xonly xby xwhom x- xcorrect xanswers x-The
xFederal xGovernment
How xmany xMedicare xsavings xprograms xare xthere x- xcorrect xanswers x-4
How xare xpersons xwho xare xage x65 xor xolder xwho xdo xnot xparticipate xin xSocial
xSecurity xeligible xfor xMedicare? x- xcorrect xanswers x-If xpremium xis xpaid
Is xMedicare xPart xB xa xvoluntary xhealth xinsurance xprogram? x- xcorrect xanswers x-
Yes
What xdoes xthe xlimited xMedicare xsavings xprogram xMQB-B xPay xfor? x- xcorrect
xanswers x-(Part xB xPremium xOnly)
To xparticipate xin xMedicare xa xperson xmust xbe xwhat? x- xcorrect xanswers x-A xUS
xcitizen xor xa xpermanent xlegal xresident)
When xdoes xthe xinitial xenrollment xperiod xfor xMedicare xPart xB xbegin? x- xcorrect
xanswers x-3 xmonths xbefore xthe xmonth xthat xthe xenrollee xturns x65
For xemployers xwith x20 xor xmore xemployees xwho xoffer xgroup xconverge, xwould
xMedicare xbe xconsidered xthe xprimary xor xsecondary xcoverage? x- xcorrect xanswers
x-Secondary
What xdoes xthe xacronym xPPS xstand xfor? x- xcorrect xanswers x-Prospective xPayment
xSystem
What xis xthe xprimary xfunction xof xthe xMAC? x- xcorrect xanswers x-Medical xreviews xto
xensure xthat xservices xcovered xare xreasonable xand xnecessary)
Under xwhich xreview xcan xa xphysician xsubmit xclaim xinformation xprior xto xproviding
xtreatment xto xknow xin xadvance xif xthe xprocedure xis xcovered xunder xthe xinsured's
xplan? x- xcorrect xanswers x-(Prospective xReview)
Medicare xPart xA xallows xhow xmany xreserve xdays xper xlifetime? x- xcorrect xanswers
x-(60)
