NORTH CAROLINA MEDICARE SUPPLEMENT & LONG-
TERM CARE EXAM WITH VERIFIED SOLUTIONS
1. Z hsells ha hMSP hto ha hsick h72-year-old hperson, hthat hhe hknows
halready hhas ha h Medicare hsupplement. hThe hsale his: hNot hallowed hbecause
ha hperson hcant hhave hmultiple hMSPs
2. Which hof hthe hfollowing hdoes hnot hqualify hfor hMedicare hunder h65
hyears hold?: h Z hwho hhas hpancreatic hcancer
3. All h of h the h following h are h NOT h correct h regarding h Medicare
h Advantage h HMO h and hPPO hplans hEXCEPT:: hMedicare hAdvantage hPPOs hdo hNOT
huse ha hgatekeeper.
4. Which hof hthe hfollowing his hthe hprimary hpoint hof hcontact hto
henroll hMedicare h providers?: ha. hMACs
5. What h coverage h under h Medicare h Part h A h covers h 80% h of h the
h cost h for h durable hmedical hequipment?: hHome hHealth hCare
6. Most h people h become h eligible h for h Medicare h at h what h age?: h c. h65
1 h/
h23
,7. After h the h deductible h is h paid, h which h is h true h regarding
h expenses h paid h by hMedicare hPart hB?: ha. hPart hB hpays h80%.
8. Which hof hthe hfollowing hdos hnot hreceive hMedicaid hpayments
hdirectly?: hb. hA hpatient hin hhospice
9. What htype hrenewability hprovision hstates hthat ha hpolicy hcan't hbe
hcancelled hor hchanged hexcept hfor han hunpaid hpremium hbut
hpremiums hcan hbe hraised?: ha. hGuaran- hteed hrenewable
10. D's h Medicare h Supplement h premium h is h based h on h her h age
h when h the h policy hstarted. hWhy hcan't hthe hinsurer hincrease hthe
hpremium hfor hinflation?: hIt huses hissue hage.
11. With hMedicare hPart hA, hhow hmany hskilled hnursing hfacility
hdays hare hfully hcov- hered?: h20
12. A hlong-term hcare hpolicy hthat his htax-qualified hby hHIPAA,
hthe hpremiums hand hbenefits hare hconsidered?: hTax-favored
13. If h C h did h not h sign h up h for h Medicare h Part h B h when h she h was
h initially h eligible, h when hcan hshe hsign hup?: hd. hDuring hthe hGeneral hEnrollment
hPeriod h(AEP)
14. Policy h rates h and h schedules h must h be h filed h with h the
h Commissioner: h Annually
15. In h order h to h make h sure h Medicare h provides h appropriate,
h quality h and h effective hcare hto hpatients, hwhich hgroup his hused has ha
hmonitor?: ha. hA hQuality hImprovement hOrganization h(QIO)
16. What his htrue habout ha hMedicare hSelect hpolicy?: h The hinsured hwon't hbe
hcovered hfor hout-of-network hexpenses.
2 h/
h23
, 17. Preexisting h conditions h coverage h in h a h Long-term h Care h or
h Medicare h Supple- hment hpolicy hcant hbe hdenied hor hfor hmore hthan:: ha. h6
hmonths hafter hettective hdate hof hcoverage
18. X h is h a h 40-year-old h factory h worker h with h kidney h disease
h that h has h a h great h group hhealth hplan hthrough hhis hemployer. hWhy
hwould hhe hbe hon hMedicare?: hd. hHis hemployer hgroup hpolicy hhas hpaid hfor hat hleast
h30 hmonths, hand hthen hhe hmoved hto hMedicare.
19. A hMedicare hAdvantage hPrescription hDrug hPlan hoffers hwhich ho
hthe hfollowing?-
: h Part hD hprescription hdrug hcoverage, hPart hA, hand hPart hB hbenefits hin hone hplan.
20. Home h health h care h will h be h provided h by h Medicare h Part h B
h if h which h condition h is hmet?: ha. hThe hcare his hordered hby hdoctor hor hhealth hprovider.
21. This htype htemporary hcare hgives ha hcaregiver hrest hor htime hoff?:
ha. hRespite hCare
22. What h type h marketing h fails h to h disclose h the h reason h for
h contacting h a h person h is hto hsell hinsurance?: hd. hCold hLead hAdvertising
23. Which his htrue, hif hT hwas hinjured hand hneeded ha hblood
htransfusion?: hd. hMedicare hPart hA hand hB hwill hmake hB hpay hfor hthe hfirst hthree hpints.
24. Which hof hthe hfollowing hcan't hbe hexcluded hin ha hMedicare
hSupplement hPolicy?: hd. hAlzheimers
25. P h has h a h Medicare h Supplement h Policy, h it:: h Cannot hbe hmore hrestrictive
hthan hMedicare.
26. Medicare h does h not h pay h for h any h part h of h which h of h the
h following?: h d. hEyeglasses
27. K's h mother h needs h medical h and h personal h care h all h the h time.
h Which h care h is h best hsuited?: hd. hSkilled hNursing hCare
28. Which h of h the h following h Medicare-Aid h pays h only h the
h premiums h for h Medicare h Part hB?: hc. hSpecified hLow-Income hBeneficiary h(SLMB)
29. The h term h for h when h a h medical h provider h or h doctor h agrees
h to h accept h Medicare hpayments his: hc. hMedicare hAssignment
30. D h bought h a h Medicare h supplement h policy. h It h must h be
h guaranteed h renewable h for hany hreason hEXCEPT:: ha. hNonpayment hof
3 h/
h23
TERM CARE EXAM WITH VERIFIED SOLUTIONS
1. Z hsells ha hMSP hto ha hsick h72-year-old hperson, hthat hhe hknows
halready hhas ha h Medicare hsupplement. hThe hsale his: hNot hallowed hbecause
ha hperson hcant hhave hmultiple hMSPs
2. Which hof hthe hfollowing hdoes hnot hqualify hfor hMedicare hunder h65
hyears hold?: h Z hwho hhas hpancreatic hcancer
3. All h of h the h following h are h NOT h correct h regarding h Medicare
h Advantage h HMO h and hPPO hplans hEXCEPT:: hMedicare hAdvantage hPPOs hdo hNOT
huse ha hgatekeeper.
4. Which hof hthe hfollowing his hthe hprimary hpoint hof hcontact hto
henroll hMedicare h providers?: ha. hMACs
5. What h coverage h under h Medicare h Part h A h covers h 80% h of h the
h cost h for h durable hmedical hequipment?: hHome hHealth hCare
6. Most h people h become h eligible h for h Medicare h at h what h age?: h c. h65
1 h/
h23
,7. After h the h deductible h is h paid, h which h is h true h regarding
h expenses h paid h by hMedicare hPart hB?: ha. hPart hB hpays h80%.
8. Which hof hthe hfollowing hdos hnot hreceive hMedicaid hpayments
hdirectly?: hb. hA hpatient hin hhospice
9. What htype hrenewability hprovision hstates hthat ha hpolicy hcan't hbe
hcancelled hor hchanged hexcept hfor han hunpaid hpremium hbut
hpremiums hcan hbe hraised?: ha. hGuaran- hteed hrenewable
10. D's h Medicare h Supplement h premium h is h based h on h her h age
h when h the h policy hstarted. hWhy hcan't hthe hinsurer hincrease hthe
hpremium hfor hinflation?: hIt huses hissue hage.
11. With hMedicare hPart hA, hhow hmany hskilled hnursing hfacility
hdays hare hfully hcov- hered?: h20
12. A hlong-term hcare hpolicy hthat his htax-qualified hby hHIPAA,
hthe hpremiums hand hbenefits hare hconsidered?: hTax-favored
13. If h C h did h not h sign h up h for h Medicare h Part h B h when h she h was
h initially h eligible, h when hcan hshe hsign hup?: hd. hDuring hthe hGeneral hEnrollment
hPeriod h(AEP)
14. Policy h rates h and h schedules h must h be h filed h with h the
h Commissioner: h Annually
15. In h order h to h make h sure h Medicare h provides h appropriate,
h quality h and h effective hcare hto hpatients, hwhich hgroup his hused has ha
hmonitor?: ha. hA hQuality hImprovement hOrganization h(QIO)
16. What his htrue habout ha hMedicare hSelect hpolicy?: h The hinsured hwon't hbe
hcovered hfor hout-of-network hexpenses.
2 h/
h23
, 17. Preexisting h conditions h coverage h in h a h Long-term h Care h or
h Medicare h Supple- hment hpolicy hcant hbe hdenied hor hfor hmore hthan:: ha. h6
hmonths hafter hettective hdate hof hcoverage
18. X h is h a h 40-year-old h factory h worker h with h kidney h disease
h that h has h a h great h group hhealth hplan hthrough hhis hemployer. hWhy
hwould hhe hbe hon hMedicare?: hd. hHis hemployer hgroup hpolicy hhas hpaid hfor hat hleast
h30 hmonths, hand hthen hhe hmoved hto hMedicare.
19. A hMedicare hAdvantage hPrescription hDrug hPlan hoffers hwhich ho
hthe hfollowing?-
: h Part hD hprescription hdrug hcoverage, hPart hA, hand hPart hB hbenefits hin hone hplan.
20. Home h health h care h will h be h provided h by h Medicare h Part h B
h if h which h condition h is hmet?: ha. hThe hcare his hordered hby hdoctor hor hhealth hprovider.
21. This htype htemporary hcare hgives ha hcaregiver hrest hor htime hoff?:
ha. hRespite hCare
22. What h type h marketing h fails h to h disclose h the h reason h for
h contacting h a h person h is hto hsell hinsurance?: hd. hCold hLead hAdvertising
23. Which his htrue, hif hT hwas hinjured hand hneeded ha hblood
htransfusion?: hd. hMedicare hPart hA hand hB hwill hmake hB hpay hfor hthe hfirst hthree hpints.
24. Which hof hthe hfollowing hcan't hbe hexcluded hin ha hMedicare
hSupplement hPolicy?: hd. hAlzheimers
25. P h has h a h Medicare h Supplement h Policy, h it:: h Cannot hbe hmore hrestrictive
hthan hMedicare.
26. Medicare h does h not h pay h for h any h part h of h which h of h the
h following?: h d. hEyeglasses
27. K's h mother h needs h medical h and h personal h care h all h the h time.
h Which h care h is h best hsuited?: hd. hSkilled hNursing hCare
28. Which h of h the h following h Medicare-Aid h pays h only h the
h premiums h for h Medicare h Part hB?: hc. hSpecified hLow-Income hBeneficiary h(SLMB)
29. The h term h for h when h a h medical h provider h or h doctor h agrees
h to h accept h Medicare hpayments his: hc. hMedicare hAssignment
30. D h bought h a h Medicare h supplement h policy. h It h must h be
h guaranteed h renewable h for hany hreason hEXCEPT:: ha. hNonpayment hof
3 h/
h23
