North Carolina Medicare Supplement and
Long-Term Care Questions and Correct
Answers
An individual who is not eligible for premium-free Medicare Part
A coverage may apply for coverage during which of the following
enrollment periods?
A. All of the above
B. Initial enrollment period
C. General enrollment period
D. Special enrollment period Ans: A. All of the above
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Medicare makes what payment for services in which another payer
may be responsible:
A. Conditional payment
B. Interim payment
C. Transitional payment
D. Temporary payment Ans: A. Conditional payment
Insurers must offer inflation protection in which of the following
policies?
A. Medicare Part C
B. Medigap
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C. Long-Term Care
D. Medicaid Ans: C. Long-Term Care
What program safeguards against unnecessary and inappropriate
medical care rendered to Medicaid recipients?
A. Medicaid review program
B. Utilization renew program
C. Quality improvement organization
D. Utilization review program Ans: D. Utilization review program
Which of the following is not a requirement for long-term care
plans?
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A. The individual must be unable to perform at least two ADLs
B. Inflation protection must be provided
C. Policies must accrue cash value
D. Coveraged cannot reimburse insureds for medical expenses or
services covered by Medicare. Ans: C. Policies must accrue cash
value.
Which entity handles claims from hospitals, skilled nursing
facilities, home health agencies and hospices?
A. Carrier
B. Intermediary
C. Quality Improvement Organization
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