Long-Term Care Practice Exam Questions
and Answers
Question 1
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
Correct Answer
A. All of the above
Question 2
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
Correct Answer
A. Conditional payment
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,Question 3
Insurers must offer inflation protection in which of the following policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid
Correct Answer
C. Long-Term Care
Question 4
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
Correct Answer
D. Utilization review program
Question 5
Which of the following is not a requirement for long-term care plans?
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.
Correct Answer
C. Policies must accrue cash value.
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, Question 6
Which entity handles claims from hospitals, skilled nursing facilities, home health
agencies and hospices?
A. Carrier
B. Intermediary
C. Quality Improvement Organization
D. Utilization Review Committee
Correct Answer
B. Intermediary
Question 7
What is the term for private organizations that administer Medicare Part B benefits?
A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organizations
Correct Answer
A. Carriers
Question 8
All of the following are requirements for long-term care and medigap policy except:
A. The agent must provide the applicant with a notice regarding replacement
B. The notice regarding replacement must contain the free look period
C. The notice regarding replacement explains the replacing coverage in comparison
to the existing coverage
D. A 60-day free look period must be provided
Correct Answer
D. A 60-day free look period must be provided.
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