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North Carolina Medicare Supplement and Long Term Care Practice Exam Questions and Answers Verified 100% Correct

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North Carolina Medicare Supplement and Long Term Care Practice Exam Questions and Answers Verified 100% Correct Which of the following is not an optional benefit provided by long-term care policies? A. Inflation protection B. Guaranteed insurability C. Nonforfeiture options D. Guaranteed renewable or noncancelable - ANSWER -D. Guaranteed renewable or noncancelable All of the following are required to qualify for Medicare's nursing facility benefit except: A. The patient must spend at least three days in a hospital within 30 past days B. The patient must meet stated income limits C. The patient's physician must certify that skilled care is required D. The patient must enter a Medicare-certified skilled nursing facility - ANSWER -B. The patient must meet stated income limits Medical coverage is provided by: A. Medicare Part A B. Medicare Part B C. Medicare Part C D. Medicare Part D - ANSWER -B. Medicare Part B If an individual enrolls in medicare before their birthday month and their birthday is NOT the first day of the month, when does coverage begin? - ANSWER -The first day of their birthday month B's long-term care insurance policy has a 30-calendar day elimination period. He became eligible for long-term care benefits and started receiving care on May 1. At what point will his policy begin paying benefits? A. After Bill has received 30 days of weekday care B. After Bill has received 30 days of care C. 30 days after the policy is issued D. 30 days after the triggering event - ANSWER -D. 30 days after the triggering event What are the benefit triggers of tax-qualified long-term care insurance policies? - ANSWER -Physical impairment or severe cognitive impairment Hospital coverage is provided by: A. Medicare Part A B. Medicare Part B C. Medicare Part C D. Medicare Part D - ANSWER -A. Medicare Part A What is a system of classifying hospital patients on the basis of diagnosis consisting of distinct groupings? A. Patient diagnostic system B. Distinct grouping assignment C. Patient classification basis D. Diagnosis-related group - ANSWER -D. Diagnosis-related group What two types of long-term care insurance policies resulted from the Health Insurance Portability and Accountability Act? - ANSWER -Tax qualified and non tax qualified Medicare Part B covers which of the following expenses? A. Hospital care B. Physicians' services C. Hospice care D. Skilled nursing home care - ANSWER -B. Physicians' services Medicare pays the remaining 80% of covered Medicare Part B charges after: A. Premiums are paid B. The annual deductible is met C. The $1,000 deductible is met D. The blood deductible is met - ANSWER -B. The annual deductible is met Medicare Part A covers which of the following services? A. Medications B. Hospital room and board C. Physicians services D. Surgical services - ANSWER -B. Hospital room and board Which of the following services in NOT excluded under Medicare Part B? A. Custodial care B. Skilled nursing care C. Diagnostic tests D. Routine physical exams - ANSWER -C. Diagnostic tests Premiums for Medicare Part B are based on: . - ANSWER -An individual's annual earnings Managed care companies have entered the medicare services market through the expansion of which of the following: A. Part A B. Part B C. Part C D. Medicare supplement policies - ANSWER -C. Part C A Medicare Medical Savings Account is comprised of what? - ANSWER -A high-deductible medicare plan and a savings account All approved charges under Medicare Part A will be covered for ________ after the deductible has been met? A. For days 1 through 60 B For days 91 through 150 C. After 150 days D. For days 61 through 90 - ANSWER -A. For days 1 through 60 An insurance provider suggests to Jim that he purchase a second Medicare supplement policy in order to provide coverage for all his medical costs. What

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North Carolina Medicare Supplement and Long-
Term Care Practice Exam Questions and Answers
Verified 100% Correct

Which of the following is not an optional benefit provided by long-term care
policies?

A. Inflation protection
B. Guaranteed insurability
C. Nonforfeiture options
D. Guaranteed renewable or noncancelable - ANSWER -D. Guaranteed renewable
or noncancelable

All of the following are required to qualify for Medicare's nursing facility benefit
except:

A. The patient must spend at least three days in a hospital within 30 past days
B. The patient must meet stated income limits
C. The patient's physician must certify that skilled care is required
D. The patient must enter a Medicare-certified skilled nursing facility - ANSWER
-B. The patient must meet stated income limits

Medical coverage is provided by:

A. Medicare Part A
B. Medicare Part B
C. Medicare Part C
D. Medicare Part D - ANSWER -B. Medicare Part B

If an individual enrolls in medicare before their birthday month and their birthday
is NOT the first day of the month, when does coverage begin? - ANSWER -The
first day of their birthday month

B's long-term care insurance policy has a 30-calendar day elimination period. He
became eligible for long-term care benefits and started receiving care on May 1. At
what point will his policy begin paying benefits?

, A. After Bill has received 30 days of weekday care
B. After Bill has received 30 days of care
C. 30 days after the policy is issued
D. 30 days after the triggering event - ANSWER -D. 30 days after the triggering
event

What are the benefit triggers of tax-qualified long-term care insurance policies? -
ANSWER -Physical impairment or severe cognitive impairment

Hospital coverage is provided by:

A. Medicare Part A
B. Medicare Part B
C. Medicare Part C
D. Medicare Part D - ANSWER -A. Medicare Part A

What is a system of classifying hospital patients on the basis of diagnosis
consisting of distinct groupings?

A. Patient diagnostic system
B. Distinct grouping assignment
C. Patient classification basis
D. Diagnosis-related group - ANSWER -D. Diagnosis-related group

What two types of long-term care insurance policies resulted from the Health
Insurance Portability and Accountability Act? - ANSWER -Tax qualified and non-
tax qualified

Medicare Part B covers which of the following expenses?

A. Hospital care
B. Physicians' services
C. Hospice care
D. Skilled nursing home care - ANSWER -B. Physicians' services

Medicare pays the remaining 80% of covered Medicare Part B charges after:

A. Premiums are paid
B. The annual deductible is met
C. The $1,000 deductible is met

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