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Exam (elaborations)

NC MEDICARE AND MEDICAID BASICS QUESTIONS WITH COMPLETE ANSWERS

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NC MEDICARE AND MEDICAID BASICS QUESTIONS WITH COMPLETE ANSWERS

Institution
NC Medicare
Course
NC Medicare










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Institution
NC Medicare
Course
NC Medicare

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Uploaded on
December 6, 2025
Number of pages
29
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

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What right permits an insured to change from group health coverage under an
employer's policy to an individual policy without having to prove insurability?


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conversion

,Mike and Joyce's medical expense insurance coverage is provided by their employer,
Acme MFG, Inc. As such, how is their insurance provided?


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Group health insurance is a key aspect of the health insurance market, and
it is available to employer groups.




Health insurance insures against all of the following common perils, EXCEPT:


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Health insurance does not cover illness-related death, though one type of
health insurance (accidental death & dismemberment) covers accidental
deaths.




Which of the following types of medical expense insurers generally requires or
encourages insureds to use a network of health care providers for their medical care?


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Commercial insurers write traditional indemnity plans that reimburse the
insured for the cost of health care received, while managed care plans
offer health care through a network of health care providers and medical
facilities.




Each application for health insurance requires the signature of which party?

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the proposed insured, the producer, and all adults to be covered by the
policy




Mallory has a major medical policy that requires her to pay a deductible and then 20
percent of the first $10,000 of medical expenses she incurs. What is this percentage
called?


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Coinsurance is the percentage the insured must pay before the insurer
pays 100 percent. In this case, Mallory's coinsurance amount is 20 percent
of the first $10,000 of covered medical expenses. Once this threshold has
been reached, the insurer will pay for 100 percent of expenses beyond
$10,000.




Health insurance is primarily regulated at the:


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state level




Which type of Medicare supplement marketing method fails to disclose that the
purpose of the contact is the solicitation of insurance?


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