North Carolina Medicare Supplement and
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Long-Term Care exam questions with |\ |\ |\ |\ |\
answers
An individual who is not eligible for premium-free Medicare Part A
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coverage may apply for coverage during which of the following
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enrollment periods? |\
A. All of the above
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B. Initial enrollment period
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C. General enrollment period
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D. Special enrollment period - CORRECT ANSWERS ✔✔A. All of
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the above |\
Medicare makes what payment for services in which another
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payer may be responsible:|\ |\ |\
A. Conditional payment
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B. Interim payment
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C. Transitional payment
|\ |\
D. Temporary payment - CORRECT ANSWERS ✔✔A. Conditional
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payment
Insurers must offer inflation protection in which of the following
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policies?
,A. Medicare Part C
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B. Medigap
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C. Long-Term Care
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D. Medicaid - CORRECT ANSWERS ✔✔C. Long-Term Care
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What program safeguards against unnecessary and inappropriate
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medical care rendered to Medicaid recipients?
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A. Medicaid review program
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B. Utilization renew program
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C. Quality improvement organization
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D. Utilization review program - CORRECT ANSWERS ✔✔D.
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Utilization review program |\ |\
Which of the following is not a requirement for long-term care
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plans?
A. The individual must be unable to perform at least two ADLs
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B. Inflation protection must be provided
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C. Policies must accrue cash value
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D. Coveraged cannot reimburse insureds for medical expenses or
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services covered by Medicare. - CORRECT ANSWERS ✔✔C.
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Policies must accrue cash value.
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, Which entity handles claims from hospitals, skilled nursing
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facilities, home health agencies and hospices?
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A. Carrier
|\
B. Intermediary
|\
C. Quality Improvement Organization
|\ |\ |\
D. Utilization Review Committee - CORRECT ANSWERS ✔✔B.
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Intermediary
What is the term for private organizations that administer
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Medicare Part B benefits? |\ |\ |\
A. Carriers
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B. Medical Providers
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C. Intermediaries
|\ |\
D. Peer review organizations - CORRECT ANSWERS ✔✔A. Carriers
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All of the following are requirements for long-term care and
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medigap policy except: |\ |\
A. The agent must provide the applicant with a notice regarding
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replacement |\
B. The notice regarding replacement must contain the free look
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period
C. The notice regarding replacement explains the replacing
|\ |\ |\ |\ |\ |\ |\ |\
coverage in comparison to the existing coverage
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|\ |\ |\ |\ |\
Long-Term Care exam questions with |\ |\ |\ |\ |\
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 - CORRECT ANSWERS ✔✔A. All of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the above |\
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 ANSWERS ✔✔A. Conditional
|\ |\ |\ |\ |\ |\ |\ |\
payment
Insurers must offer inflation protection in which of the following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
policies?
,A. Medicare Part C
|\ |\ |\
B. Medigap
|\
C. Long-Term Care
|\ |\
D. Medicaid - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔D.
|\ |\ |\ |\ |\ |\ |\ |\
Utilization review program |\ |\
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 ANSWERS ✔✔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
|\ |\ |\
D. Utilization Review Committee - CORRECT ANSWERS ✔✔B.
|\ |\ |\ |\ |\ |\ |\ |\
Intermediary
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 ANSWERS ✔✔A. Carriers
|\ |\ |\ |\ |\ |\ |\ |\
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
|\ |\ |\ |\ |\ |\
