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Exam (elaborations)
Study Guide for North Carolina Medicare Supplement-Long Term
Study Guide for North Carolina Medicare 
Supplement-Long Term 
What is Medicare? - CORRECT ANSWER-Government health insurance program for 
people over 65 or younger people who may qualify. 
Who under 65 may qualify for Medicare? - CORRECT ANSWER-Individuals who have 
disabilities such as permanent kidney failure or ALS 
Medicare part A covers what? - CORRECT ANSWER-Hospital 
Which part of Medicare covers medical insurance? - CORRECT ANSWER-Part B 
Which part of Medicare is known as Medicare ...
Exam (elaborations)
Verified North Carolina Medicare Supplement & Medicare Licensing Exam
PopularVerified North Carolina Medicare 
Supplement & Medicare Licensing Exam 
Which is NOT true regarding Medicare Part A home health care? - CORRECT 
ANSWER-It pays for 60% of common medical supplies like bandages and gauze. 
Which of the following can't be excluded in a Medicare Supplement Policy? - CORRECT 
ANSWER-Alzheimer's 
If an LTC policy has a return of premium option, the amount returned to the 
beneficiaries is based on which of the following? - CORRECT ANSWER-The amount of 
benefits...
Exam (elaborations)
North Carolina Medicare Supplement and Long-Term Care Exam Preparation Study Guide 2026/2027: Comprehensive Review, Practice Questions, Test Bank, and Licensing Exam Success Manual
NewComprehensive North Carolina Medicare Supplement and Long-Term Care Insurance Exam Preparation Guide 2026/2027 designed to help candidates prepare for licensing examinations and insurance certification assessments. Covers essential topics including Medicare Parts A, B, C, and D, Medicare Supplement (Medigap) policies, long-term care insurance principles, policy provisions, eligibility requirements, consumer protections, state and federal regulations, ethics, suitability standards, and insurance ...
Exam (elaborations)
UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) Exam Questions and Answers
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - Answer-Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. 
 
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? - Answer-When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrol...
Exam (elaborations)
XCEL Chapter 8 - Private Insurance Plans for Seniors Exam Questions and Answers
A Medicare Supplement policy must NOT contain benefits which - Answer-duplicate Medicare benefits 
 
A Medicare Supplement Policy is - Answer-Designed to fill in the gaps of Part A and B Medicare 
 
The purpose of Medicare Supplement Insurance is to address gaps in Medicare coverage, which can include - Answer-Medicare in-hospital deductible 
 
Which of the following nursing home options would BEST suit an individual who needs some nursing care and supervision but NOT full-time care? - Answer-As...
Exam (elaborations)
Senior Health Products – Medicare Exam Questions and Answers
Medicare coverage is generally available to those individuals: - Answer-Age 65 or over, certain disabled individuals and those persons with ALS or ESRD 
 
Which of the following statements about Medicare Part D is NOT correct? - Answer-Coverage is available only from stand-alone plans. 
 
Which of the following is not a Medicare enrollment period? - Answer-(7 month period known as the initial enrollment, General enrollment- Jan 1- March 31 each year, Special enrollment- an 8 month period to enro...
Exam (elaborations)
Section VI - Medicare Supplement Policies (Medigap) Exam Questions with Latest Update
Eligibility - Answer-Individual must have both Part A and Part B of Medicare. 
 
It is illegal to sell a Medigap policy to an individual who has a Medicare Advantage plan. 
 
Private plans that are designed to supplement Medicare by supplying coverage for gaps in Medicare benefits such as deductibles and coinsurance amounts. 
 
Standardized Medicare Supplement Plans - Answer-The Omnibus Budget Reconciliation Act of 1990 (OBRA) is a law that requires all Medicare supplement benefits to be standar...
Exam (elaborations)
Quiz Medicare Supplement Policies Exam Questions and Answers
Which statement does NOT describe Medicare supplement policies? 
 
A. Plan A provides the core benefits of Medicare supplement insurance. 
B. Medicare adjusts its deductibles and copayments to match insurers' benefits. 
C. Insurers selling Medicare supplement policies must sell Plan A. 
D. Medicare supplement policies are guaranteed renewable. - Answer-B. Medicare adjusts its deductibles and copayments to match insurers' benefits. 
 
When Medicare adjusts its deductibles and copayments, Me...
Exam (elaborations)
Private Insurance Plans for Seniors Exam Questions with Latest Update
A Medicare Supplement Policy is: 
 government insurance designed to provide healthcare to the elderly 
 designed to provide prescription drug coverage to the elderly 
 designed to fill in the gaps of Part A and Part B Medicare 
 a supplement to Medicare Advantage Part C - Answer-Designed to fill in the gaps of Part A and B Medicare 
 
The purpose of Medicare Supplement Insurance is to address gaps in Medicare coverage, which can include: 
 Medicare in-hospital deductible 
 replacing HMO coverage...
Exam (elaborations)
Ohio Accident and Health Final Exam Questions with Correct Answers
When presenting long-term care or Medicare Supplement plans, it is necessary to provide the prospect with a: - Answer-A Shoppers Guide for the product presented 
 
For an insurance contract to be complete, it must comply with which of the following? - Answer-A copy of the contract, all attached riders and a copy of the application must be give to the insured 
 
What type of benefits are paid under a hospital indemnity policy? - Answer-Specified sum of money for the length of the hospital stay 
 ...
Exam (elaborations)
NY State Insurance License Practice Exam Questions Answers
Under what circumstance does an accident and health insurer have the right to request an autopsy? 
 
1. When the claim exceeds an amount specified in the policy 
 
2. When 2 days have passed after death 
 
3. When not prohibited by state law 
 
4. When consent is given by the beneficiary - Answer-3. When not prohibited by state law 
 
Which of the following accurately describes the "time limit on certain defenses"? 
 
1. After a stated period of time, claims cannot be denied due to mater...
Exam (elaborations)
North Carolina Medicare Supplement and Long-Term Care Exam Questions with 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 - Answer-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 - Answer-A. Conditional payme...
Exam (elaborations)
NC Medicare-LTC Test Exam Questions and Answers
A man has Medicare Part A, but he does not have Medicare Part B. He enters the hospice care program and is cared for at home. What are his Medicare payment options? - Answer-Medicare Part A will pay for hospice care. 
 
A Medicare Part A patient is released from a skilled nursing facility (SNF). He re-enters the SNF 20 days later per a doctor's recommendation. Under what circumstances will he receive Medicare additional benefits for the SNF stay? - Answer-The patient must enter the SNF within...
Exam (elaborations)
Module 6 - Medicare Supplement Policies (Medigap) Exam Questions and Answers
Medicare Supplement Policy AKA Medigap - Answer-Also known as a Medigap Policy, is a health insurance policy sold by private insurance companies to fill in the coverage gaps in Original Medicare. The coverage gaps include deductibles and coinsurance requirements. 
 
The policies must follow federal and state laws. Medicare Supplements do NOT cover gaps in Medicare Advantage (MA) plans (Part C) or provide coverage for Medicare-approved Prescription Drug Plans (Part D). 
 
Medicare Supplement poli...
Exam (elaborations)
Medigap - Medicare Supplement Insurance (Lesson 24.6) Exam Questions and Answers
Medigap - Answer-private Medicare supplement insurance plans to help cover the out-of-pocket costs that remained for Medicare recipients. Commonly referred to as Medigap Plans, 
 
these private supplement plans were designed to help cover the costs associated with the 'gaps' in the Original Medicare coverage. 
 
Federal and State Regulation - Answer-Medigap regulation through the Omnibus Budget Reconciliation Act (OBRA) of 1990 and the states began regulating the private Medicare suppleme...
Exam (elaborations)
Medicare, Medicaid, LTC NC Insurance Exam Questions with Correct Answers
Federal Program - Answer-Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services. Private firms contract with the federal government to handle the paperwork, review claims, and disburse claim payments. 
 
Medicare Part A - Answer-Designed primarily to provide hospital insurance and to pay for certain other types of institutional care. 
 
Medicare Part B - An...
Exam (elaborations)
Medicare, Medicaid & Medigap Exam Questions and Answers
age 65 or older, anyone w end-stage renal disease(ESRD), persons receiving social security disability benefit for 2 years - Answer-medicare eligibility 
 
hospital insurance - Answer-Part A (Medicare) 
 
medical insurance - Answer-Part B (Medicare) 
 
medicare advantage - Answer-Part C (Medicare) 
 
prescription drug coverage - Answer-Part D (Medicare) 
 
eye examination related to prescribing glasses, most dental care, including dentures, cosmetic surgery, acupuncture, hearing aids and exams fo...
Exam (elaborations)
Medicare Supplements Exam Questions with Correct Answers
What are medicare supplement policies? - Answer-individual and group disability insurance policies designed to reimburse under Medicare medical, hospital, surgical expenses 
 
Medicare supplement policies are not included in what two parts of mediCare? One other thing - Answer--Part C 
-Outpatient prescription drugs in part D 
-Health care prepayment plan that provides benefits to agreement under SSA 
 
Medicare eligible expenses are health care expenses of the kinds covered by what? - Answer-Me...
Exam (elaborations)
Medicare Supplement Policies Exam Questions and Answers
What is Medigap? - Answer-Policy issued by private insurance companies that are designed to fill in some of the gaps in Medicare 
 
How are you eligible for Medigap? - Answer-Must be enrolled in Part A or B, age 65 and have End-Stage Renal Disease 
 
What are medicare supplement plans K&L responsible for? - Answer-lower premium plans with higher out of pocket costs 
 
What is skilled nursing coinsurance? - Answer-Covers the usual non-protected days 21-100 of a SNF care 
 
What is Medicare Part A...
Exam (elaborations)
Medicare Supplement Plans Exam Questions with Latest Update
Which Medigap Plans do NOT cover the Part B deductible? - Answer-Plans A, B, D, G, K, L, M, N (all plans other than Plan C and Plan F) 
 
The monthly premiums of Medigap plans can depend on - Answer-Tobacco Use, Age, Gender, County, Height, Weight 
 
An insurance company will set rates for a certain area and charge the same for everyone, regardless of age 
Which Medigap Rating Method does this describe? - Answer-Community-rated policy 
 
True or False. In both Trial Right #1 and Trial Right #2 ...
Exam (elaborations)
Module 6 - Medicare Supplement Policies (Medigap) Exam Questions and Answers
Medicare Supplement Policy AKA Medigap - Answer-Also known as a Medigap Policy, is a health insurance policy sold by private insurance companies to fill in the coverage gaps in Original Medicare. The coverage gaps include deductibles and coinsurance requirements. 
 
The policies must follow federal and state laws. Medicare Supplements do NOT cover gaps in Medicare Advantage (MA) plans (Part C) or provide coverage for Medicare-approved Prescription Drug Plans (Part D). 
 
Medicare Supplement poli...
Exam (elaborations)
Certification Exam (Medicare) Questions and Answers
ABN - Answer-advance beneficiary notice 
 
GEP - Answer-general enrollment period 
 
Medicare Advantage - Answer-Medicare Part C 
 
Medicare Hospital Insurance - Answer-Medicare Part A 
 
Medicare Medical Insurance - Answer-Medicare Part B 
 
Medicare Prescription Drug Plans - Answer-Medicare Part D 
 
MSI - Answer-Medicare Supplementary Insurance 
 
Medicare-Medicaid - Answer-medi-medi crossover 
 
PFFS - Answer-private fee-for-for service 
 
PACE - Answer-Program of All-Inclusive Care for the ...