LTC / Medicare - NC Exam Questions With Correct Answers

Under Part B, individuals pay a deductible each... - Answer Year After deductible is satisfied, Part B pays what percentage of all approved charges? - Answer 80% Doctors and suppliers who agree to accept the amount medicare will pay are said to have agreed to... - Answer Assignment An optional long-term carer insurance benefit that provides a reduced paid-up benefit amount is the... - Answer Nonforfeiture benefit A man has just completed an inpatient hospital stay of 100 consecutive days. How many lifetime reserve days has he used? - Answer 10 After initial deductible is met, Medicare pays for all covered hospital charges for how many days when first hospitalized? After first benefit days, how many days does Medicare cover expenses with a daily copay? How many days is the lifetime reserve? - Answer 60 30 60 Doctors and hospitals who join a Medicare HMO are called the plan's... - Answer Network Every insurer providing long-term care insurance in North Carolina is required to issue a Shopper's Guide, when? - Answer Before Sale / As requested but no later than sale Medicare may pay for ambulance transportation to... - Answer Nearest medical facility Immunosuppressive drugs are... - Answer Needed for life An insured receives health care through both Medicare and Medicaid. She currently has prescription drug coverage through Medicaid. Does the insured need to enroll in Medicare Part D? - Answer Yes, she must begin receiving her prescription drug coverage through Part D When does enrollment begin for a person that becomes age 65? - Answer Enrollment begins on the first day of the month the person becomes age 65 Automatic Enrollment - Answer If you are receiving Social Security your enrolled in Medicare automatically. General Enrollment Period Dates? - Answer January 1 through March 31 Medicare Part B is financed by... - Answer Copayments, deductibles, a monthly premium and a government subsidy What would a physician utilize if he/she wanted to know if a treatment is covered under an insured's plan and at what rate it will be paid? - Answer Prospective Review