North Carolina Medicare Supplement and Long-Term Care Questions and Answers

North Carolina Medicare Supplement and Long-Term Care Questions and 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 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 - CORRECT ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 D. A 60-day free look period must be prov