North Carolina Medicare Supplement & Long-term Care Actual Exam Guide with Correct Answers

North Carolina Medicare Supplement & Long-term Care Actual Exam Guide with Correct Answers Z sells a MSP to a sick 72-year-old person, that he knows already has a Medicare supplement. The sale is - CORRECT ANSWER-Not allowed because a person cant have multiple MSPs Which of the following does not qualify for Medicare under 65 years old? - CORRECT ANSWER-Z who has pancreatic cancer All of the following are NOT correct regarding Medicare Advantage HMO and PPO plans EXCEPT: - CORRECT ANSWER-Medicare Advantage PPOs do NOT use a gatekeeper. Which of the following is the primary point of contact to enroll Medicare providers? - CORRECT ANSWER-a. MACs What coverage under Medicare Part A covers 80% of the cost for durable medical equipment? - CORRECT ANSWER-Home Health Care Most people become eligible for Medicare at what age? - CORRECT ANSWER-c. 65 After the deductible is paid, which is true regarding expenses paid by Medicare Part B? - CORRECT ANSWER-a. Part B pays 80%. Which of the following dos not receive Medicaid payments directly? - CORRECT ANSWER-b. A patient in hospice What type renewability provision states that a policy can't be cancelled or changed except for an unpaid premium but premiums can be raised? - CORRECT ANSWER-a. Guaranteed renewable D's Medicare Supplement premium is based on her age when the policy started. Why can't the insurer increase the premium for inflation? - CORRECT ANSWER-It uses issue age. With Medicare Part A, how many skilled nursing facility days are fully covered? - CORRECT ANSWER-20 A long-term care policy that is tax-qualified by HIPAA, the premiums and benefits are considered? - CORRECT ANSWER-Tax-favored If C did not sign up for Medicare Part B when she was initially eligible, when can she sign up? - CORRECT ANSWER-d. During the General Enrollment Period (AEP) Policy rates and schedules must be filed with the Commissioner - CORRECT ANSWER-Annually In order to make sure Medicare provides appropriate, quality and effective care to patients, which group is used as a monitor? - CORRECT ANSWER-a. A Quality Improvement Organization (QIO) What is true about a Medicare Select policy? - CORRECT ANSWER-The insured won't be covered for out-of-network expenses. Preexisting conditions coverage in a Long-term Care or Medicare Supplement policy cant be denied or for more than: - CORRECT ANSWER-a. 6 months after effective date of coverage X is a 40-year-old factory worker with kidney disease that has a great group health plan through his employer. Why would he be on Medicare? - CORRECT ANSWER-d. His employer group policy has paid for at least 30 months, and then he moved to Medicare. A Medicare Advantage Prescription Drug Plan offers which of the following? - CORRECT ANSWER-Part D prescription drug coverage, Part A, and Part B benefits in one plan. Home health care will be provided by Medicare Part B if which condition is met? - CORRECT ANSWER-a. The care is ordered by doctor or health provider. This type temporary care gives a caregiver rest or time off? - CORRECT ANSWER-a. Respite Care What type marketing fails to disclose the reason for contacting a person is to sell insurance? - CORRECT ANSWER-d. Cold L