Difficult Questions for NC Medicare/LTC
Test Questions & Answers
A man has Medicare Part A, but he does not have Medicare
art B. He enters the hospice care program and is cared for at home. What are his
Medicare payment options? - ANSWERMedicare 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? - ANSWERThe patient must
enter the SNF within 30 days of leaving it. The patient does not need another 3-day
qualifying hospital stay to get additional benefits.
A North Carolina resident would like to purchase a long-term care policy for skilled
nursing care only. Which of the following policies should this individual purchase? -
ANSWERA comprehensive long-term care policy that provides coverage for skilled,
intermediate and custodial care
All of the following individuals would be eligible for Medicare Part D EXCEPT -
ANSWERAn individual is eligible for Medicare but has not enrolled
A man was hospitalized for complications from a heart condition in January. He signed
up for a long-term care policy that went into effect in April, and the heart condition was
considered a pre-existing condition. What is the earliest that the heart condition will be
covered by his policy? - ANSWEROctober
A North Carolina resident has Medicare Part A. He has limited income and limited
resources and needs help to pay his monthly Medicare Part B premium. What program
would you suggest that this individual investigate? - ANSWERSLMB
All of the following are types of Medicare Advantage (MA) plans EXCEPT -
ANSWERMedicare Special Service Plans
An insurance company offering or seeking to offer a Medicare SELECT policy is known
as - ANSWERAn issuer
Which of the following used to be referred to as the Explanation of Medicare Benefits
(EOMB)? - ANSWERMedicare Summary Notice (MSN)
Which of the following is true in guaranteed renewable long-term care policies issued in
this state? - ANSWERPremiums can be raised by class
A Medicare Part B patient is transported to a hospital in an ambulance during a non-
emergency situation. Under what circumstances will Medicare Part B benefits for
Test Questions & Answers
A man has Medicare Part A, but he does not have Medicare
art B. He enters the hospice care program and is cared for at home. What are his
Medicare payment options? - ANSWERMedicare 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? - ANSWERThe patient must
enter the SNF within 30 days of leaving it. The patient does not need another 3-day
qualifying hospital stay to get additional benefits.
A North Carolina resident would like to purchase a long-term care policy for skilled
nursing care only. Which of the following policies should this individual purchase? -
ANSWERA comprehensive long-term care policy that provides coverage for skilled,
intermediate and custodial care
All of the following individuals would be eligible for Medicare Part D EXCEPT -
ANSWERAn individual is eligible for Medicare but has not enrolled
A man was hospitalized for complications from a heart condition in January. He signed
up for a long-term care policy that went into effect in April, and the heart condition was
considered a pre-existing condition. What is the earliest that the heart condition will be
covered by his policy? - ANSWEROctober
A North Carolina resident has Medicare Part A. He has limited income and limited
resources and needs help to pay his monthly Medicare Part B premium. What program
would you suggest that this individual investigate? - ANSWERSLMB
All of the following are types of Medicare Advantage (MA) plans EXCEPT -
ANSWERMedicare Special Service Plans
An insurance company offering or seeking to offer a Medicare SELECT policy is known
as - ANSWERAn issuer
Which of the following used to be referred to as the Explanation of Medicare Benefits
(EOMB)? - ANSWERMedicare Summary Notice (MSN)
Which of the following is true in guaranteed renewable long-term care policies issued in
this state? - ANSWERPremiums can be raised by class
A Medicare Part B patient is transported to a hospital in an ambulance during a non-
emergency situation. Under what circumstances will Medicare Part B benefits for
