AD Banker Chapter 11 Possible Question And Answers 100% Accurate

As long as the premium is paid, a Medigap policy is __________ renewable. - ANSWERSGuaranteed Medicare is available to individuals who have been receiving ______________ benefits for 24 months. - ANSWERSSocial Security Disability What do ADLs trigger? - ANSWERSLong-Term Care Insurance Which Long-Term Care definition does not match the coverage - ANSWERSResidential Care -- Health care provided in one's home under a planned program established by his/her attending physician Anna is seeking a Medicare Supplement Policy. An agent has explained that all supplements must contain some of the same items. Which of the following is false? - ANSWERSThe insurer has the option to provide a Buyer's Guide and an Outline of Coverage Which of the following exclusions applies to Long-Term Care coverage? - ANSWERSRest Cures Which of the following requires an annual deductible and coinsurance - ANSWERSMedicare Part B medical A qualified Long-Term Care Policy may exclude losses incurred from preexisting conditions for no longer than ______ months from the effective date of coverage. - ANSWERS6 Part A of Medicare is known as: - ANSWERSHospital Insurance If an individual is age 65 or over and continues to work, Medicare is usually the _________ insurer to any employer group health plan the individual participates in. - ANSWERSsecondary If an employer has less than ______ employees, Medicare will be the primary payer for those eligible for Medicare - ANSWERS20 If an individual is age ______ or over and continues to work, Medicare is usually the secondary insurer to any employer group health plan the individual participates in. - ANSWERS65 Medicare benefit payments are made to the medical provider - ANSWERSIf the benefit has been assigned Every LTC Policy that provides benefits of homecare or community-based services shall provide all of the following, except: - ANSWERSAcute care Which statement regarding Medicare is not true? - ANSWERSMedicare is the primary payor to any employer group health plan coverage Which of the following is not covered by a long-term care policy? - ANSWERSHospitalization Long-Term Care policies may not be written as which of the following? - ANSWERSShort-term policies A person who purchases a Medicare Supplement policy cannot enroll in Medicare Part _________. - ANSWERSC Home Health Care benefits under a LTC Policy may be limited or excluded by: - ANSWERSExcluding benefits for conditions caused by war or acts of war A Medicare Supplement or LTC policy's free look period is: - ANSWERS30 days If an employee is age 65 and still working, which of the following statements is correct? - ANSWERSThe older employee must be offered the same benefits as younger employees The Initial Enrollment Period for Medicare is 7 months in length. Which of the following are the start and stop dates for this period? - ANSWERSThe 1st day of the 3rd month before the individual turns age 65 and the last day of the 3rd month after the month the individual turns age 65 A program designed to provide increased assistance to those who are unable to pay for their medical needs is known as: - ANSWERSMedicaid If an individual has limited assets and low income, which of the following would most likely cover the cost of long-term care? - ANSWERSMedicaid Randy has a preexisting condition for which coverage has been excluded since his Medicare Supplement Policy became effective 4 months ago. If Randy were to replace his Medicare Supplement Policy, what could be said about the preexisting condition under the new policy? - ANSWERSThe exclusion will be waived to the extent it has already been satisfied under the original policy Medicare is available to individuals who have been receiving ______________ benefits for 24 months. - ANSWERSSocial Security Disability All of the following are exclusions under an LTC policy, except: - ANSWERSChemical dependency on one's own prescription drugs All the following qualify for Medicare Part A, except: - ANSWERSHealthy individuals who are under age 65 and not covered by Social Security, but are willing to pay the Part A premium Originally, Medicare was for U.S. citizens age _______ and over. - ANSWERS65 Which of the following requires an annual deductible and coinsurance? - ANSWERSMedicare Part B medical Any policy designed to provide coverage for not less than 12 consecutive months for diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services provided in a setting other than an acute care unit of a hospital is the definition of: - ANSWERSLong-Term Care An insurer offering Medicare Supplements to senior clients must: - ANSWERSOffer Core Benefit Plan A if it sells any of the other plans Which type of LTC coverage is designed to provide relief for the primary caregiver of a long-term care patient? - ANSWERSRespite Care Medicare benefit payments are made to the medical provider: - ANSWERSIf the benefit has been assigned Which of the following is correct concerning an LTC policy? - ANSWERSIt may define a preexisting condition as a condition for which advice or treatment was recommended or received within 6 months of the effective date of coverage The _________ include bathing, continence, dressing, eating, toileting, and transferring - ANSWERSActivities of Daily Living If an individual starts receiving Social Security retirement benefits at age 62, when are they eligible for Part A benefits? - ANSWERSAutomatically at age 65 Overseas foreign travel emergency coverage is a Medicare supplement: - ANSWERSAdditional benefit What type of Long-Term Care policy can be renewable and convertible, and can also be purchased at lower rates than for individual coverage? - ANSWERSAn Employer Group Policy The Medicare Supplement Right of Return Provision (Free Look Period) allows the buyer a period of ________ to return a policy and receive a full refund. - ANSWERS30 Medicaid is a federal program that is administered by the _______ government. - ANSWERSState Overseas foreign travel emergency coverage is a Medicare supplement: - ANSWERSAdditional benefit How long is the free look period for a Medicare Supplement policy? - ANSWERS30 days All of the following statements are true regarding Long-Term Care policies, except: - ANSWERSThey must require prior confinement in a hospital as a condition for payment Which statement is incorrect concerning Part B of Medicare? - ANSWERSPart B covers prescription drugs up to $1,500 annually The Minimum Benefit Standards under a qualified LTC policy include all of the following, exc