MED SUP EXAM WITH CORRECT
DETAILED ANSWERS
Which iof ithe ifollowing iis iNOT itrue iregarding iMedicare iSupplement iplans iavailable ito
iindividuals ieligible ifor iMedicare iby ireason iof idisability? i- icorrect ianswers i-Those
iwho imanaged icare iplan icoverage ihas ibeen iterminated iare inot ieligible.
Medicare iSupplement ibusiness iwas itransferred ifrom ione iissuer ito ianother. iWhat iis
ithis iaction icalled? i- icorrect ianswers i-Discontinuance
A iNorth iCarolina iresident ineeds icustodial icare ifor ithe iperformance iof iactivities iof
idaily iliving. iShe ihas ia ilong-term icare iinsurance ipolicy iand iwishes ito ireceive ithe
icare iin ia ifacility iother ithan ia ilong-term ifacility. iUnder iwhat iconditions iwill ithe ilong-
term icare ipolicy ipay ia ibenefit? i- icorrect ianswers i-The icare imust ibe iprovided ias
ilong ias ithe iinsured iis iconfined ias ian iinpatient iin iany ifacility ilicensed iby ithe istate
, Individuals iwho imove iout iof itheir iMedicare iPlan's iservice iarea imay ido iany iof ithe
ifollowing iEXCEPT i- icorrect ianswers i-Submit ian iappeal ito ihave ithe inew iarea
iincluded iin itheir icurrent iplan's iservice iarea
Skilled iNursing icare iis iprimarily i- icorrect ianswers i-Round ithe iclock inursing icare iin ia
iMedicare iapproved iskilled inursing ifacility
A iMedicare ipatient iwas ihospitalized ion iOctober i18, iand idischarged ion iOctober i21.
iThe isame ipatient iwas iadmitted iagain ion iNovember i1 iof ithe isame iyear. iHow imany
ideductible ipayments iare irequired? i- icorrect ianswers i-1
Regarding iMedicare iSELECT ipolicies, iwhat iare irestricted inetwork iprovisions? i-
icorrect ianswers i-They icondition ithe ipayment iof ibenefits
Which iof ithe ifollowing iprovisions ihelps iprotect ian iinsured iagainst iunintentional ilapse
iof ia ilong-term icare ipolicy? i- icorrect ianswers i-Secondary iaddressee
Assessments iof iactivities iof idaily iliving iand icognitive iimpairment iwill ibe iperformed iby
i- icorrect ianswers i-Licensed ior icertified iprofessionals
As idefined iby ilong-term icare ipolicies ias ian iactivity iof idaily iliving, ithe iterm itoileting
iincludes iwhich iof ithe ifollowing? i- icorrect ianswers i-Performing ipersonal ihygiene
The iinitial ienrollment iperiod ifor iMedicare iPart iB iis i- icorrect ianswers i-7 imonths
An iexample iof iskilled icare iis i- icorrect ianswers i-Changing isterile idressings
Under ia ispecial ilow-income iMedicare iBeneficiary iprogram, iwhich ipart iis ithe
ibeneficiary iresponsible ifor? i- icorrect ianswers i-Medicare ideductible iand icoinsurance
Which iof ithe ifollowing iis ia iMedicare-approved iprivate iinsurance iplan iin iwhich
iMedicare ipays ithe iplan ipremium ifor iMedicare-covered iservices iand ithe iplan
iprovides iall iMedicare ibenefits? i- icorrect ianswers i-Private-Fee-for-Service iPlan
i(PFFS)
If ian iissuer ihas idiscontinued ia ipolicy iform, ithe iissuer imay iNOT iresubmit ifor
iapproval iof ithe isame iform ifor iat ileast ihow imany iyears? i- icorrect ianswers i-5
What iwill iMedicare iPart iB ipay ifor ia ipatient's itooth iextraction? i- icorrect ianswers i-
Nothing
Medicare iPart iB iis ifinanced iby i- icorrect ianswers i-Premium ipaid ienrollees iand ia
igovernment isubsidy
Hospice ibenefits iare iavailable ifor ia iMedicare ibeneficiary iwho ihas imet iall iof ithese
irequirement iEXCEPT i- icorrect ianswers i-Having imore ithan i6 imonths ito ilive
DETAILED ANSWERS
Which iof ithe ifollowing iis iNOT itrue iregarding iMedicare iSupplement iplans iavailable ito
iindividuals ieligible ifor iMedicare iby ireason iof idisability? i- icorrect ianswers i-Those
iwho imanaged icare iplan icoverage ihas ibeen iterminated iare inot ieligible.
Medicare iSupplement ibusiness iwas itransferred ifrom ione iissuer ito ianother. iWhat iis
ithis iaction icalled? i- icorrect ianswers i-Discontinuance
A iNorth iCarolina iresident ineeds icustodial icare ifor ithe iperformance iof iactivities iof
idaily iliving. iShe ihas ia ilong-term icare iinsurance ipolicy iand iwishes ito ireceive ithe
icare iin ia ifacility iother ithan ia ilong-term ifacility. iUnder iwhat iconditions iwill ithe ilong-
term icare ipolicy ipay ia ibenefit? i- icorrect ianswers i-The icare imust ibe iprovided ias
ilong ias ithe iinsured iis iconfined ias ian iinpatient iin iany ifacility ilicensed iby ithe istate
, Individuals iwho imove iout iof itheir iMedicare iPlan's iservice iarea imay ido iany iof ithe
ifollowing iEXCEPT i- icorrect ianswers i-Submit ian iappeal ito ihave ithe inew iarea
iincluded iin itheir icurrent iplan's iservice iarea
Skilled iNursing icare iis iprimarily i- icorrect ianswers i-Round ithe iclock inursing icare iin ia
iMedicare iapproved iskilled inursing ifacility
A iMedicare ipatient iwas ihospitalized ion iOctober i18, iand idischarged ion iOctober i21.
iThe isame ipatient iwas iadmitted iagain ion iNovember i1 iof ithe isame iyear. iHow imany
ideductible ipayments iare irequired? i- icorrect ianswers i-1
Regarding iMedicare iSELECT ipolicies, iwhat iare irestricted inetwork iprovisions? i-
icorrect ianswers i-They icondition ithe ipayment iof ibenefits
Which iof ithe ifollowing iprovisions ihelps iprotect ian iinsured iagainst iunintentional ilapse
iof ia ilong-term icare ipolicy? i- icorrect ianswers i-Secondary iaddressee
Assessments iof iactivities iof idaily iliving iand icognitive iimpairment iwill ibe iperformed iby
i- icorrect ianswers i-Licensed ior icertified iprofessionals
As idefined iby ilong-term icare ipolicies ias ian iactivity iof idaily iliving, ithe iterm itoileting
iincludes iwhich iof ithe ifollowing? i- icorrect ianswers i-Performing ipersonal ihygiene
The iinitial ienrollment iperiod ifor iMedicare iPart iB iis i- icorrect ianswers i-7 imonths
An iexample iof iskilled icare iis i- icorrect ianswers i-Changing isterile idressings
Under ia ispecial ilow-income iMedicare iBeneficiary iprogram, iwhich ipart iis ithe
ibeneficiary iresponsible ifor? i- icorrect ianswers i-Medicare ideductible iand icoinsurance
Which iof ithe ifollowing iis ia iMedicare-approved iprivate iinsurance iplan iin iwhich
iMedicare ipays ithe iplan ipremium ifor iMedicare-covered iservices iand ithe iplan
iprovides iall iMedicare ibenefits? i- icorrect ianswers i-Private-Fee-for-Service iPlan
i(PFFS)
If ian iissuer ihas idiscontinued ia ipolicy iform, ithe iissuer imay iNOT iresubmit ifor
iapproval iof ithe isame iform ifor iat ileast ihow imany iyears? i- icorrect ianswers i-5
What iwill iMedicare iPart iB ipay ifor ia ipatient's itooth iextraction? i- icorrect ianswers i-
Nothing
Medicare iPart iB iis ifinanced iby i- icorrect ianswers i-Premium ipaid ienrollees iand ia
igovernment isubsidy
Hospice ibenefits iare iavailable ifor ia iMedicare ibeneficiary iwho ihas imet iall iof ithese
irequirement iEXCEPT i- icorrect ianswers i-Having imore ithan i6 imonths ito ilive
