North Carolina Medicare Supplement and Long Term Care Practice Exam Questions and Answers Verified 100% Correct

North Carolina Medicare Supplement and Long Term Care Practice Exam Questions and Answers Verified 100% Correct All approved charges under Medicare Part A will be covered for ________ after the deductible has been met? A. For days 1 through 60 B For days 91 through 150 C. After 150 days D. For days 61 through 90 - ANSWER -A. For days 1 through 60 An insurance provider suggests to Jim that he purchase a second Medicare supplement policy in order to provide coverage for all his medical costs. What describes this offer? - ANSWER -Illegal. The sale of a supplement that provides the client with more than one medicare supplement is prohibited by law. A tax-qualified long-term care insurance policy enables policy owners deduct premiums as a medical expense and to also do which of the following: A. Receive unlimited benefits tax free B. Receive limited benefits tax free C. Receive a partial return of premium if no claim is filed within ten years D. Receive a partial return of premium if no claim is filed within three years - ANSWER -B. Receive limited benefits tax free J received the following home health services: housekeeping, shopping, custodial care and physical therapy. Which of these services will be covered by Medicare Part A? A. Housekeeping B. Shopping C. Custodial Care D. Physical therapy - ANSWER -D. Physical therapy When can individuals change from Original Medicare to Part C Medicare coverage? - ANSWER -During open enrollment. The open enrollment period is Oct. 15th to Dec. 7th, with coverage beginning on Jan. 1st. Which of the following is covered by Medicare Part C: A. Skilled nursing facility care B. Doctors' services C. Occupational therapy D. Managed care plans - ANSWER -D. Managed care plans An agent's commission for the sale of a medicare supplement policy in the first year following its effective date cannot exceed what percentage of the commission paid for servicing the policy in the second year? - ANSWER -200 After being released from a week's stay in the hospital, Jim's doctor orders him into a into a skilled nursing facility for wound care. How long will Medicare Part A cover 100% of the approved charges in the facility? - ANSWER -20 days Longer elimination periods reduce the __________ - ANSWER -Premium amount S is enrolled in a group health plan that is scheduled to terminate on March 1st. When can he enroll in Medicare Part B without having to pay the 10 percent premium surcharge? - ANSWER -During the eight month period following the month his group coverage ends. G is applying for Medicare supplement Plan C. At what point must the insurer give her an outline of coverage? - ANSWER -At the time of application Long-term coverage differs from Medigap in what way? - ANSWER -Long-term care coverage provides custodial care How much is the penalty for delaying in Medicare Part A or Part B beyond the initial enrollment period? - ANSWER -10% Who regionally manages policy and payment related to reimbursement and payment for medicare? - ANSWER -Medicare Administrative Contractors Medicare Part B supplement insurance is: - ANSWER -Voluntary Individual long-term care policies are generally available to individuals between the ages of - ANSWER -40 and 85 Medicare Parts A and B have gaps in their coverage where subscribers must pay for their coverage. What do these gaps include? - ANSWER -The Part A deductible and daily co-payments for hospitalization and nursing home care and the part B deductible, which requires 20% coinsurance or copayments Prescription drug coverage is covered by: - ANSWER -Medicare Part D What serves as the primary point of contact for provider enrollment and Medicare coverage: A. LCDs B. AQOs C. QIOs D. MAC's - ANSWER -D. MAC's (Medicare Administrative Contractors) For what type of North Carolina residents will Medicare-Aid pay for their Medicare Part B Premiums only? - ANSWER -A specified low income beneficiary Medicare supplements Plans K and L pay what percent of Medicare coinsurance, co-pays and deductibles after the insured's annual out-of-pocket limit is reached? - ANSWER -100% G's medicare select plan offers the same benefits as the coverage provided under a standard plan. So why are G's medicare select plan premiums lower than those for a standard Medicare supplement policy? - ANSWER -Select plans offer the same coverage that is provided under a standard plan. However, participants must obtain covered services through the plan's network. Another common name for Part C is which of the following: A. Medicare Supplement B. Medicare Advantage C. Medigap D. Medicare + Choice - ANSWER -B. Medicare Advantage Which of the following services would not be covered by Medicare Part A?