Insurance Licensing Exam Newest 2025/2026
Questions and Correct Answers Already Graded
A+
Medicare - CORRECT ANSWER-Health insurance for those over age 65, people
under 65 with certain disabilities & those with ESRD (end stage renal disease -
permanent kidney failure requiring dialysis or kidney transplant)
CMS - CORRECT ANSWER-Centers for Medicare and Medicaid Services
administers the Medicare program. Social Security Administration handles most
of the enrollment & plays a role in claims appeal process.
MAC - CORRECT ANSWER-Medicare Administrative Contractor - company
contracted to administer Part A & Part B claims.
Medicare Part A - CORRECT ANSWER--hospital coverage
,-no premium requirements for those with 40 "work credits" of FICA or Self
Employment tax credits.
-Those who don't qualify can voluntarily participate by paying a monthly premium
Medicare Part B - CORRECT ANSWER-The part of the Medicare program that
pays for physician services, outpatient hospital services, durable medical
equipment, and other services and supplies.
-Has a monthly premium of $135.50 in 2019 which is deducted from SS check.
-Part B enrollment is optional. You can reject Part B by signing a rejection form.
Medicare Part C - CORRECT ANSWER-Medicare Advantage Plans that are
offered through private insurance companies that provide both hospital and
physician coverage and possible prescriptions - financed by Social Security and
monthly premiums
Home Health Care will NOT cover - CORRECT ANSWER--Full time nursing
services
-Drugs & biologicals (covered under part D)
-Homemaker & shopping services
-Meal prep or delivery
-Blood transfusions
, -Assistance with ADLs (Activities of Daily Living)
Medicare Eligibility - CORRECT ANSWER--Over age 65 who have earned 40
"work credits" in order to receive premium free part A benefits
-Permanently disabled prior to age 65 for at least 24 months
-ESRD or kidney disease requiring dialysis or kidney transplant
Medicare enrollment requirements - CORRECT ANSWER-Part A & B are
automatically conducted by SSA when individual age 65+ enrolls for their Social
Security retirement benefits
Initial Enrollment Period - CORRECT ANSWER-7 month period straddling 3
months before and ends 3 months after the individual turns 65, including the
birthday month.
-If enrollment is during the 3 mos prior to 65th birthday, coverage begins on 1st
day of 65th birthday month
-If enrollment is during or after 65th birthday month, coverage begins on 1st day
of month after enrollment
General Enrollment Period - CORRECT ANSWER-Medicare enrollment period -
January 1st through March 31st annually.