age 1 of 76
Medicare Supplement and Long Term Care - North
Carolina FINAL EXAM STUDY GUIDE 2025/2026
COMPLETE QUESTIONS BANK AND CORRECT
DETAILED ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <RECENT VERSION>
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
What is Medicare? .......Answer.........Government health insurance
program for people over 65 or younger people who may
qualify.
,age 2 of 76
Who under 65 may qualify for Medicare?
.......Answer.........Individuals who have disabilities such as
permanent kidney failure or ALS
Medicare part A covers what? .......Answer.........Hospital
Which part of Medicare covers medical insurance?
.......Answer.........Part B
Which part of Medicare is known as Medicare Advantage?
.......Answer.........Part C
What criteria must be met to qualify for enrollment in Medicare
Advantage .......Answer.........Must be enrolled in Part A & B
Which part expands Original Medicare Benefits through Private
Health Insurance Programs? .......Answer.........Part C
,age 3 of 76
Which part of Medicare covers prescription Drugs?
.......Answer.........Part D
Medicare parts A and B are administered only by whom
.......Answer.........The Federal Government
How many Medicare savings programs are there
.......Answer.........4
How are persons who are age 65 or older who do not
participate in Social Security eligible for Medicare?
.......Answer.........If premium is paid
Is Medicare Part B a voluntary health insurance program?
.......Answer.........Yes
What does the limited Medicare savings program MQB-B Pay
for? .......Answer.........(Part B Premium Only)
, age 4 of 76
To participate in Medicare a person must be what?
.......Answer.........A US citizen or a permanent legal resident)
When does the initial enrollment period for Medicare Part B
begin? .......Answer.........3 months before the month that the
enrollee turns 65
For employers with 20 or more employees who offer group
converge, would Medicare be considered the primary or
secondary coverage? .......Answer.........Secondary
What does the acronym PPS stand for?
.......Answer.........Prospective Payment System
What is the primary function of the MAC?
.......Answer.........Medical reviews to ensure that services covered
are reasonable and necessary)
Medicare Supplement and Long Term Care - North
Carolina FINAL EXAM STUDY GUIDE 2025/2026
COMPLETE QUESTIONS BANK AND CORRECT
DETAILED ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <RECENT VERSION>
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
What is Medicare? .......Answer.........Government health insurance
program for people over 65 or younger people who may
qualify.
,age 2 of 76
Who under 65 may qualify for Medicare?
.......Answer.........Individuals who have disabilities such as
permanent kidney failure or ALS
Medicare part A covers what? .......Answer.........Hospital
Which part of Medicare covers medical insurance?
.......Answer.........Part B
Which part of Medicare is known as Medicare Advantage?
.......Answer.........Part C
What criteria must be met to qualify for enrollment in Medicare
Advantage .......Answer.........Must be enrolled in Part A & B
Which part expands Original Medicare Benefits through Private
Health Insurance Programs? .......Answer.........Part C
,age 3 of 76
Which part of Medicare covers prescription Drugs?
.......Answer.........Part D
Medicare parts A and B are administered only by whom
.......Answer.........The Federal Government
How many Medicare savings programs are there
.......Answer.........4
How are persons who are age 65 or older who do not
participate in Social Security eligible for Medicare?
.......Answer.........If premium is paid
Is Medicare Part B a voluntary health insurance program?
.......Answer.........Yes
What does the limited Medicare savings program MQB-B Pay
for? .......Answer.........(Part B Premium Only)
, age 4 of 76
To participate in Medicare a person must be what?
.......Answer.........A US citizen or a permanent legal resident)
When does the initial enrollment period for Medicare Part B
begin? .......Answer.........3 months before the month that the
enrollee turns 65
For employers with 20 or more employees who offer group
converge, would Medicare be considered the primary or
secondary coverage? .......Answer.........Secondary
What does the acronym PPS stand for?
.......Answer.........Prospective Payment System
What is the primary function of the MAC?
.......Answer.........Medical reviews to ensure that services covered
are reasonable and necessary)
