Samenvattingen, Aantekeningen en Examens

A man is planning to retire after age 65. Until then, he will have his employer's health plan. When should he enroll in Medicare Part B? correct answers Within the 8 months of the day he is no longer employed or when coverage under the group plan ends In the Original Medicare Plan Part B, the percentage of the approved amount paid by the patient is 20%. This is referred to as correct answers Coinsurance What process will the insurance company use to monitor the insured's hospital stay to...

If someone has Original Medicare, in which part or parts of Medicare is he or she enrolled? A. Parts A and B B. Parts A, B, and C C. Part C D. Parts A, B, C, and D correct answers A. Parts A and B Parts A and B are referred to as Original Medicare because they were enacted together when the Social Security law was originally amended to create Medicare. Parts C and D were added later. An individual has been working for 8 years while the Hospital Insurance tax has been getting de...

What is a medicare supplement policy? (Medigap Policy) correct answers Is a health insurance policy sold by private insurance companies to fill in the coverage "gaps" in Original medicare. True or False: Medicare Supplements do NOT cover gaps in Medicare Advantage palns (MA/Medicare Part C) or provide coverage for medicare-approved prescription Drug Plans(Medicare part D). correct answers True True or False: Medicare supplement policies CANNOT cover anything that Medicare would NOT APP...

1. Long-Term Care benefits may be triggered by the insured's inability to perform at least ______ Activities of Daily Living (ADL's). A 5 B 3 C 4 D 2 correct answers D 2 2. In North Carolina, eligibility for Medicaid is determined by: A The State Treaury B North Carolina's Department of Health and Welfare C The U.S. Treasury D The county Departments of Social Services (DSS) and the Social Security Administration (SSA) for Supplemental Security Income (SSI) beneficiaries correct...

Medicare Part B correct answers Financed by the Supplementary Medical Insurance (SMI) Trust Fund, which is funded through general tax revenue and premiums paid by benefit recipients. Assignment correct answers If a doctor has accepted a Medicare assignment, the doctor will bill the patient directly. The patient then fills out a Medicare claim form and attaches the itemized bills from the doctor. These providers are known as Non-participating providers or suppliers. Non-participating providers...

Horace buys a Medicare supplement insurance policy but decides not to keep it. How many days does he have to return it for a full refund of the premium? correct answers 30 days Which of the following individuals is an appropriate customer for a Medicare supplement policy? correct answers Someone enrolled in both Part A and Part B of Medicare A purchased a long-term care policy on June 15. Two weeks later, she lost her job and decided that she could no longer afford the policy. What are her...

Which type of health insurance plan is particularly suitable for the senior insurance market? correct answers managed care term insurance *Medicare plans* long-term care Medicare is a federal health insurance program designed for people who are 65 years old and older and certain disabled individuals. How does Part C change the delivery of health care services under Medicare? correct answers It increases accessibility to services for eligible individuals. It limits the coverage of Parts...

Which of the following individuals is an appropriate customer for a Medicare supplement policy? correct answers Someone enrolled in both Part A and Part B of Medicare An insurer may exclude coverage for a preexisting condition on a Medicare Supplement policy for up to correct answers 6 months An insured has a LTC policy that has been in force for 3 months. In how many more months will the policy become incontestable on the grounds of misrepresentation alone? correct answers 21 months Ev...

Which of the following is NOT true regarding Medicare Supplement plans available to individuals eligible for Medicare by reason of disability? correct answers Those who managed care plan coverage has been terminated are not eligible. Medicare Supplement business was transferred from one issuer to another. What is this action called? correct answers Discontinuance A North Carolina resident needs custodial care for the performance of activities of daily living. She has a long-term care insur...

Blackstone Insurers is incorporated in New York, where it also has a certificate of authority to transact insurance. What type of insurer is Blackstone in New York? certified insurer alien insurer foreign insurer admitted insurer correct answers admitted insurer An agent who recommends the replacement of an insurance policy with another is not required to discuss which of these with the prospect? the terms of the new policy Notice Regarding Replacement of life insurance cost of si...