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Medicare Supplement / Long-Term Insurance NC Test Bundle

NC Health Insurance Exam Bundle

CREDIT LIFE - a special type of coverage written to the life of the debtor and pay off the balance of a loan in the event of the death of the debtor. BUY-SELL AGREEMENTS - a legal contract that determines what will be done with a business in the event that an owner dies or becomes disabled. Otherwise known as a business continuation agreement INSURABLE INTEREST - to purchase insurance the policy owner must face the possibility of losing money or something of value in the event of ...

Purpose of Regulating the Insurance Industry - The purpose of the North Carolina's regulation of the insurance industry is to promote the welfare of the general public and protect its interests in the ability to purchase coverage for insurable risks. The North Carolina Department of Insurance (NCDOI) was created by the state legislature to administer and carry out the laws and statutes regarding insurance. Alien company - A company incorporated or organized under the laws of any jur...

Definitions - Broker - Means a person who, being a licensed agent, procures insurance for a party other than himself through a duly authorized agent or an insurer that is licensed to do business in this State bur for which the broker is not authorized to act as an agent. Definitions - Limited Representative - Means a person is authorized by the Commissioner (Wayne Goodwin) to solicit or negotiate contracts for particular kinds of insurance (Motor Club, Dental, Travel) and which kind of ...

Which of the following statements about Medicare Part D prescription drug coverage is CORRECT? Individuals may obtain prescription drug coverage only through stand-alone plans issued by Medicare. Individuals who join a Medicare Part D prescription drug plan must pay a separate monthly premium for the coverage. Medicare Advantage plans never provide prescription drug coverage. Medicare recipients are automatically enrolled in Part D when they enroll in Medicare. - Individuals who join a ...

All of the following are true regarding Key Employee Disability Income insurance EXCEPT A) Premiums are not tax deductible for the employer. B) Benefits are taxable to the employer. C) The employer owns the policy. D) Benefits are paid to the employer to retrain a new person. - B) Benefits are taxable to the employer. Key person disability income premiums are not deductible to the business, but the benefits are received income tax free by the business. How is emergency care covere...

Part A Medicare - this coverage includes care in a hospital, nursing facility, nursing home, hospice or even a home Utilization Review Committees - In addition to QIO, hospitals have these committees that help to ensure that the hospital will follow Medicare guidelines. Because Medicare payments are based on the DRGS, this committee works in conjunction with QIO to ensure that a high standard of care is provided Respite Care - Temporary inpatient care provided by a nursing home, h...

Federal Program - Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services. Private firms contract with the federal government to handle the paperwork, review claims, and disburse claim payments. Medicare Part A - Designed primarily to provide hospital insurance and to pay for certain other types of institutional care. Medicare Part B - Designe...

what facility is long term care NOT provided in - Hospital an insured receives health care through both Medicare and Medicaid. She Currently has prescription drug coverage through Medicaid. does the insured need to enroll in Medicare part D? - Yes, she must begin receiving her prescription Drug coverage through Part D To quality for skilled nursing care a patient must - have a qualifying hospital stay of at least 3 consecutive days if a insured returns a Medicare supplement pol...

Which is NOT true regarding Medicare Part A home health care? - It pays for 60% of common medical supplies like bandages and gauze. Which of the following can't be excluded in a Medicare Supplement Policy? - Alzheimer's If an LTC policy has a return of premium option, the amount returned to the beneficiaries is based on which of the following? - The amount of benefits the person used After an accident, J stayed in the hospital for a week. Medicare Part B will cover all of the...

Prior to obtaining coverage through medicare Part D, individuals must have which of the following coverages? - Medicare Part A and B What is the Medicare Part D deductible? - $435 Year What is the Pre-existing condition policy for Medigap? - The insurer can refuse to cover a health problem that was diagnosed or treated during the 6 months before the policy issue date, for a specified amount of time Discontinuance - The sale or transfer of a Medicare Supplement business to an...

Supportive services provided by qualified para-professionals who are trained, equipped, assigned, and supervised by professionals within an agency to help maintain, strengthen, and safeguard the care of the elderly in their own homes is called - Homemaker services. Homemaker service standards must, at a minimum, meet standards established by the North Carolina Division of Social Services and may include assistance in management of household budgets, planning nutritious meals, purchasing an...

Z sells a MSP to a sick 72-year-old person, that he knows already has a Medicare supplement. The sale is - Not allowed because a person cant have multiple MSPs Which of the following does not qualify for Medicare under 65 years old? - Z who has pancreatic cancer All of the following are NOT correct regarding Medicare Advantage HMO and PPO plans EXCEPT: - Medicare Advantage PPOs do NOT use a gatekeeper. Which of the following is the primary point of contact to enroll Medicare pr...

Medicare - A federal program of health insurance for persons 65 years of age and older Medicare is run by - Centers for Medicare and Medicaid services of the department of health and human services Medicare parts A & B are - Referred to as original Medicare Medicare Part A(Inpatient) is funded - By the hospital insurance portion of the FICA payroll tax collected from workers and employers. Also by the premiums paid by individuals who aren't automatically covered by medicare...

An insured has 10 years of work experience. She participated in the Social Security program for 10 years. Her medicare Part A premium is most likely to be A. $0 B. $458 per month C. About 5% of monthly income D. $458 per month - $0 EXPLANATION: People do not pay a monthly Part A premium because they or their spouse have 40 or more quarters of Medicare-covered employment. A patient has 20 day stay in Medicare covered SNF. All of these services are covered EXCEPT A. Medication...

Home health care covers occasional visits from who? - Registered nurses, licensed practical nurses, community-based professionals (like hospice). **Does NOT cover visits from attending physicians. Programs that are provided to people who are too poor to qualify for Medicaid. - State-only Medicaid programs LTC provision that provides a guarantee that certain policy benefits will remain available even if the insured stops paying premiums. (Offers option of a paid-up policy providing t...

Medicare - 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 - 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 - Medicare Administrative Contractor - company contracted to administer Part A & Part B cla...

Medicare - 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 - 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 - Medicare Administrative Contractor - company contracted to administer Part A & Part B cla...

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