dividends or refunds are applied as a reduction of future premiums or an increase in benefits No long-term care policy can pay a cash surrender value unless... - ANSWERThe.
Prior to enrolling in the Medigap policy, and insured was covered by a group health plan for 6 months. Which of the followi...
PASS EXAM Questions & Answers
No long-term care policy can pay a cash surrender value unless... - ANSWERThe
dividends or refunds are applied as a reduction of future premiums or an increase in
benefits.
Prior to enrolling in the Medigap policy, and insured was covered by a group health plan
for 6 months. Which of the following is true regarding coverage for pre-existing
conditions under the new Medigap policy? - ANSWERPre-existing conditions will be
covered immediately.
A 72 year old woman works full-time for a company with 75 employees. She has her
pulse coverage to her employer, but also has Medicare part a Medicare part B. Which of
the following is the primary payer? - ANSWERCompany plan because the employer has
over 20 employees.
Medicare Part A inpatient hospital care covers all of the following services EXCEPT... -
ANSWERPrivate duty nursing.
In North Carolina, the expected loss ratio for individual long-term care insurance is at
least... - ANSWER60%.
A new patient received Her Medicare part B on January 1. She has her annual wellness
visit on January 10 of next year. Medicare will... - ANSWERPay for the examination.
A woman purchased a Medigap policy on December 6. The policy was issued on
December 20. The policy was mailed by the company to the agent on January 1. The
agent did not deliver the policy to the applicant until March 1. The applicant, then, chose
to return the policy on March 28. The insurance company has to... - ANSWERRefund all
premiums collected.
Medicare will pay all costs of care in a skilled nursing facility for the first... - ANSWER20
days.
Which of the following is EXCLUDED From coverage under Medicare part B? -
ANSWERCustodial care received in the home.
All of the following statements regarding rural health clinics are true EXCEPT... -
ANSWERCoverage for ambulance services mandatory.
A patient who has end-stage renal disease enrolled in Medicare on July 1 and started
Receiving dialysis treatments at the same time. The Medicare coverage for the dialysis
treatment will begin on... - ANSWEROctober 1. (Starting 4th month after dialysis
treatment).
, An insured has end-stage renal disease and has started dialysis treatments. If he
enrolls in Medicare, when will the coverage begin? - ANSWEROn the 4th month of
dialysis treatments.
Medicare covered durable medical equipment includes all of the following EXCEPT... -
ANSWERA van to transport the patient.
Medigap policies do not cover... - ANSWERLong term care.
Medicare pays the first 20 days of skilled nursing facility care. For days 21 through 100,
Medicare pays... - ANSWERAll but, $185.50 per day.
Under a special low-income Medicare Beneficiary program, which part is the beneficiary
responsible for? - ANSWERMedicare deductible and coinsurance.
Certain kinds of previous health insurance coverage that can be used to shorten her
illuminate a pre-existing condition waiting period is called... - ANSWERCredible
coverage.
In regards to roll it for Medicare part B, a person age 65 who is covered under a group
health plan is entitled to... - ANSWERSpecial enrollment.
Which of the following Medicare parts will allow an assignment payment method? -
ANSWERPart B.
Short term, temporary care provided to persons with disabilities in order for their families
to take a break for the daily routine of caregiving is called... - ANSWERRespond care.
All of the following statements are true of a private Fee-for-service plan EXCEPT... -
ANSWERThe plan cannot charge deductibles and coinsurance amounts that are
different than those under the original Medicare plan.
Which of the following items will not be covered as an inpatient hospital care expense
under Medicare part A? - ANSWERClipper socks.
In order to carry credible coverage from one policy to a Medigap policy, the break
between policies cannot exceed how many days? - ANSWER63 days.
A patient is admitted to a skilled nursing facility. The patient does not have a Medigap
policy, and the SNF charges $186.50 per day. The patient is discharged after a 30-day
stay. How much would she have to pay? - ANSWER$1,855.
An insured has cancer. She has been offered a long-term care policy that has a waiver
limiting and reducing long-term care benefits related to the treatment of cancer. What
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