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NC Medicare/LTC Exam Questions with 100% Accurate Answers
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NC Medicare/LTC Exam Questions with 100% Accurate Answers
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NC Medicare/LTC Exam Questionswith 100% Accurate Answers
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 the same benefits for a shorter period, etc.) - -
Nonforfeiture
-When must the outline of coverage for a Medigap policy be provided to the
insured? - -At the time of application.
-Home health equipment such as dialysis equipment and supplies are
covered under which part of Medicare? - -Medicare Part B (Considered an
outpatient service)
-What is the Medicare Part B enrollment period for an individual who is
turning 65? - -3 months before the month in which the individual turns 65,
as well as the 3 months following that month (7 months).
-What is the copayment of the Medicare approved amount? - -20% paid by
the insured individual.
-Prospective review (Precertification provision) - -Physician submits claim
information prior to providing treatment to know in advance if the procedure
is covered and what the rate will be.
-What options does an insured person have for prescription drug coverage if
they are enrolled in a Medicare Advantage Plan? - -1) Receive prescription
drug coverage through the Medicare Advantage Plan.
2) Sign up for separate prescription drug plan through Medicare Part D.
-Who facilitates processing Medicare applications, collects Medicare
premiums, and provides general information about Medicare? - -The Social
Security Administration
-Who administers Medicare? - -Centers for Medicare and Medicaid Services
(CMS)
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