Exam (elaborations)
NC LONG TERM CARE QUESTIONS AND ANSWERS
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NC LONG TERM CARE QUESTIONS AND ANSWERS
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1-54 of 54A Medicare patient was hospitalized on October 18, and discharged on October 21.
The same patient was admitted again on November 1 of the same year. How many
deductible payments are required?
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One
The benefit period for the Medicare Part A inpatient hospital deductible
lasts 60 days from the date the patient is released. The Part A deductible is
, the beneficiary's only cost for up to 60 days of Medicare-covered inpatient
hospital care.
A woman spent 5 days in a hospital. Within 30 days of leaving the hospital, she was
admitted to a skilled nursing facility, where she stayed for 30 days. How much will she
have to pay for the skilled care?
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$1,705
The answer is: up to $1,705 (the $170.50 per day coinsurance for days 21-
30) for her Medicare-covered SNF care. She has 70 days of coverage left
in this benefit period.
A man who has Medicare Part B has a health condition that requires him to use a
scooter. To be eligible for Medicare coverage for this cost, the patient
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May rent the scooter.
If a patient qualifies for a Medicare-covered power wheelchair or scooter
and his or her health condition is expected to improve, the patient may
rent the equipment for as long as medically necessary. The supplier will
pick up the equipment when the patient no longer needs it.
In long-term care insurance, what is the minimum amount per day that must be
offered for home health care benefits?
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$25
Home health care benefits shall be offered in an amount of not less than
$25 per day.
Medicare covers bone mass measurements for
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Anyone who is at clinical risk for osteoporosis.
Bone mass measurement is paid by Medicare Part B. Medicare Part B pays
80% after the patient has met the Part B annual deductible. In some
circumstances, bone mass measurement is paid by Medicare for men and
women.
People who are enrolled in Medicare Part D must meet an initial deductible of
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$415
Currently, the deductible for this plan is $415.
A producer has replaced one Medigap policy with another. Both plans have the same
benefits. The producer's first year commission is 20%. Her renewal commission is 10%.
Both plans are with the same insurer. The producer's first year commission on the new
policy is
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