Med Sup Exam Questions with Complete
Solutions
Which of the following is NOT true regarding Medicare Supplement plans available to
individuals eligible for Medicare by reason of disability? - Answer-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? - Answer-Discontinuance
A North Carolina resident needs custodial care for the performance of activities of daily
living. She has a long-term care insurance policy and wishes to receive the care in a
facility other than a long-term facility. Under what conditions will the long-term care
policy pay a benefit? - Answer-The care must be provided as long as the insured is
confined as an inpatient in any facility licensed by the state
Individuals who move out of their Medicare Plan's service area may do any of the
following EXCEPT - Answer-Submit an appeal to have the new area included in their
current plan's service area
Skilled Nursing care is primarily - Answer-Round the clock nursing care in a Medicare
approved skilled nursing facility
A 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? - Answer-1
Regarding Medicare SELECT policies, what are restricted network provisions? -
Answer-They condition the payment of benefits
Which of the following provisions helps protect an insured against unintentional lapse of
a long-term care policy? - Answer-Secondary addressee
Assessments of activities of daily living and cognitive impairment will be performed by -
Answer-Licensed or certified professionals
As defined by long-term care policies as an activity of daily living, the term toileting
includes which of the following? - Answer-Performing personal hygiene
The initial enrollment period for Medicare Part B is - Answer-7 months
An example of skilled care is - Answer-Changing sterile dressings
, Under a special low-income Medicare Beneficiary program, which part is the beneficiary
responsible for? - Answer-Medicare deductible and coinsurance
Which of the following is a Medicare-approved private insurance plan in which Medicare
pays the plan premium for Medicare-covered services and the plan provides all
Medicare benefits? - Answer-Private-Fee-for-Service Plan (PFFS)
If an issuer has discontinued a policy form, the issuer may NOT resubmit for approval of
the same form for at least how many years? - Answer-5
What will Medicare Part B pay for a patient's tooth extraction? - Answer-Nothing
Medicare Part B is financed by - Answer-Premium paid enrollees and a government
subsidy
Hospice benefits are available for a Medicare beneficiary who has met all of these
requirement EXCEPT - Answer-Having more than 6 months to live
All of the following statements are true of a Private Fee-for-service plan EXCEPT -
Answer-The plan cannot charge deductibles and coinsurance amounts that are different
than those under the Original Medicare Plan
An insurance agent replaces a long-term care policy for his client. The benefits of the
replacement policy are substantially greater than the benefits of the replaced policy. The
agent's first-year commission is 40%. His renewal commission is 4%. What commission
rate will the agent be paid on scale? - Answer-40%
Short-term, temporary care provided to persons with disabilities in order for their
families to take a break for the daily routine of care giving is called - Answer-Respite
Care
Medicare-covered hospital expenses include - Answer-A semi-private room
To sign up for a Medicare prescription drug plan, individuals must first be enrolled in -
Answer-Medicare Part A or B
A 65-year-old married woman has applied for Medicare even though she has never
worked outside of the home. Her husband has worked for 39 years at a local plant
where he received Medicare-covered employment. The woman's Medicare Part A
monthly premium is - Answer-$0
A woman has Medicare Part B. She goes to the chiropractor to receive manual
manipulation for subluxation of the spine. Will Medicare pay? - Answer-Yes, this is a
covered service
Solutions
Which of the following is NOT true regarding Medicare Supplement plans available to
individuals eligible for Medicare by reason of disability? - Answer-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? - Answer-Discontinuance
A North Carolina resident needs custodial care for the performance of activities of daily
living. She has a long-term care insurance policy and wishes to receive the care in a
facility other than a long-term facility. Under what conditions will the long-term care
policy pay a benefit? - Answer-The care must be provided as long as the insured is
confined as an inpatient in any facility licensed by the state
Individuals who move out of their Medicare Plan's service area may do any of the
following EXCEPT - Answer-Submit an appeal to have the new area included in their
current plan's service area
Skilled Nursing care is primarily - Answer-Round the clock nursing care in a Medicare
approved skilled nursing facility
A 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? - Answer-1
Regarding Medicare SELECT policies, what are restricted network provisions? -
Answer-They condition the payment of benefits
Which of the following provisions helps protect an insured against unintentional lapse of
a long-term care policy? - Answer-Secondary addressee
Assessments of activities of daily living and cognitive impairment will be performed by -
Answer-Licensed or certified professionals
As defined by long-term care policies as an activity of daily living, the term toileting
includes which of the following? - Answer-Performing personal hygiene
The initial enrollment period for Medicare Part B is - Answer-7 months
An example of skilled care is - Answer-Changing sterile dressings
, Under a special low-income Medicare Beneficiary program, which part is the beneficiary
responsible for? - Answer-Medicare deductible and coinsurance
Which of the following is a Medicare-approved private insurance plan in which Medicare
pays the plan premium for Medicare-covered services and the plan provides all
Medicare benefits? - Answer-Private-Fee-for-Service Plan (PFFS)
If an issuer has discontinued a policy form, the issuer may NOT resubmit for approval of
the same form for at least how many years? - Answer-5
What will Medicare Part B pay for a patient's tooth extraction? - Answer-Nothing
Medicare Part B is financed by - Answer-Premium paid enrollees and a government
subsidy
Hospice benefits are available for a Medicare beneficiary who has met all of these
requirement EXCEPT - Answer-Having more than 6 months to live
All of the following statements are true of a Private Fee-for-service plan EXCEPT -
Answer-The plan cannot charge deductibles and coinsurance amounts that are different
than those under the Original Medicare Plan
An insurance agent replaces a long-term care policy for his client. The benefits of the
replacement policy are substantially greater than the benefits of the replaced policy. The
agent's first-year commission is 40%. His renewal commission is 4%. What commission
rate will the agent be paid on scale? - Answer-40%
Short-term, temporary care provided to persons with disabilities in order for their
families to take a break for the daily routine of care giving is called - Answer-Respite
Care
Medicare-covered hospital expenses include - Answer-A semi-private room
To sign up for a Medicare prescription drug plan, individuals must first be enrolled in -
Answer-Medicare Part A or B
A 65-year-old married woman has applied for Medicare even though she has never
worked outside of the home. Her husband has worked for 39 years at a local plant
where he received Medicare-covered employment. The woman's Medicare Part A
monthly premium is - Answer-$0
A woman has Medicare Part B. She goes to the chiropractor to receive manual
manipulation for subluxation of the spine. Will Medicare pay? - Answer-Yes, this is a
covered service
