North Carolina Medicare Supplement and Long-Term Care Exam Questions And Answers

North
Carolina
Medicare
Supplement
and
Long-Term
Care
An
individual
who
is
not
eligible
for
premium-free
Medicare
Part
A
coverage
may
apply
for
coverage
during
which
of
the
following
enrollment
periods?
A.
All
of
the
above
B.
Initial
enrollment
period
C.
General
enrollment
period
D.
Special
enrollment
period
-
ANS
A.
All
of
the
above
Medicare
makes
what
payment
for
services
in
which
another
payer
may
be
responsible:
A.
Conditional
payment
B.
Interim
payment
C.
Transitional
payment
D.
Temporary
payment
-
ANS
A.
Conditional
payment
Insurers
must
offer
inflation
protection
in
which
of
the
following
policies?
A.
Medicare
Part
C
B.
Medigap
C.
Long-Term
Care
D.
Medicaid
-
ANS
C.
Long-Term
Care
What
program
safeguards
against
unnecessary
and
inappropriate
medical
care
rendered
to
Medicaid
recipients?
A.
Medicaid
review
program
B.
Utilization
renew
program
C.
Quality
improvement
organization
D.
Utilization
review
program
-
ANS
D.
Utilization
review
program
Which
of
the
following
is
not
a
requirement
for
long-term
care
plans?
A.
The
individual
must
be
unable
to
perform
at
least
two
ADLs
B.
Inflation
protection
must
be
provided
C.
Policies
must
accrue
cash
value D.
Coveraged
cannot
reimburse
insureds
for
medical
expenses
or
services
covered
by
Medicare.
-
ANS
C.
Policies
must
accrue
cash
value.
Which
entity
handles
claims
from
hospitals,
skilled
nursing
facilities,
home
health
agencies
and
hospices?
A.
Carrier
B.
Intermediary
C.
Quality
Improvement
Organization
D.
Utilization
Review
Committee
-
ANS
B.
Intermediary
What
is
the
term
for
private
organizations
that
administer
Medicare
Part
B
benefits?
A.
Carriers
B.
Medical
Providers
C.
Intermediaries
D.
Peer
review
organizations
-
ANS
A.
Carriers
All
of
the
following
are
requirements
for
long-term
care
and
medigap
policy
except:
A.
The
agent
must
provide
the
applicant
with
a
notice
regarding
replacement
B.
The
notice
regarding
replacement
must
contain
the
free
look
period
C.
The
notice
regarding
replacement
explains
the
replacing
coverage
in
comparison
to
the
existing
coverage
D.
A
60-day
free
look
period
must
be
provided
-
ANS
D.
A
60-day
free
look
period
must
be
provided.
Which
of
the
following
is
not
an
optional
benefit
provided
by
long-term
care
policies?
A.
Inflation
protection
B.
Guaranteed
insurability
C.
Nonforfeiture
options
D.
Guaranteed
renewable
or
noncancelable
-
ANS
D.
Guaranteed
renewable
or
noncancelable
All
of
the
following
are
required
to
qualify
for
Medicare's
nursing
facility
benefit
except:
A.
The
patient
must
spend
at
least
three
days
in
a
hospital
within
30
past
days
B.
The
patient
must
meet
stated
income
limits
C.
The
patient's
physician
must
certify
that
skilled
care
is
required
D.
The
patient
must
enter
a
Medicare-certified
skilled
nursing
facility
-
ANS
B.
The
patient
must
meet
stated
income
limits
Medical
coverage
is
provided
by: