Study guides, Class notes & Summaries

Which type of health insurance plan is particularly suitable for the senior insurance market? correct answers managed care term insurance *Medicare plans* long-term care Medicare is a federal health insurance program designed for people who are 65 years old and older and certain disabled individuals. How does Part C change the delivery of health care services under Medicare? correct answers It increases accessibility to services for eligible individuals. It limits the coverage of Parts...

Which of the following individuals is an appropriate customer for a Medicare supplement policy? correct answers Someone enrolled in both Part A and Part B of Medicare An insurer may exclude coverage for a preexisting condition on a Medicare Supplement policy for up to correct answers 6 months An insured has a LTC policy that has been in force for 3 months. In how many more months will the policy become incontestable on the grounds of misrepresentation alone? correct answers 21 months Ev...

Which of the following is NOT true regarding Medicare Supplement plans available to individuals eligible for Medicare by reason of disability? correct answers 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? correct answers Discontinuance A North Carolina resident needs custodial care for the performance of activities of daily living. She has a long-term care insur...

Blackstone Insurers is incorporated in New York, where it also has a certificate of authority to transact insurance. What type of insurer is Blackstone in New York? certified insurer alien insurer foreign insurer admitted insurer correct answers admitted insurer An agent who recommends the replacement of an insurance policy with another is not required to discuss which of these with the prospect? the terms of the new policy Notice Regarding Replacement of life insurance cost of si...

What is Medicare?Federal program that provides health insurance coverage to people ages 65 and older and younger people with permanent disabilities. The 4 part program covers all those who are eligible regardless of their health status, medical conditions, or incomes. Center for Medicare and Medicaid ServiceAgency responsible for administering Medicare and Medicaid (macroorganization) Fee for Service MedicarePart A and B Federally Funded ProgramEqual benefits and equal access to all eli...

Confirming the consumer's Medicaid level and that the consumer is entitled to Medicare Part A and enrolled in Medicare Part B is a requirement of: Selling DSNPs The consumer states they currently pay a percentage of charges when they receive medical care. This means: WRONG - The consumer is enrolled in a Medicare Supplement Insurance Plan. Which of the following consumers is best suited for a CSNP? Mary, who has been seeing a specialist for a qualifying chronic condition On May 10, M...

Regulation/factors effects PT services Federal regulations State regulations and practice act HIPAA APTA guidelines/standards Medicare Federal government program that gives you health care coverage if you are 65 or older or have a disability, no matter what your income Three parts: -part A(hospital insurance) -part B(optional medical insurance-outpatient) -part D(prescription drug insurance) -to get full Medicare coverage, you need all three parts

NUR 206 Med Surg Exam 2 Questions with Complete Solutions.

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