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Medicare/LTC COMPLETE EXAM 2024
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Medicare/LTC COMPLETE EXAM 2024 ...
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Medicare/LTC COMPLETE EXAM 2024Which type of health insurance plan is particularly suitable for the
senior insurance market? - ANSWER 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? - ANSWER It increases accessibility to services for
eligible individuals.
It limits the coverage of Parts A and B.
It reduces the coverage of Parts and B.
*It uses managed care providers.*
Part C offers Parts A and B services through managed care plans
and private fee-for-service plans.
Who would NOT be eligible for Medicare enrollment? - ANSWER a
person with end-stage renal disease
a person who is 65 years old
*a person under age 65 who has received Social Security disability
benefits for six months*
a person who has amyotrophic lateral sclerosis
Medicare coverage is available to U.S. citizens and certain
permanent residents who are at least 65 years old or have received
Social Security disability benefits for at least two years, have
,end-stage renal disease, or have amyotrophic lateral sclerosis.
After the deductible is paid, the insured can expect Medicare Part A
to cover all eligible hospital expenses without a copayment for up to:
- ANSWER *60 days*
45 days
10 days
30 days
After the insured pays the deductible, Part A pays all eligible hospital
costs without a copayment from the insured for up to 60 days.
Which statement does NOT describe Medicare supplement policies?
- ANSWER Insurers selling Medicare supplement policies must sell
Plan A.
*Medicare adjusts its deductibles and copayments to match insurers'
benefits.*
Plan A provides the core benefits of Medicare supplement insurance.
Medicare supplement policies are guaranteed renewable.
When Medicare adjusts its deductibles and copayments, Medicare
supplement policies must align benefits with the adjustments.
Which product supplements Medicare by offering benefits delivered
through a network of health care providers? - ANSWER *Medicare
SELECT plan*
long-term care insurance
Medicaid
tax-qualified long-term care
Medicare supplement coverage offered in this way is called a
Medicare SELECT plan. Like other managed care plans, a Medicare
SELECT plan requires the insured to use health care providers within
,its network to be eligible for full benefits.
Which statement does NOT describe the standard Medicare
supplement plans? - ANSWER *A plan may be cancelled if the
insured's health significantly deteriorates.*
Plans B through N include Plan A's core benefits.
Plan A provides the basic core benefits.
Insurers selling Medicare supplement policies must offer Plan A.
A policy cannot be canceled because of the insured's health.
What must Medicare supplement policies do whenever Medicare
adjusts its deductibles and copayment requirements? - ANSWER
reduce benefits to avoid duplicating Medicare's adjustments
*align benefits to match the adjustments*
increase benefits to exceed Medicare's deductibles and copayment
requirements
maintain benefits
Medicare supplement policies must align their benefits to match
Medicare's adjustments to deductible and copayment requirements.
Even though they offer the same benefits as Medicare supplement
policies, why do Medicare SELECT plan's charge a lower premium? -
ANSWER Medicare supplement policies are guaranteed renewable.
Medicare SELECT policies do not cover nursing home or custodial
care.
*Medicare SELECT plans deliver health care through a network of
providers.*
Medicare supplement policies must adjust to changes in Medicare.
Medicare SELECT plans deliver health care through a network of
providers, which reduces the cost of care.
, What is another name for Medicare supplement policies? - ANSWER
major medical
*Medigap*
Medicaid
Original Medicare
Medicare supplement policies are also known as Medigap policies.
Medicaid is a separate program, distinct from Medicare, which
provides health care and health-related services to people with low
incomes. Original Medicare is Medicare Parts A and B. Major medical
is medical expense insurance.
Insurers that offer Medicare supplement insurance must, in addition
to Plan A, offer at least: - ANSWER *Plan C or Plan F*
Plan C and Plan F
Plan C
Plan D
All insurers that offer Medicare supplement insurance must offer
Plan A. They must also offer Plan C or Plan F.
Which Medicare supplement plan covers the copayment for the 61st
through 90th day of hospitalization? - ANSWER *Plans A through N*
Plans A, B, and C only
Plans A and B only
Plan C only
All plans pay the 61st through 90th days' copayment for
hospitalization, as well as the 91st through 150th days' copayment
for each lifetime reserve day, and hospital costs up to 365 days.
When a person applies for Medicaid, the limits and the types of
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