Exam (elaborations)
LTC - Medicare – NC Exam Questions and Answers
- Course
- Institution
LTC - Medicare – NC Exam Questions and Answers
[Show more]
Content preview
LTC / Medicare – NC Exam Questionsand Answers
Under Part B, individuals pay a deductible each... - Answer -Year
After deductible is satisfied, Part B pays what percentage of all approved charges? -
Answer -80%
Doctors and suppliers who agree to accept the amount medicare will pay are said to
have agreed to... - Answer -Assignment
An optional long-term carer insurance benefit that provides a reduced paid-up benefit
amount is the... - Answer -Nonforfeiture benefit
A man has just completed an inpatient hospital stay of 100 consecutive days. How
many lifetime reserve days has he used? - Answer -10
After initial deductible is met, Medicare pays for all covered hospital charges for how
many days when first hospitalized?
After first benefit days, how many days does Medicare cover expenses with a daily
copay?
How many days is the lifetime reserve? - Answer -60
30
60
Doctors and hospitals who join a Medicare HMO are called the plan's... - Answer -
Network
Every insurer providing long-term care insurance in North Carolina is required to issue a
Shopper's Guide, when? - Answer -Before Sale / As requested but no later than sale
Medicare may pay for ambulance transportation to... - Answer -Nearest medical facility
Immunosuppressive drugs are... - Answer -Needed for life
, An insured receives health care through both Medicare and Medicaid. She currently has
prescription drug coverage through Medicaid. Does the insured need to enroll in
Medicare Part D? - Answer -Yes, she must begin receiving her prescription drug
coverage through Part D
When does enrollment begin for a person that becomes age 65? - Answer -Enrollment
begins on the first day of the month the person becomes age 65
Automatic Enrollment - Answer -If you are receiving Social Security your enrolled in
Medicare automatically.
General Enrollment Period Dates? - Answer -January 1 through March 31
Medicare Part B is financed by... - Answer -Copayments, deductibles, a monthly
premium and a government subsidy
What would a physician utilize if he/she wanted to know if a treatment is covered under
an insured's plan and at what rate it will be paid? - Answer -Prospective Review
What is Medicare Part A deductible? - Answer -$1,408
Standard monthly premium for Medicare Part B - Answer -$144.60
What is the penalty for individuals who drop out of Medicare Part B and then re-enroll? -
Answer -the premium will be increased by 10% for each full 12 months the individual
could have been enrolled but was not
What is First-Dollar Coverage? - Answer -A term applied to medical expense policies
that pay covered expenses from the first dollar up to the specified limits without the use
of deductibles or waiting periods. Applies to Home Health Care.
How many days is Skilled Nursing Facility Coverage paid at no cost to insured? -
Answer -20 Days
Day 21-200 for skilled nursing care what will the patient pay daily? - Answer -$170.50
What are characteristics of a Medical Savings Account? - Answer -- Available to groups
of 50 or fewer employees
- The employee can use the funds to cover health insurance deductibles during the year
- It is an employer-funded account linked to a high-deductible medical insurance plan
- If there is a balance at the end of the year, the employee can allow it to earn interest or
withdraw
What is a Private Fee-for-Service Plan? - Answer -A medicare approved private
insurance plan in which Medicare pays the plan premium for Medicare-covered services
and the plan provides all Medicare benefits
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller millyphilip. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now