North Carolina Medicare Supplement & Long-term Care || Questions and 100% Verified Answers.

Under Medicare Part A, a beneficiary is entitled to reasonable and medically necessary hospital care lasting how long? 21 days 60 days 30 days Inpatient hospital care is not covered correct answers 60 days M enters a skilled nursing facility after being released from the hospital. Med...

An insured has 10 years of work experience. She participated in the Social Security program for 10 years. Her medicare Part A premium is most likely to be A. $0 B. $458 per month C. About 5% of monthly income D. $458 per month correct answers $0 EXPLANATION: People do not pay a monthly P...

Which of the following statements about Medicare Part D prescription drug coverage is CORRECT? Individuals may obtain prescription drug coverage only through stand-alone plans issued by Medicare. Individuals who join a Medicare Part D prescription drug plan must pay a separate monthly premium fo...

what facility is long term care NOT provided in correct answers Hospital 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? correct answers Yes, she must begin recei...

Medicare correct answers A federal program of health insurance for persons 65 years of age and older Medicare is run by correct answers Centers for Medicare and Medicaid services of the department of health and human services Medicare parts A & B are correct answers Referred to as original Med...

Federal Program correct answers Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services. Private firms contract with the federal government to handle the paperw...

The period in which illness-related disabilities are excluded from coverage. correct answers Probationary period An approach in which a certain amount of "points" are assigned to a procedure based on an amount relative to a maximum cost for similar procedures in that geographic area. correct an...

Which of the following provides coverage on a first-dollar basis? correct answers Basic expense. Which of the following answers does NOT describe the principal goal of a Preferred Provider Organization? correct answers Provide medical services only from physicians in the network. A small busin...

Which of the following is not one of the 12 required provisions for health insurance policies set forth by the NAIC? correct answers waiver of premium provision Medical expense policies cover a wide range of services and care. The way in which they cover the cost of these services and the way i...

Definitions - Broker correct answers Means a person who, being a licensed agent, procures insurance for a party other than himself through a duly authorized agent or an insurer that is licensed to do business in this State bur for which the broker is not authorized to act as an agent. Definitions...

risk avoidance correct answers occurs when individuals evade risk entirely risk reduction correct answers occurs when chances of risk are lessened risk retention correct answers is being aware of the risks involved and taking precautions for financial protection. risk transference correct a...

All of the following are included within the Insurance Commissioner's duties EXCEPT a) Conducting investigation of all domestic insurers. b) Reviewing the insurers' annual reports. c) Writing North Carolina insurance laws. d) Reporting any violations of insurance laws to the Attorney General...

Term Insurance correct answers Used for Temporary Situations. Net cost highest in the long run. Premiums goes up every year based on current (attained)age. Term Insurance correct answers Expire's at a certain age/Time in the future. May be renewable up to a certain age or date with out a phyical...

Supportive services provided by qualified para-professionals who are trained, equipped, assigned, and supervised by professionals within an agency to help maintain, strengthen, and safeguard the care of the elderly in their own homes is called correct answers Homemaker services. Homemaker service...

*Group health insurance* is a key aspect of the health insurance market, and it is available to employer groups. correct answers Mike and Joyce's medical expense insurance coverage is provided by their employer, Acme MFG, Inc. As such, how is their insurance provided? A group health plan that of...

Medicare correct answers Health insurance for those over age 65, people under 65 with certain disabilities & those with ESRD (end stage renal disease - permanent kidney failure requiring dialysis or kidney transplant) CMS correct answers Centers for Medicare and Medicaid Services administers the ...

Medicare correct answers Health insurance for those over age 65, people under 65 with certain disabilities & those with ESRD (end stage renal disease - permanent kidney failure requiring dialysis or kidney transplant) CMS correct answers Centers for Medicare and Medicaid Services administers the ...

Home health care covers occasional visits from who? correct answers Registered nurses, licensed practical nurses, community-based professionals (like hospice). **Does NOT cover visits from attending physicians. Programs that are provided to people who are too poor to qualify for Medicaid. correc...

If a person is a member of a private Fee-For-Service plan, where can he or she receive emergency medical care? correct answers Anywhere in the U.S. **Members of a PFFS plan may receive emergency care anywhere in the U.S. when needed. Medicare Part B will cover services received from a doctor i...

When Linda suffered a broken hip, she notified her agent, in writing, within 12 days of the loss. However, her agent did not notify the insurance company until 60 days after the loss. Which of the following statements correctly explains how this claim would be handled? A. The insurer is considered ...

Insured Contingent Beneficiary correct answers If the insured and primary beneficiary are both killed in the same accident and it cannot be determined who died first, where are the death proceeds to be directed under the uniform Simultaneous Death Act? Reimbursement correct answers Which type of ...

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 correct answers A. All of the above ...

Z sells a MSP to a sick 72-year-old person, that he knows already has a Medicare supplement. The sale is correct answers Not allowed because a person cant have multiple MSPs Which of the following does not qualify for Medicare under 65 years old? correct answers Z who has pancreatic cancer All...

No long-term care policy can pay a cash surrender value unless... correct answers The dividends or refunds are applied as a reduction of future premiums or an increase in benefits. Prior to enrolling in the Medigap policy, and insured was covered by a group health plan for 6 months. Which of the ...