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Exam (elaborations)

Medicare Practice Test Exam Questions with Verified Answers

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  • Course
  • Medicare Supplements
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  • Medicare Supplements

A man is planning to retire after age 65. Until then, he will have his employer's health plan. When should he enroll in Medicare Part B? - Answer-Within the 8 months of the day he is no longer employed or when coverage under the group plan ends In the Original Medicare Plan Part B, the percentag...

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  • October 5, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medicare Supplements
  • Medicare Supplements
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Medicare Practice Test Exam Questions
with Verified Answers
A man is planning to retire after age 65. Until then, he will have his employer's health
plan. When should he enroll in Medicare Part B? - Answer-Within the 8 months of the
day he is no longer employed or when coverage under the group plan ends

In the Original Medicare Plan Part B, the percentage of the approved amount paid by
the patient is 20%. This is referred to as - Answer-Coinsurance

What process will the insurance company use to monitor the insured's hospital stay to
make sure that everything is proceeding according to schedule? - Answer-Concurrent
review

Medicare Part B will pay for which of the following? - Answer-Anesthesia received as an
outpatient service

Prior to obtaining coverage through Medicare Part D, individuals must have which of the
following coverage(s)? - Answer-Medicare Part A or B

The assignment payment method only works with which of the following? - Answer-The
Original Medicare Plan

All of the following individuals may join a private fee-for-service plan except those who -
Answer-Live outside of the service area

If a patient is admitted to a hospital for special care, inpatient dialysis treatments are
covered under - Answer-Medicare Part A

A patient has a 110-day stay in a skilled nursing facility. All Medicare requirements have
been satisfied. For how many days will Medicare participate in the cost of the patient's
care? - Answer-100 days

First -dollar coverage applies to - Answer-Home health care

Claims for Medicare Part A services are filed by - Answer-The provider with the
Medicare intermediary

Hospice benefits are available for a Medicare beneficiary who has met all of these
requirements except - Answer-Having more than 6 months to live

The minimum age to purchase long-term care insurance is - Answer-18

, A man has a Medigap policy. The premium increases each year because he is a year
older. In addition, the premium is also adjusted for inflation. The method used to
calculate his premium is known as - Answer-Attained age

In North Carolina, the expected loss ratio for individual long-term care insurance is at
least - Answer-60%

A long-term care policy that offers a guarantee that certain policy benefits will remain
available even if the insured stops paying premiums is known as a - Answer-
Nonforfeiture feature

What are the disclosure requirements for Medicare Supplement policies issued at
attained age? - Answer-The rates structure must be fully disclosed at the time of
application

Which of the following best describes Medicaid? - Answer-Eligibility standards are
established by each state within national guidelines

Medicare will pay all costs of care in a skilled nursing facility for the first - Answer-20
days

Care for eating, dressing, bathing, and continence, also known as personal care, is
called - Answer-Custodial care

Which of the following best defines the pre-existing condition waiting period in Medigap
policies? - Answer-The insurer can refuse to cover a health problem that was diagnosed
or treated during the 6 months before the policy issue date, for a specified amount of
time

A long-term care policy may exclude coverage for - Answer-Mental disorders

If an insured appeals a service on the Medicare Summary Notice (MSN) and sends a
request to the Medicare Administrative Contractor, within how many days will the MAC
generally send the decision to the insured? - Answer-60 days

Medicare Part A is - Answer-Hospital insurance

The outline of coverage for Medicare supplement policies is - Answer-A summary of the
policy applied for or issued

Which of the following is true about the benefit periods in Medicare Part A? - Answer-
With each new benefit period, most of Part A hospital benefits are renewed

Certain kinds of previous health insurance coverage that can be used to shorten or
eliminate a pre-existing condition waiting period is called - Answer-Creditable coverage

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