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Medicare Licensing Exam NC Latest
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Which is NOT true regarding Medicare Part A home health care? ✔✔It pays for 60% of common medical supplies like bandages and gauze.
Which of the following can't be excluded in a Medicare Supplement Policy? ✔✔Alzheimer's
If an LTC policy has a return of premium option, the amount returned to the beneficiaries is based on which of the following? ✔✔The amount of benefits the person used
After an accident, J stayed in the hospital for a week. Medicare Part B will cover all of the following EXCEPT: ✔✔The Meals
When is a person is automatically enrolled in Medicare Part A? ✔✔If a person is enrolled for Social Security benefits
Who will pay the $1000 in medical bills this month, if J who has Medicare Part A and B but is now eligible for Medicaid? ✔✔Medicare will pay it
After an accident, P stayed in the hospital for a week. Medicare Part A will cover all of the following EXCEPT: ✔✔Doctor's Bill
Medicare Part B covers which of the following? ✔✔Doctors, Medical Services
All of the following are optional benefits for long-term care policies EXCEPT: ✔✔Guaranteed Renewable
When must coinsurance be paid for hospital stay under Medicare Part A? ✔✔Days 61- 90
If an individual has no-fault group health coverage through an employer or union and Medicare coverage, Medicare is: ✔✔Secondary
Home health care will be provided by Medicare Part B if which condition is met? ✔✔The care is ordered by doctor or health provider.
With the waiver of premium provision in a long-term care policy, what does that mean regarding paying premiums? ✔✔The insured can stop paying premiums after starting LTC benefits.
Which of the following can't be a condition for long-term care benefits? ✔✔Hospitalization
Long-term Care and Medicare Supplement polices can be returned for a full refund within: ✔✔30 Days
Preexisting conditions coverage in a Long-term Care or Medicare Supplement policy can't be denied or for more than: ✔✔6 months after effective date of coverage
With Medicare Part A, how many skilled nursing facility days are fully covered? ✔✔ 20
The term for when a medical provider or doctor agrees to accept Medicare payments is ✔✔Medicare assignment
At age 70, K is about to retire and is covered by her group medical plan. How long does she have to enroll in Medicare Part B after her group plan ends without having to pay penalty? ✔✔ 8 Months
What coverage under Medicare Part A covers 80% of the cost for durable medical equipment? ✔✔Home Health Care
The definition of LTC in NC requires all the following coverages EXCEPT: ✔✔Restatorative
When must the outline of coverage be given for a Medicare Supplement Plan B? ✔✔It must be given at the time of application.
After the deductible is paid, which is true regarding expenses paid by Medicare Part B? ✔✔Part B pays 80%
K's mother needs medical and personal care all the time. Which care is best suited? ✔✔Skilled Nursing Care
Which of the following does not receive Medicaid payments directly? ✔✔A patient in hospice
What is true about a Medicare Select policy? ✔✔The insured won't be covered for out-of- network expenses.
What percent of the expenses are paid by the insured, after the deductible is paid, under Medicare Part B? ✔✔20%
What is true about Medicare Part B enrollment? ✔✔Part B is automatic when a person enrolls for Part A, except if it is decline.
Which of the following Medicare-Aid pays only the premiums for Medicare Part B? ✔✔Specified Low-Income Beneficiary (SLMB)
All of the following are NOT correct regarding Medicare Advantage HMO and PPO plans EXCEPT: ✔✔Medicare Advantage PPOs do NOT use a gatekeeper.
What type marketing fails to disclose the reason for contacting a person is to sell insurance? ✔✔Cold lead advertising
Long-term Care insurance policies must provide benefits for at least three levels of care and provide the same duration for each level of care for a minimum of how many months? ✔✔ 12 Months
