Chapter 16: Private Insurance Plans for Seniors

Which type of long-term care benefit would be most appropriate for a stroke victim who requires speech therapy administered at her home? Respite care Continuing care Home health care Custodial care

Which of these statements about Medicaid is CORRECT? Pays for Medicare charges exceeding the approved amount Intended for senior citizens Funded by federal, state, and local taxes Administered by the Federal government

Which of the following plans will cover medical costs that Medicare doesn't cover? Major medical Indemnity Medical Medicare supplement

Respite care is able to provide permanent relief to the patient's primary caregiver health care to the patient's primary caregiver weekly benefit payments to supplement the primary caregiver's income temporary relief to the patient's primary caregiver

Continuous 24-hour care provided by licensed medical professionals under the direct supervision of a physician is called adult day care home health care skilled nursing care custodial care

Which of the following provides Medicare supplement policies? Medicare Medicaid Private insurance companies Associations and employers

Which of the following is NOT included under long-term care insurance? Adult day care Custodial care Hospital acute care Respite care

Tom has a home health care benefit and is confined to his home. Which of these benefits is NOT typically covered? Part-time nursing care Full-time nursing care Physical therapy Home health aides

All of these statements concerning Medicare are true EXCEPT Medicare is primarily funded by Federal payroll and self-employment taxes Long-term care is covered by Medicare Part C Hospice is covered by Medicare Part A Doctors' services are covered by Medicare Part B

Shirley has a Medigap policy, which is designed to pay costs associated with Medicare Parts A and B Medicare Advantage Medicare Part C Medicare Part D

The open enrollment period for Medicare Supplements begins at age 62 65 67 70

What portion does an insured pay for covered expenses under Medicare Part B after the deductible? 20% 50% 75% 100%

Which of the following statements is TRUE about Medicaid? It is health insurance for the elderly It is administered by the Federal government It is funded by federal, state, and local taxes Coverage includes compulsory hospital and voluntary supplementary medical insurance

A Medicare Supplement Policy is government insurance designed to provide healthcare to the elderly designed to provide prescription drug coverage to the elderly designed to fill in the gaps of Part A and Part B Medicare a supplement to Medicare Advantage Part C

The purpose of Medicare Supplement Insurance is to address gaps in Medicare coverage, which can include Medicare in-hospital deductible replacing HMO coverage covering chiropractic treatment treatment provided in a government hospital

Which of these gaps in Medicare coverage is addressed with Medicare Supplemental Insurance? Medicare in-hospital deductible Dental work Nutritional supplements Chiropractic care

Which of the following are two examples of activities of daily living (ADL's) used in qualifying for long-term care benefits? Eating and dressing Working and sleeping Driving and working Talking and sleeping

Under a long-term care insurance policy, adult day care coverage will provide for living arrangements in an assisted living center full time care at a facility for elderly individuals part time care at a facility for elderly individuals who live at home full time home health care

The IRS states that a taxpayer's medical expenses that exceed 7.5% of their adjusted gross income is tax deductible. Which of the following may be considered a medical expense under this rule? Long Term Care Insurance premiums Dread Disease Insurance premiums Travel Accidental Insurance premiums Individual Disability Income Insurance premiums

Long-Term Care policies may provide coverage for claims arising from senile dementia acute care in hospital alcoholism drug addiction

Premiums paid that exceed 7 1/2% of an insured's Adjusted Gross Income (AGI) are tax-deductible when paid for which of the following plans? Accidental Death and Dismemberment Personal Disability Income plan Qualified Long-Term Care plan Group disability income plan

A long-term care policy typically provides all of the following levels of care EXCEPT skilled care intermediate care acute care custodial care

Bill requires some nursing care and supervision but NOT full-time care. Which of these nursing home options would best serve him? Nursing home Assisted living Congregate housing Custodial residence

Which of the following would be considered an activity of daily living under a long term care policy? Bathing Running Working Breathing

Which type of plan would be most appropriate for an individual on Medicare and is concerned that Medicare will NOT pay for charges exceeding the approved amount? Medicaid Long-term care Medicare supplement Plan F Comprehensive major medical

A Medicare Supplement policy must NOT contain benefits which charge additional premiums duplicate Medicare benefits cover more than Medicare coverage are covered by Worker's Compensation

Which of the following nursing home options would BEST suit an individual who needs some nursing care and supervision but NOT full-time care? Custodial care homes Assisted living facilities Skilled nursing facilities Congregate housing

Which of the following does Medicare Part D cover? Intensive care coverage Doctor visits Prescription drugs Hospital coverage

A Medicare Supplement basic benefit is the first 3 pints of blood per year respite care disability income term life insurance

Rating an individual's need for long-term care benefits can be measured by deductibles gatekeeper authority activities of daily living custodial need

The typical long-term care insurance policy is designed to provide a minimum of __ year(s) of coverage. 1 3 5 7

Which of these factors is NOT taken into consideration when determining the cost of a long-term care policy? Health of applicant Amount of benefits provided Age of applicant Personal income

Generally speaking, which three levels of care are Long-Term Care policies provided with? Disability, acute care, and hospitalization Accident, medical care, and rehabilitation Psychological, acute care, and assisted living Skilled nursing, intermediate, and custodial care

Benefits provided by a Medicare Supplement policy must NOT be payable to the insured duplicate Medicare benefits be sold to individuals under 70 charge additional premiums

All _____ policies must be guaranteed renewable. dental long-term care critical illness disability

A Medicare supplement plan can be canceled by the insurer after the probation period for any changes in the insured's health anytime for nonpayment of premiums

In a Long-Term Care policy, activities of daily living (ADL's) can be each of the following EXCEPT Talking Dressing Transferring Feeding oneself

Someone needing custodial care at home would require which type of coverage? Major medical Disability Long-term care Medicaid

Which situation would qualify an individual for receiving benefits from a qualified long-term care policy? Becoming unemployed Becoming temporarily disabled Becoming injured on the job Becoming cognitively impaired (mentally ill)

Joe is a Medicare participant who receives his benefits through a Managed Health Care Plan. Which Medicare plan does he have? Part A Part B Part C Part D

Periodic increases in policy benefits are allowed in which long-term care policy provision? Entire contract Non-forfeiture Deflation protection Inflation protection

The difference between a Long Term Care Partnership Plan and a Non-Partnership Plan is which of the following? Pre-existing conditions Level of benefits Asset Protection Elimination period

What type of coverage pays a benefit for part-time nursing care that can be provided in a patient's home? Respite care Custodial care Rehabilitation care Home health care

Which of the following is NOT a type of Medicare Advantage Plan? Health Maintenance Organization (HMO) Preferred Provider Organization (PPO) Private Fee-For-Services (PFFS) Social Security Disability Income (SSDI)