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
answer
Designed to fill in the gaps of Part A and B Medicare
question
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
answer
Medicare in-hospital deductible
question
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
answer
Assisted-Living facilities
question
Which of the following provides Medicare supplement policies?
Medicare
Medicaid
Private insurance companies
Associations and employers
answer
Private insurance companies
question
Which of these gaps in Medicare coverage is addressed with Medicare Supplemental Insurance?
Medicare in-hospital deductible
Dental work
Nutritional supplements
Chiropractic care
answer
Medicare in-hospital deductible
question
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
answer
Duplicate Medicare benefits
question
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)
answer
SSDI
question
Long-Term Care policies may provide coverage for claims arising from:
senile dementia
acute care in hospital
alcoholism
drug addiction
answer
Senile dementia
question
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
answer
Skilled nursing, intermediate, and custodial care
question
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
answer
for nonpayment of premiums
question
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
answer
Part C
question
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
answer
Temporary relief to the patient's primary caregiver
question
Which type of plan would be most appropriate for an individual on Medicare and concerned that Medicare will NOT pay for charges exceeding the approved amount?
Medicaid
Long-term care
Medicare supplement Plan F
Comprehensive major medical
answer
Medicare supplement plan F
question
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
answer
Asset Protection
question
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
answer
Long Term Care Insurance premiums
question
A Medicare Supplement basic benefit is:
the first 3 pints of blood per year
respite care
disability income
term life insurance
answer
the first 3 pints of blood per year
question
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
answer
Home health care
question
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
answer
Personal income
question
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
answer
Funded by federal, state, and local taxes
question
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
answer
Full-time nursing care
question
Which of the following does Medicare Part D cover?
Intensive care coverage
Doctor visits
Prescription drugs
Hospital coverage
answer
Prescription drugs
question
A long-term care policy typically provides all of the following levels of care EXCEPT
skilled care
intermediate care
acute care
custodial care
answer
acute care
question
Someone needing custodial care at home would require which type of coverage?
Major medical
Disability
Long-term care
Medicaid
answer
Long-term care
question
All of the following are core benefits of Medicare Supplement Plan A EXCEPT:
Deductible payments for the first 60 days of hospitalization under Medicare hospitalization insurance
Medicare Part A hospice coinsurance or copayment
Medicare Part B coinsurance or copayment
The first three pints of blood received
answer
Deductible payments for the first 60 days of hospitalization under Medicare hospitalization insurance
question
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
answer
Assisted living
question
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
answer
It is funded by federal, state, and local taxes
question
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
answer
duplicate Medicare benefits
question
In a Long-Term Care policy, activities of daily living (ADL's) can be each of the following EXCEPT
Talking
Dressing
Transferring
Feeding oneself
answer
Talking
question
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
answer
Qualified Long-Term Care Plan
question
The typical long-term care insurance policy is designed to provide a minimum of __ year(s) of coverage.
1
3
5
7
answer
1
question
All _____ policies must be guaranteed renewable.
dental
long-term care
critical illness
disability
answer
long-term care
question
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)
answer
Becoming cognitively impaired (mentally ill)
question
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
answer
Medicare parts A & B
question
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
answer
skilled nursing care
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