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NC Medicare/LTC Practice Exam with Answers (100 Solved Questions)

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  • Shared February 2025
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NC Medicare/LTC Practice Exam with Answers provides key insights into previous exams to help you prepare better.

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    NC Medicare/LTC exam questions 100% VERIFIED CORRECT SOLUTIONS ALREADY PA SSED LTC policies may not include the right to refuse to renew upon age or deterioration of health. Medicare Supplement policies must maintain minimum loss ratios (75% Group, and 65% Individual) through annual audited report s to DOI. If inadequate loss ratios refunds or premium credits are required to be made. LTC must provide benefits for a minimum of 12 months and cannot provide skilled care only. LTC insurers must provide ____ days advance notice of cancellation to both in sured and alternate - named person. 30 LTC Outline of coverage must be delivered no later than at policy delivery. After admission to a custodial facility most LTC policies have a ______

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    Elimination Period ("Time Deductible") Medicare enrollment is done at l ocal Social Security offices. Medicare Supplement policies are designed primarily to cover the "cost - sharing" features of Medicare. Home Health benefits cover DME's ____%. 80 Medicare in - patient Psychiatric benefits are limited to 190 days lifetime. Medica re SNF benefits are structured how? 100 days per benefit period. Days 1 - 20 with no copayment; Days 21 - 100 are 1/8 of the Part A Deductible. 13) The Medicare Part A benefit period (spell of illness) for hospital and SNF ends 60 days after discharge. 14) Medicare provides Days 1 - 90 on a non - exhaustible basis for each benefit period. 15) The exhaustible Reserve Day percentage is 50%. 16) Medicare Part A Hospital is the only one with an exhaustible benefit (60 days lifetime after Days 1 - 90).

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    17) Medicare Part A SNF benefit requires 3 days in the hospital before admission; the patient must go within 30 days of discharge, and a doctor must certify need daily. 18) _________ monitors the quality of health care in CMS approved facilities The state funded QIO ( or PRO), made up of doctors and other health care professionals . 19) The Medicare Administrative Contractor (Part B) issues the MSN, it determines approved charges, and pays 80% of approved charges to the provider, but does not seek refunds of overcharges from providers. 20) Providers must submit claims to the MAC within one year or face a reduction in payment. 21) The "Free - look" for both Medicare Supplement and LTC is 30 days. 22) If the insurer wishes to reduce benefits on an existing policy, written agreement by the owner/insured is required. 23) If a Medicare beneficiary elects to stay in an Employer Group Plan (EGP), the plan will be primary payer and Medicare will be second ary payer. 24) Medicare Part A Home Health benefits must be provided on an intermittent basis, i.e., no more than an 8 - hour shift for no more than 21 consecutive days. 25) Medicare Part A Home Health does not provide homemaker services.

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