Exam Questions with Correct Answers .

North Carolina Medicare Supplement and Long-Term Care Exam Questions with Correct Answers 2024/2025 .An individual who is not eligible for premium-free Medicare Part A coverage may apply for coverage during which of the following enrollment periods?

• All of the above
• Initial enrollment period
• General enrollment period
• Special enrollment period - Correct Answer A. All of the above

Medicare makes what payment for services in which another payer may be responsible:

• Conditional payment
• Interim payment
• Transitional payment
• Temporary payment - Correct Answer A. Conditional payment

Insurers must offer inflation protection in which of the following policies?

• Medicare Part C
• Medigap
• Long-Term Care
• Medicaid - Correct Answer C. Long-Term Care

What program safeguards against unnecessary and inappropriate medical care rendered to Medicaid recipients?

• Medicaid review program
• Utilization renew program
• Quality improvement organization 1 / 2

• Utilization review program - Correct Answer D. Utilization review program

Which of the following is not a requirement for long-term care plans?

• The individual must be unable to perform at least two ADLs
• Inflation protection must be provided
• Policies must accrue cash value
• Coveraged cannot reimburse insureds for medical expenses or services covered by Medicare. -

Correct Answer C. Policies must accrue cash value.Which entity handles claims from hospitals, skilled nursing facilities, home health agencies and hospices?

• Carrier
• Intermediary
• Quality Improvement Organization
• Utilization Review Committee - Correct Answer B. Intermediary

What is the term for private organizations that administer Medicare Part B benefits?

• Carriers
• Medical Providers
• Intermediaries
• Peer review organizations - Correct Answer A. Carriers

All of the following are requirements for long-term care and medigap policy except:

• The agent must provide the applicant with a notice regarding replacement
• The notice regarding replacement must contain the free look period
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