Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
l&H11
| Question | Answer |
|---|---|
| A 67-year-old individual works for a large company and plans on working until at least age 70. The individual signed up for Medicare at age 65 and the employer has a group health insurance plan. If a loss occurs, how will the claim be handled? | Since the individual is currently employed, over 65, and the company has a health insurance plan, the primary payor will be the company health insurance plan. Medicare will take on the secondary payor role. |
| What advantage do persons have when applying for a Medicare Supplement insurance plan at the same time they are first eligible for Medicare? | They cannot be declined for the insurance: An applicant may not be declined for insurance when applying for a Medicare Supplement insurance policy within the first 6 months after enrolling in Medicare Part B for the first time. |
| What is the purpose of a respite care benefit in a Long-Term Care policy? | Respite care benefits provide the individual primarily responsible for the care of a disabled person in home setting w break from their duties. It will pay for a sub caregiver/the disabled to be in an institutional setting for a short period of time. |
| What is the requirement for inflation protection in an LTC policy? | Inflation protection must be offered to all LTC insurance applicants. It is not required to be purchased. |
| Which Act was implemented in order to protect consumers from questionable Medicare Supplement Policy marketing practices? A COBRA B OASDHI C NAIC Model Law D HIPAA | NAIC Model Law requires all Medicare Supplement policies to be standardized. |
| Part B of Medicare excludes which of the following medical expenses? A Clinical laboratory services B A regular dental checkup C Home health care D Outpatient hospital treatment | Part B does not cover routine dental services. |
| An insured is hospitalized for at least 3 days. How long will Medicare pay for confinement in a skilled nursing facility? | Medicare Part A will provide coverage for up to 100 days of post-hospital skilled nursing care. Only the first 20 days are covered at 100% of the actual cost. |
| Which of the following Medicare Supplement policies have Core Benefits? A Plans C through J only B Plan A only C Plans A through N D Plan A through C only | The Core Benefits found in Plan A must be found in all plans. |
| If an individual starts receiving Social Security retirement benefits at age 62, when will they be eligible for Medicare Part A? | an individual can become eligible for Medicare Part A after receiving Social Security disability benefits for 24 months. (It is important to distinguish between Social Security retirement and Social Security disability.) |
| The insured may select a managed care version of a traditional Medicare Supplement Policy at a lower premium by choosing a policy that limits care to a specific list of hospitals and physicians. This would be called a: | Medicare Select Policy |
| Randy has a preexisting condition for which coverage has been excluded since his Medicare Supplement Policy became eff 4 months ago. If Randy were to replace his Medicare Suppl Policy, what could be said about the preex condition under the new policy? | The replacing insurer must waive any time applicable to the preexisting condition period to the extent that it has already been satisfied under the original policy. |
| If a policy is at risk of cancellation or lapse due to nonpayment of premium, which of the following provides paid-up coverage? A Waiver of premium B Return of premium C Nonforfeiture D Guaranteed insurability (Future increase option) | A nonforfeiture provision/rider triggers the purchase of paid-up coverage in such circumstances. Don't confuse this with a Waiver or Premium provision/rider, which "waives" premium payments. |
| What type of Long-Term Care policy can be renewable and convertible, and can also be purchased at lower rates than for individual coverage? | An Employer Group Policy |
| Assuming eligibility, which of the following Medicare plans does not require any premium payment? | AAAAAAAAAAAAAAAAAA |
| The Initial Enrollment Period for Medicare is 7 months in length. Which of the following are the start and stop dates for this period? | starts 3 months before 65 bday ends... |
Created by:
rachel krystopowicz