Health Insurance Programs for Seniors Exam

Gita has an accelerated death benefit provision in her life insurance policy. The face amount of the policy is $100,000. The policy begins paying accelerated death benefits to pay for Gita's long-term care expenses. After the policy pays $100,000 in accelerated death benefits, what amount will be payable upon Gita's death?

$0

To qualify for Medicaid, an individual's assets may generally not be greater than what amount?

$2,000

Adam, a Medicare beneficiary, incurred a charge of $100 for a physician's office visit. What amount of this charge will be Adam's responsibility under Part B's coinsurance requirement?

$20

Inez has a long-term care insurance policy that pays benefits on an indemnity basis. The policy has a stated benefit of $200 per day. If Inez incurs long-term care expenses in the amount of $300 per day, what benefit will her policy pay?

$200 per day

Michelle has a long-term care insurance policy that pays benefits on a reimbursement basis. It has a $250 daily benefit limit. If Michelle incurs long-term care charges of $300 per day, what benefit will her policy pay?

$250 per day

Padma spent 95 days in the hospital. It was her first inpatient hospital stay as a Medicare beneficiary. How many lifetime reserve days did Padma use during that stay?

5

The first time Barry stayed in the hospital as a Medicare beneficiary, he used ten of his lifetime reserve days. How many lifetime reserve days does Barry have left?

50

Jeff is considered aged for Medicaid purposes. This means that Jeff must be at least how old?

65

George is traveling in a foreign country and incurs $1,000 of charges for emergency care covered by his Medicare supplement insurance policy. George pays the $250 annual deductible for this type of care. What percent of the remaining bill will his Medicare supplement policy pay?

80 percent

Charlie was eligible to enroll in a Medicare Part D plan, but he delayed enrolling for 30 months because he was not taking any medications and did not feel he needed coverage. He is now reconsidering his decision. Which of the following statements is true?

Charlie can still enroll in a Part D plan, but his premium will be higher than if he had enrolled when initially eligible.

Damon's assets are listed below. For purposes of determining Damon's eligibility for Medicaid, which of these assets is considered exempt?

Damon's car, valued at $22,000

Manuel is receiving inpatient hospital care. If Manuel has Original Medicare, which of the following statements is true?

His care will be covered by Medicare Part A.

Which statement about the net worth of seniors over the past few decades is correct?

It has increased.

Which statement about the population of the 65-and-older age group is correct?

It is growing at a much faster pace than the rate of the 64-and-under age group.

Jeb is covered by Original Medicare. Which statement is correct?

Jeb has both Part A coverage and Part B coverage.

Deirdre has a condition for which coverage has been excluded under her Medicare supplement insurance policy as a preexisting condition. If her policy went into effect on January 1, by what date must the exclusion for the preexisting condition expire?

July 1

Kenny is a dual eligible. Which statement is correct?

Kenny qualifies for both Medicare and Medicaid.

Which statement about life expectancy in the United States during the past several decades is correct?

Life expectancy is increasing for both women and men.

Liam turned age 65 and enrolled in Medicare Part B in March. On what date did Liam's open enrollment period for purchasing a Medicare supplement insurance policy begin?

March 1

Which of the following was designed to address the problem of paying for long-term care?

Medicare supplement policies

Neil's Medicare supplement insurance policy was delivered to him on September 1. Until what date does Neil have an unconditional right to return the policy for a full refund?

October 1

What Part of Medicare is funded by the Medicare payroll (FICA) tax?

Part A

Emilia entered the hospital on January 1 and was discharged on January 15. At what point will Medicare Part A begin paying for her hospital care?

after she has paid the Part A deductible

Which of the following is not covered by Medicare Part B?

inpatient hospital care

Assuming Max was truthful in completing his application for Medicare supplement insurance, what is the only reason for which the insurer may cancel or nonrenew his policy?

nonpayment of premium