Guarantee exam
SLMB - Specified Low Income Medicare Beneficiary
Higher income lever than QMB -Will pay Medicare part B premiums only.
Buyer's Guide must be delivered to applicants for Medicare supplement at the time of...
Application
For what reason would premiums increase on an issue age Medigap policy?
Health care costs increase
What drugs will Medicare Prescription Drug plans cover?
Both generic and name-brand drugs.
Which of the following services will be covered under Medicare Part B?
Yearly wellness visit.
A cancer patient has Medicare Parts A and B. He has applied to a private insurance company in North Carolina for the purchase of a Medigap Policy. He applied 6 months after the affective date of Medicare Part B and he is age 65. What are the insurance company's options?
Accept the application and issue the policy without any coverage reduction or exclusions.
What is a stand-alone plan?
Coverage for prescription drugs only.
A Medicare patient is beginning a long hospital stay. Under Medicare Part A, when will her daily copayment start?
Day 61.
The spouse who will be residing in the medical institution is called the...
Institutionalized spouse
An insured has had a long-term care insurance policy for 17 years. He is 81 years old and has serious health problems. The insured has always paid his premiums on time, but the company would like to cancel the policy. What are the company's options?
Keep the policy in force as long as premiums are paid.
Which of the following is NOT an optional benefit in Medigap policies?
Medicare Part A coinsurance for days 61-90 and days 91-150 of a hospital stay.
All of the following are types of Medicare Advantage (MA) plans EXCEPT...
Medicare Special Service Plans
All of the following are types of Medicare Advantage plans except...
Medicare Special Service Plans
How are premiums treated under mu noncancellable Medigap policy?
My premiums cannot be changed.
Which doctors can the enrollees in a Medicare HMO use?
Only those in the HMO's network.
Under Medicare Part B, benefits will pay for ambulance transportation ONLY when...
Other transportation would be dangerous to the patient's health.
Under which of the following types of reviews a physician may submit claim information BEFORE providing treatment?
Prospective.
A plan offering only coverage for prescription drugs is known as...
Stand-alone plan
If an individual went without prescription drug coverage for 12 months after becoming eligible for Medicare Part D, what would be the late enrollment penalty ?
12 ****ING ******** PERCENT ****
What is the minimum length of benefit period that a long-term care policy must provide?
12 months
For how many days in a skilled facility does Medicare pay all costs in full?
20 days.
An issuer may provide compensation to a representative for the sale of a Medicare Supplement policy only if the compensation for the first year is NO more than what percent of the compensation provided in the second year?
200%
What percentage of an agent's renewal commissions on a Medicare policy can the agent receive on the first-year commission?
200%
An insured is treated by a physician who does not accept the assignment payment method. The insured's copayment percentage could be as much as ...
35%
Mehta is the maximum number of days of Medicare-covered inpatient hospital care paid for by the Plan A deductible?
60
The Part A deductible pays for up to __ days of inpatient hospital care in a benefit period.
60 days
Which of the following is the most s doctor or supplier who does not accept assignment may charge for Medicare-covered services?
Limiting charge
A man has Medicare Part A, but he does not have Medicare Part B. He enters the hospice care program and is cared for at home. What are his Medicare payment options?
Medicare Part A will pay for hospice care.
