Chapter 5: Private insurance plans for Seniors Flashcards

1
Q

Which long term care (LTC) insurance statement is true?

A

Pre-existing conditions must be covered after the coverage has been in force for six months

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2
Q

Medicare Part B does NOT cover

A

inpatient hospital services

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3
Q

Which of the following statements is TRUE about medicaid?

A

It is funded by federal, state, and local taxes

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4
Q

What is the MINIMUM number of Activities of Daily Living (ADL) an insured must be unable to perform to qualify for Long Term Care benefits?

A

2

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5
Q

A “reimbursement policy” pays what amount of covered Long-Term Care expenses?

A

Actual covered expenses up to the daily maximum

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6
Q

Which of the following provides Medicare supplement policies?

A

Medicare
Medicaid
**Private insurance companies

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7
Q

All of the following are core benefits of Medicare Supplement Plan A EXCEPT:

A

Deductible payments for the first 60 days of hospitalization under Medicare hospitalization insurance

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8
Q

Medicare Part C is:

A

available to those who are enrolled in Medicare Part A and Part B

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9
Q

Which type of long-term care benefit would be most appropriate for a stroke victim who requires speech therapy administered at her home?

A

Home Health Care

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10
Q

Which of the following does Medicare part D cover?

A

Prescription Drugs

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11
Q

If a retiree on Medicare required five hospital stays in one year, which policy would provide the best insurance for excess hospital expenses?

A

Medicare supplement policy

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12
Q

The guarantee of insurability option provides a long term care policyowner the ability to:

A

buy additional coverage at a later date

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13
Q

Under a long term care policy, which benefit would typically be excluded or limited?

A

alcohol rehabilitation. Addictive behavior remediation is normally excluded or limited

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14
Q

Benefits provided by a medicare supplement policy must NOT

A

duplicate medicare benefits

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15
Q

How long is the typical free look period for Long Term Care insurance policies?

A

30 days

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16
Q

Which of the following nursing home options would BEST suit an individual who needs some nursing care and supervision but NOT full-time care?

A

Assisted living facility

17
Q

Premiums paid that exceed 7.5% of an insured Adjusted Gross Income (AGI) are tax-deductible when paid for which of the following plans?

A

Qualified Long Term Care plan

18
Q

The purpose of medicare supplement insurance is to address gaps in medicare coverage, which can include

A

medicare in-hospital deductible