Senior Needs Flashcards

1
Q

Which of the following is excluded from coverage under Medicare Part B?

A
Home Health Care

B
Acupuncture

C
Inpatient physician services

D
Outpatient emergency treatment

A

B
Acupuncture

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2
Q

A Medicare beneficiary enrolled in a Medicare Advantage plan may have any of these other insurance plans, EXCEPT:

A
Long-term care

B
Disability income

C
Life insurance with cash value in excess of $1,500

D
Medicare supplement

A

D
Medicare supplement

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3
Q

Which of the following is not a characteristic of Medicare Part D?

A
The beneficiary is responsible for an annual deductible and either a copayment or coinsurance

B
These plans are funded by the federal government

C
Monthly premiums are required

D
Available to anyone eligible for Part A and/or Part B

A

B
These plans are funded by the federal government

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4
Q

To be eligible for a Medicare supplement policy, an individual must be:

A
Under age 65

B
Receiving Social Security disability benefits

C
Enrolled in Medicare Parts A and B

D
Covered under a Medicare Advantage plan

A

C
Enrolled in Medicare Parts A and B

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5
Q

Which of the following is not a core benefit in a Medicare Supplement policy?

A
Coverage for up to 365 days of hospital charges after Medicare benefits run out

B
Coinsurance amounts payable under Part B

C
Coverage for up to 365 days of long-term care expenses after three days of hospitalization

D
The cost for the first three units of blood administered in a calendar year

A

C
Coverage for up to 365 days of long-term care expenses after three days of hospitalization

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6
Q

All of the following are policy requirements of a Medicare Supplement policy, except:

A
The insurer/producer must explain the relationship of this coverage to the benefits of Medicare

B
The Outline of Coverage contains information on the benefits, deductibles, exclusions, and premiums

C
The Guide to People with Medicare must be provided at the time of application

D
A 10-day free look period

A

D
A 10-day free look period

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7
Q

Medicaid differs from Medicare in that it is:

A
Only available to persons over age 21 and under age 65

B
Optional coverage for Medicare beneficiaries

C
A federal-state medical assistance program providing health care benefits for low income persons

D
Health insurance for persons who do not have access to group health insurance

A

C
A federal-state medical assistance program providing health care benefits for low income persons

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8
Q

All of the following are considered Activities of Daily Living (ADLs), except:

A
Cooking

B
Bathing

C
Dressing

D
Eating

A

A
Cooking

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9
Q

A Long-Term Care policy provides benefits in each of the following settings, EXCEPT:

A
The home of the insured

B
Hospice care in a family member’s home

C
Therapeutic care in an acute care hospital

D
Intermediate care nursing facility

A

C
Therapeutic care in an acute care hospital

Long-term care does not pay the expenses connected with an acute care hospitalization.

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10
Q

The purpose of a respite care benefit in a Long-Term Care policy is to:

A
Give a primary caregiver a break

B
Provide care for a person who is terminally ill

C
Cover the cost of insurance when a person is disabled

D
Cover care in an adult day care facility

A

A
Give a primary caregiver a break

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11
Q

In an LTC policy, inflation protection:

A
Cannot be sold to persons over age 75

B
Is only available to persons over age 75

C
Must be offered

D
Must be purchased

A

C
Must be offered

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12
Q

Regarding the tax treatment of a qualified LTC policy, which of the following statements is correct?

A
LTC benefits are not taxable

B
All premiums are tax deductible

C
Only 10% of the benefits are taxable

D
Only premiums paid by individuals age 65 or older are tax deductible

A

A
LTC benefits are not taxable

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13
Q

The Minimum Benefit Standards under a qualified LTC policy include all of the following, except:

A
Every LTC policy must include basic policy requirements in the policy provisions

B
Every LTC policy must be issued as noncancellable

C
Every LTC policy must offer optional inflation protection to offset the increased costs of care

D
An Outline of Coverage must be delivered to an applicant on the initial solicitation and prior to the presentation of the application form

A

B
Every LTC policy must be issued as noncancellable

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14
Q

Regarding Medicare Part B, which of the following is not true?

A
For citizens over the age of 65, there is no additional premium or cost

B
Provides coverage for outpatient services

C
It is optional coverage for those eligible for Part A

D
All recipients pay a monthly premium

A

A
For citizens over the age of 65, there is no additional premium or cost

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15
Q

A long-term care policy can exclude from coverage all of the following, except:

A
Hospitalization (acute care)

B
Rest cures

C
Intentionally self-inflicted injuries

D
Alzheimer’s disease

A

D
Alzheimer’s disease

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16
Q

Which of the following exclusions applies to Long-Term Care coverage?

A
Rest Cures

B
Adult day care

C
Respite care

D
Home care

A

A
Rest Cures

17
Q

Which of the following pertaining to most LTC policies is true?

A
They can be cancelled on the grounds of age

B
They are issued guaranteed renewable

C
They deny coverage for those with a destructive brain disease

D
They provide coverage only for skilled nursing care

A

B
They are issued guaranteed renewable

17
Q

Anna is seeking a Medicare Supplement Policy. An agent has explained that all supplements must contain some of the same items. Which of the following is false?

A
The policy must contain an Outline of Coverage

B
The insurer has the option to provide a Buyer’s Guide and an Outline of Coverage

C
A question about replacement must appear on the application

D
The policy must contain a 30-day free look provision on the first page

A

B
The insurer has the option to provide a Buyer’s Guide and an Outline of Coverage

18
Q

In a long-term care policy transaction, when must the outline of coverage be provided to the applicant?

A
At the time of premium collection

B
At the time of initial solicitation and prior to the application

C
At the time of issuance

D
At the time of delivery

A

B
At the time of initial solicitation and prior to the application

19
Q

If an individual starts receiving Social Security retirement benefits at age 62, when are they eligible for Part A benefits?

A
Age 62

B
24 months after receiving Social Security retirement benefits

C
An individual is not eligible for Part A if they receive Social Security retirement benefits

D
Automatically at age 65

A

D
Automatically at age 65