Health - Private Insurance Plans for Seniors

Which of these statements reflects an accurate portrayal of Medicare SELECT?

A) Evidence of insurability must always be given before enrollment
B) Open enrollment periods do not apply to medicare SELECT plans
C) Medicare SELECT is normally subject to deductibles and coinsurance
D) Insured uses preferred providers in exchange for paying lower premiums

Medicare Part A coinsurance payments are covered by

A) Never covered
B) Part D Medicare
C) Medicare Supplement Plan A
D) Part B Medicare

Which of the following does a Medicare Advantage enrollee typically pay for?

A) retainer fee
B) capitation
C) annual deductibles
D) small co-pay per visit or per service

Which of the following describes coverage for the Medicare Part B coinsurance?

A) only a Long-term care policy will cover Medicare Part B coinsurance
B) a Medicare Supplement optional benefit
C) Medicare Part B does not require a coinsurance so no additional coverage is needed
D) a Medicare Supplement core benefit

In a long-term care insurance, what is an "ADL"?

A) approved dollar limits
B) activities of daily living
C) advocates of daily living
D) accepted doctor lists

Which of the following is NOT an allowable exclusion for long-term insurance policies?

A) Care for incurable conditions
B) Acute care
C) Custodial care outside the U.S.
D) Self-inflicted injuries

Which of the following does NOT meet the requirements of "skilled nursing care"?

A) must be provided exclusively in a hospital
B) must be provided by skilled medical practitioners
C) must be ordered by a doctor
D) must require daily care

Medicare Supplement insurance requires an individual to be at least how old for open enrollment?

A) No minimum age
B) 59 1/2 years old
C) 65 years old
D) 70 1/2 years old

A family counseling benefit is typically offered under which of these coverages?

A) home health care
B) respite care
C) skilled nursing care
D) hospice care

Custodial care is normally covered under

A) Long-term care insurance
B) major medical insurance
C) Long-term disability insurance
D) Medicare Part B

Which of the following is a true statement regarding a Medicare Supplement policy purchased during the open enrollment period?

A) there will be a reduction in benefits
B) the policy will be issued regardless of health
C) the cost of premiums will be higher than normal
D) the elimination period will be longer than normal

Which of the following is NOT covered by a comprehensive long-term care policy?

A) acute care
B) physical therapy
C) skilled nursing care
D) custodial care

Medicare supplement insurance that provides a preventative medical care benefit will often cover

A) hospitalization
B) custodial care
C) yearly physical examinations
D) respite care

Employer-paid qualified long-term care insurance premiums are typically

A) deducted from the employee's net income
B) included as a dividend to the employee
C) included on the employee's gross income
D) excluded from the employee's gross income

Julie is in need of assistance with one or two activities of daily living. She may be eligible for a(n)

A) hospice facility
B) intermediate care facility
C) assisted living facility
D) respite care facility

Andy is in need of health care performed by skilled medical practitioners, but only on an intermittent basis. What level of care will his doctor likely prescribe?

A) custodial care
B) respite care
C) intermediate care
D) skilled nursing care

A Medicare Supplement policy is required to do which of the following?

A) Provide a 10 day free-look period
B) Provide a 30 day free-look period
C) Provide a 60 day free-look period
D) Provide a 20 day free-look period

Patrick purchased a long-term care policy. He has a health condition for which medical treatment was recommend by a physician within 6 months prior to the policy's effective date. This condition is called a(n)

A) grandfathered condition
B) antecedent condition
C) pre-existing condition
D) hazardous condition

Qualified long-term care premiums are treated for tax purposes as

A) 100% tax-deductible
B) always non-deductible
C) tax-deductible to the extent they exceed 7 1/2% AGI
D) Qualified Retirement plans

Linda is covered with the long-term care insurance and has early-stage Alzheimer's. She is still able to reside in her home while receiving primary care, as opposed to moving into a nursing home. All of the following long-term benefits encourage home health care EXCEPT

A) respite care
B) adult day care
C) custodial care
D) home health care

Long-term care policies normally cover expenses associated with

A) halfway homes
B) drug and alcohol dependency treatment
C) nursing homes
D) intensive care units