Chapter 8 - Private Insurance Plans for Seniors
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Chapter 8 - Private Insurance Plans for Seniors

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Questions and Answers

Benefits provided by a Medicare Supplement policy must NOT

  • Be payable to the insured
  • Charge additional premiums
  • Duplicate Medicare benefits (correct)
  • Be sold to individuals under 70
  • Premiums paid that exceed 7 ½% of an insured's Adjusted Gross Income (AGI) are tax-deductible when paid for which of the following plans?

  • Personal Disability Income plan
  • Accidental Death and Dismemberment
  • Group disability income plan
  • Qualified Long-Term Care plan (correct)
  • Which type of plan would be most appropriate for an individual on Medicare and is concerned that Medicare will NOT pay for charges exceeding the approved amount?

  • Medicare supplement Plan F (correct)
  • Long-term care
  • Medicaid
  • Comprehensive major medical
  • Long-Term Care policies may provide coverage for claims arising from

    <p>Senile dementia</p> Signup and view all the answers

    Shirley has a Medigap policy, which is designed to pay costs associated with

    <p>Medicare Part A and B</p> Signup and view all the answers

    The difference between a Long Care Partnership Plan and a Non-Partnership Plan is which of the following?

    <p>Assets protection</p> Signup and view all the answers

    The purpose of Medicare Supplement Insurance is to address gaps in Medicare coverage, which can include

    <p>Medicare in-hospital deductible</p> Signup and view all the answers

    Respite care is able to provide

    <p>Temporary relief to the patient's primary caregiver</p> Signup and view all the answers

    Generally speaking, which three levels of care are Long-Term Care policies provided with?

    <p>Skilled nursing, intermediate, and custodial care</p> Signup and view all the answers

    A Medicare supplement plan can be canceled by the insurer

    <p>For nonpayment of premiums</p> Signup and view all the answers

    Someone needing custodial care at home would require which type of coverage?

    <p>Long-term care</p> Signup and view all the answers

    The IRS states that a taxpayer's medical expenses that exceed 7.5% of their adjusted gross income are tax-deductible. Which of the following may be considered a medical expense under this rule?

    <p>Long Term Care Insurance premiums</p> Signup and view all the answers

    Bill requires some nursing care and supervision but NOT full-time care. Which of these nursing home options would best serve him?

    <p>Assisted living</p> Signup and view all the answers

    Which of these gaps in Medicare coverage is addressed with Medicare Supplemental Insurance?

    <p>Medicare in-hospital deductible</p> Signup and view all the answers

    Which situation would qualify an individual for receiving benefits from a qualified long-term care policy?

    <p>Becoming cognitively impaired (mentally ill)</p> Signup and view all the answers

    Study Notes

    Medicare Supplement Policies

    • Medicare Supplement policies (Medigap) cannot duplicate benefits provided by Medicare.
    • Medigap coverage is not available for individuals under 70 and cannot charge additional premiums arbitrarily.

    Tax-Deductible Premiums

    • Premiums exceeding 7.5% of an insured's Adjusted Gross Income are deductible if paid for a Qualified Long-Term Care plan.

    Coverage Concerns for Medicare

    • Medicare supplement Plan F is ideal for those concerned that Medicare will not cover charges exceeding approved amounts.

    Long-Term Care Policies

    • Long-Term Care policies may cover claims related to senile dementia and other disorders.

    Medigap Policy Coverage

    • Medigap policies are specifically designed to cover costs associated with Medicare Part A and Part B.

    Long-Term Care Partnership Plans

    • The primary difference between Long-Term Care Partnership Plans and Non-Partnership Plans is in assets protection.

    Medicare Coverage Gaps

    • Medicare Supplement Insurance helps cover gaps in Medicare coverage, including the in-hospital deductible.

    Respite Care

    • Respite care offers temporary relief to primary caregivers of patients needing care.

    Levels of Care in Long-Term Care

    • Long-Term Care policies commonly provide three levels of care: skilled nursing, intermediate care, and custodial care.

    Cancellation of Medicare Supplement Plans

    • Insurers can cancel Medicare supplement plans for nonpayment of premiums, but not for health changes after a probationary period.

    Custodial Care Coverage

    • Individuals needing custodial care at home should consider Long-Term Care insurance.

    Medical Expense Tax Deductions

    • Long-Term Care Insurance premiums are considered medical expenses and qualify for tax deductions if they exceed the 7.5% AGI threshold.

    Nursing Home Options

    • Assisted living is the most suitable option for individuals requiring nursing care and supervision but not full-time care.

    Coverage Gaps Addressed by Medicare Supplemental Insurance

    • Medicare Supplemental Insurance specifically addresses the in-hospital deductible among other gaps in coverage.

    Eligibility for Long-Term Care Benefits

    • Receiving benefits from a qualified long-term care policy is possible if an individual becomes cognitively impaired.

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    Description

    Test your knowledge on private insurance plans available for seniors, focusing on Medicare Supplement policies. This quiz covers key definitions and important aspects such as benefits and premium deductions. Perfect for anyone studying health insurance or preparing for related certifications.

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