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UHC Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) 2022 100% solved $9.49
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UHC Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) 2022 100% solved

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The three types of Special Needs Plans are: - ANSWER Dual, Chronic Condition and Institutional/Institutional-Equivalent. When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - ANSWER The month after they are notified by the pl...

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  • August 17, 2022
  • 2
  • 2022/2023
  • Exam (elaborations)
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UHC Chronic Condition and Dual Special
Needs Plans (CSNP-DSNP) 2022 100%
solved
The three types of Special Needs Plans are: - ANSWER Dual, Chronic Condition and
Institutional/Institutional-Equivalent.

When does the Special Election Period for Dual/LIS Change in Status begin for DSNP
members that lose Medicaid eligibility? - ANSWER The month after they are notified by
the plan of the loss of Medicaid eligibility

A DSNP might be in the best interest of which of these consumers? - ANSWER Joe,
whose low income qualifies him for full Medicaid coverage

Which program is available to support the unique health care needs of CSNP and
DSNP members? - ANSWER A care management program that varies depending upon
the level of the member's health risk level

Which statement best describes a DSNP? - ANSWER The monthly premium is at or
below the Low-Income Subsidy benchmark to cover drug costs

When selling DSNPs, agents must: - ANSWER Ensure that the consumer only has
Medicare
Confirm the consumer's Medicaid level and that the consumer is entitled to Medicare
Part A and enrolled in Part B

Which consumer may be a good candidate for a DSNP? - ANSWER Anne, who does
not pay a percentage of charges when she receives medical care

Which of the following consumers is best suited for a CSNP? - ANSWER Mary, who has
been seeing a specialist for a qualifying chronic condition

On May 10, Michael meets with an agent and says he is enrolled in another carrier's
CSNP due to his diabetes. When can Michael enroll in a different CSNP that also
covers diabetes (his only chronic condition), assuming he has not moved out of his
current plan's service area? - ANSWER During the Annual Election Period (AEP) or
Open Enrollment Period (OEP)

Which is a service provided to a CSNP or DSNP member placed in the low to moderate
care management risk level? - ANSWER Ongoing reassessment of risk level for status
changes

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