UHC 2021 Chronic Condition and Dual Special Needs Plans(updated)

UHC 2021 Chronic Condition and Dual Special Needs Plans Melanie wants to enroll in a DSNP. Which of the following must her agent do? - correct answer Confirm that Melanie is entitled to Medicare Part A, enrolled in Part B, and her Medicaid level John, 68, is currently enrolled in a Medicare Supplement Plan with a stand-alone Prescription Drug Plan. Newly diagnosed with a chronic condition, he calls agent Charles on May 3 to ask if there are plans that will help him manage his condition. Can John enroll in a Chronic Special Needs Plan (CSNP) that covers his chronic condition? - correct answer Yes, he can enroll using his Special Election Period (SEP-Special Need/Chronic) Meredith, a DSNP member, loses Medicaid eligibility. What impact does this have on her DSNP enrollment? - correct answer She will enter a grace period during which she is responsible for plan cost sharing, and she will be disenrolled at the end of the grace period if she does not reestablish Medicaid eligibility. Which statement describes the primary characteristic of a consumer who may benefit from a DSNP? - correct answer Is enrolled in their state Medicaid program, typically as a Full Dual, with their Medicare cost sharing paid by the state in which they reside. On July 19, each of the following consumers met with an agent. Based on the information provided, which consumer must wait until the Annual Election Period (AEP) or Open Enrollment Period (OEP) to enroll? - correct answer Joy has a cardiovascular disorder, is enrolled in a CSNP that covers the condition, and wants to enroll in another CSNP offered by the plan that covers the same condition. Which service will a CSNP or DSNP member in the high risk care management category receive? - correct answer case Management (telephonic, digital and/or face-to-face) according to individual needs Which statement is true about the Medicaid program? - correct answer Benefits vary from state to state. Using the post-enrollment method, when will a new member be disenrolled from their CSNP if a qualifying condition cannot be verified? - correct answer At the end of the second month of enrollment