UHC Chronic Condition and DSNP Questions with
Correct Answers
Dual Special Needs Plans (DSNP) are defined as which of the following:
Medicare Advantage Plans uniquely designed for Medicare consumers
residing in contracted Skilled Nursing Facilities.
Medicare Advantage Plans uniquely designed for consumers enrolled in
both Medicare and Medicaid.
Medicare Advantage Plans uniquely designed for Medicare consumers
with specific long-term illnesses.
Medicare Advantage Plans uniquely designed for consumers enrolled in
either Medicare or Medicaid. Correct Answer-Medicare Advantage
Plans uniquely designed for consumers enrolled in both Medicare and
Medicaid.
Which statement is true about how loss of Medicaid affects a member's
enrollment in a DSNP?
There is never a grace period, so termination is always immediate.
The member will never be responsible for plan cost sharing if there is a
grace period.
Special Election Period (SEP Dual/LIS Change in Status) is available for
DSNP members that lose their Medicaid eligibility.
Annual Election Period (AEP) is the only time to enroll in another plan.
Correct Answer-Special Election Period (SEP Dual/LIS Change in
Status) is available for DSNP members that lose their Medicaid
eligibility.
, Which consumer might benefit the most by enrolling in a DSNP?
Alice, who is a Specified Low-Income Medicare Beneficiary (SLMB)
Alvin, who has a Medicare Supplement Insurance policy
Elsa, who pays a Part D income-related monthly adjustment amount
(IRMMA)
Joe, who receives Qualified Medicaid Beneficiary benefits (QMB+)
Correct Answer-Joe, who receives Qualified Medicaid Beneficiary
benefits (QMB+)
Which program is available to support the unique health care needs of
CSNP and DSNP members?
Gift cards for every year of enrollment
An online chat forum for members to discuss changes to their plan
benefits
A support group for members to share their health care experiences with
each other
A care management program that varies depending upon the level of the
member's health risk level Correct Answer-A care management program
that varies depending upon the level of the member's health risk level
Which statement is true about CSNPs, DSNPs, and prescription drug
coverage?
CSNPs and DSNPs only cover drugs for diabetics
CSNPs and DSNPs do not include Medicare Part D prescription drug
coverage
CSNPs and DSNPs only offer coverage for generic drugs
Correct Answers
Dual Special Needs Plans (DSNP) are defined as which of the following:
Medicare Advantage Plans uniquely designed for Medicare consumers
residing in contracted Skilled Nursing Facilities.
Medicare Advantage Plans uniquely designed for consumers enrolled in
both Medicare and Medicaid.
Medicare Advantage Plans uniquely designed for Medicare consumers
with specific long-term illnesses.
Medicare Advantage Plans uniquely designed for consumers enrolled in
either Medicare or Medicaid. Correct Answer-Medicare Advantage
Plans uniquely designed for consumers enrolled in both Medicare and
Medicaid.
Which statement is true about how loss of Medicaid affects a member's
enrollment in a DSNP?
There is never a grace period, so termination is always immediate.
The member will never be responsible for plan cost sharing if there is a
grace period.
Special Election Period (SEP Dual/LIS Change in Status) is available for
DSNP members that lose their Medicaid eligibility.
Annual Election Period (AEP) is the only time to enroll in another plan.
Correct Answer-Special Election Period (SEP Dual/LIS Change in
Status) is available for DSNP members that lose their Medicaid
eligibility.
, Which consumer might benefit the most by enrolling in a DSNP?
Alice, who is a Specified Low-Income Medicare Beneficiary (SLMB)
Alvin, who has a Medicare Supplement Insurance policy
Elsa, who pays a Part D income-related monthly adjustment amount
(IRMMA)
Joe, who receives Qualified Medicaid Beneficiary benefits (QMB+)
Correct Answer-Joe, who receives Qualified Medicaid Beneficiary
benefits (QMB+)
Which program is available to support the unique health care needs of
CSNP and DSNP members?
Gift cards for every year of enrollment
An online chat forum for members to discuss changes to their plan
benefits
A support group for members to share their health care experiences with
each other
A care management program that varies depending upon the level of the
member's health risk level Correct Answer-A care management program
that varies depending upon the level of the member's health risk level
Which statement is true about CSNPs, DSNPs, and prescription drug
coverage?
CSNPs and DSNPs only cover drugs for diabetics
CSNPs and DSNPs do not include Medicare Part D prescription drug
coverage
CSNPs and DSNPs only offer coverage for generic drugs
