Exam (elaborations)
United HealthCare Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) Test
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United HealthCare Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) Test
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United HealthCare Chronic Conditionii
and Dual Special Needs Plans (CSNP-
DSNP) Test
Dual Special Needs Plans (DSNP) are defined as which of the following: - Medicare
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Advantage Plans uniquely designed for consumers enrolled in both Medicare and
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Medicaid
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Which statement is true about how loss of Medicaid affects a member's enrollment in a
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DSNP? - Special Election Period (SEP Dual/LIS Change in Status) is available for DSNP
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members that lose their Medicaid eligibility.
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Which consumer might benefit the most by enrolling in a DSNP? - Joe, who receives
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Qualified Medicaid Beneficiary benefits (QMB+)
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What program is available to support CSNP and DSNP members who may have unique
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health care needs? - A care management program that varies depending upon the level of
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the member's health risk level
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Confirming the consumer's Medicaid level and that the consumer is entitled to Medicare
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Part A and enrolled in Medicare Part B is a requirement of: - Selling DSNPs
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The consumer states they currently pay a percentage of charges when they receive
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medical care. This means: - The consumer is not likely to be a Full Dual-Eligible and may
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be better suited for enrollment in another type of plan.
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Which of the following consumer characteristics demonstrates a good fit for a CSNP? - A
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consumer with a qualifying chronic condition who wants a plan that will help them manage
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their illness and health care costs
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On July 19, each of the following consumers met with an agent. Based on the information
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provided, which consumer must wait until the Annual Election Period (AEP) or Open
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Enrollment Period (OEP) to enroll? - Joy has a cardiovascular disorder, is enrolled in a
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CSNP that covers the condition, and wants to enroll in another CSNP offered by the plan
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that covers the same condition.
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Which service will a CSNP or DSNP member in the high risk care management category
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receive? - Case Management (telephonic, digital and/or face-to-face) according to
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individual needs
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It is very important for consumers enrolling in a CSNP to know the following about
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accessing providers: - Some CSNPs are Preferred Provider Organization (PPO) or Point
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