A dsnp member Study guides, Class notes & Summaries

Melanie wants to enroll in a DSNP. Which of the following must her agent do? - 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 chr...

UHC Chronic Condition and Dual Special Needs Plans (CSNP-DSNP)The three types of Special Needs Plans are: - correct 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? - correct 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? - correct answe...

2022 UHC CSNP DSNP(UPDATED) Question and answers correctly solvedWhat are Dual Special Needs Plans (DSNP)? - correct answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. 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...

2022 UHC CSNP DSNP Questions with complete solution(UPDATED)What are Dual Special Needs Plans (DSNP)? - correct answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. 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 ...

____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - Three Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) - Complaint Tracking Module (CTM),Grievance, and Secret Shop Finding Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare products. - True All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medi...

Wellcare Centene ACT ME Review (2023/2024) Graded A Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. True Which of the following health plans are now available through Centene Corporation? Select the best answer. Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare 3 MULTIPLE CHOICE OPTIONS True or False: The four stages of coverage are NOT the ...

Chronic Condition and Dual Special Needs Plans assessment. UHC -2021 CertificationThe three types of Special Needs Plans are: - correct 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? - correct answer After the grace period ends Six months after they have been disenrolled from the DSNP Upon notification or effective date of the loss, whichever...

Centene Midterm 50 questions with complete solutions already passed!! How long can member be out of their area without being disenrolled? Over 6 months 1 year Less than 6 months 8 months Less than 6 months Who is the Medicare Part B monthly premium paid to? CMS The member Private insurance company CMS How does a member request to sign up for an Optional Supplemental Benefits package? Call and speak with the Sales Department Online through the Member Service Portal Request to mee...

Aetna Individual MA-MAPD-DSNP Mastery Test Questions and Answers 2024 Which of the following is true for Low Income Subsidy? All of the above What is a Special Needs Plan (SNP)? All of the above or A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excl...

Dual Special Needs Plans (DSNP) are defined as which of the following: - Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - Upon notification or effective date of the loss, whichever is earlier A DSNP might be in the best interest of which of these consumers? - Joe, whose low income qualifies him for full Medicaid coverage ...