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
- / 1