What are Dual Special Needs Plans (D-SNP)? - ANSWER 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 D-SNP mem-
bers that lose Medicaid eligibility? - ANSWER After the grace period ends
Which statement describes the primary characteristic of a consumer who may benefit from
a D-SNP? - 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.
What program is available to support C-SNP and D-SNP members who may have unique
health care needs? - ANSWER A care management program that varies depending upon
the level of the member's health risk
Select the statement that best describes a feature of D-SNPs. - ANSWER D-SNPs are net-
work-based
When selling D-SNPs, agents must: - ANSWER Confirm the consumer's Medicaid level and
that the consumer is entitled to Medicare Part A and enrolled in Part B
Which of the following consumers may not be a good candidate for a D-SNP? - ANSWER
Maria, who pays a percentage of charges when she receives medical care
Which of the following consumers is best suited for a C-SNP? - ANSWER Mary, who has
been seeing a specialist for a qualifying chronic condition
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uniquely designed for consumers enrolled in both Medicare and Medicaid.
When does the Special Election Period for Dual/LIS Change in Status begin for D-SNP mem-
bers that lose Medicaid eligibility? - ANSWER After the grace period ends
Which statement describes the primary characteristic of a consumer who may benefit from
a D-SNP? - 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.
What program is available to support C-SNP and D-SNP members who may have unique
health care needs? - ANSWER A care management program that varies depending upon
the level of the member's health risk
Select the statement that best describes a feature of D-SNPs. - ANSWER D-SNPs are net-
work-based
When selling D-SNPs, agents must: - ANSWER Confirm the consumer's Medicaid level and
that the consumer is entitled to Medicare Part A and enrolled in Part B
Which of the following consumers may not be a good candidate for a D-SNP? - ANSWER
Maria, who pays a percentage of charges when she receives medical care
Which of the following consumers is best suited for a C-SNP? - ANSWER Mary, who has
been seeing a specialist for a qualifying chronic condition
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