for certain groups of people with limited income and resources.
-Benefits vary from state to state
Which statement is true about C-SNPs, D-SNPs, and prescription drug coverage? - AN-
SWER C-SNPs and D-SNPs include Medicare Part D prescription drug coverage.
Which statement is true of D-SNP members? - ANSWER Generally, members who are Full
Dual-Eligible are not required to pay copayments for Medicare-covered services obtain from
a D-SNP in-network provider in the state in which they live.
Of the election periods listed, which one can Full Dual-Eligible consumers use to enroll in an
Integrated D-SNP in JULY? - ANSWER SEP- INTEGRATED CARE
Which two consumers can use the Special Election Period "SEP-Special Need/Chronic"? - AN-
SWER *Mark, currently enrolled in a medicare supplement plan and a stand alone pre-
scription drug plan, was just diagnosed with a cardiovascular disorder and would like to en-
roll in a c-snp that covers the condition.
*Thu is enrolled in a C-SNP that only covers diabetes. Newly diagnosed with a cardiovascular
disorder, she wants to enroll in a C-SNP that covers her new condition.
The Chronic Condition Verification form/ questionnaire authorizes the plan to do what? -
ANSWER It authorizes the plan to contact the provider identified on the form/question-
naire in order to verify that the consumer has at least one of the qualifying chronic condi-
tions covered by the C-SNP.
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, Which statement is true about how the loss of Medicaid affects a member's enrollment in a
Dual Eligibility Special Needs plan (D-SNP)? - ANSWER Special Election period (SEP
Dual/LIS change in status) is available for D-SNP members, and they will be responsible for
all cost-sharing.
When conducting an informal marketing/sales events, agents may__________ - ANSWER
Display plan materials, lead cards, business cards, and scope of appointment forms.
Select the option that describes the rule about conducting a marketing/sales event following
an educational event. - ANSWER At least 12 hours must separate a marketing/sales event
that follows an educational event at the same location (i.e. building or adjacent building).
What type of event is an agent conducting when they present plan information that includes
benefits and cost-sharing in an audience-presenter format? - ANSWER Formal market-
ing/sales event
What event advertisement or invitation must include this disclaimer: "For accommodation of
persons with special needs at meeting, call"? - ANSWER All educational and market-
ing/sales.
What activities can an agent engage in at an educational event? - ANSWER Display and
collect lead cards.
Do consumets have to be an AARP member to enroll in an AARP-branded plan with UnitedH-
ealthcare? - ANSWER Yes, if the consumer is enrolling in a Medicare Supplement insur-
ance plan.
Which of the following TWO statements are true related to offering food items at events? -
ANSWER -Light refreshments or snacks may be offered at marketing/ sales events, pro-
vided that, when bundled, they do not constitute a meal, and the retail value of the refresh-
ments or snacks in combination with all other giveaways (e.g. refrigerator magnet and pill
box) does not exceed $15 on a per person basis.
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