UNITED HEALTHCARE CHRONIC CONDITION
AND DUAL SPECIAL NEEDS PLANS (CSNP-
DSNP) TEST QUESTIONS COMPLETE WITH
100% VERIFIED ANSWERS
\.Dual Special Needs Plans (DSNP) are defined as which of the following:
- ANSWERS-Medicare Advantage Plans uniquely designed for consumers
enrolled in both Medicare and Medicaid
\.Which statement is true about how loss of Medicaid affects a
member's enrollment in a DSNP? - ANSWERS-Special Election Period
(SEP Dual/LIS Change in Status) is available for DSNP members that lose
their Medicaid eligibility.
\.Which consumer might benefit the most by enrolling in a DSNP? -
ANSWERS-Joe, who receives Qualified Medicaid Beneficiary benefits
(QMB+)
\.What program is available to support CSNP and DSNP members who
may have unique health care needs? - ANSWERS-A care management
program that varies depending upon the level of the member's health
risk level
, \.Confirming the consumer's Medicaid level and that the consumer is
entitled to Medicare Part A and enrolled in Medicare Part B is a
requirement of: - ANSWERS-Selling DSNPs
\.The consumer states they currently pay a percentage of charges when
they receive medical care. This means: - ANSWERS-The consumer is not
likely to be a Full Dual-Eligible and may be better suited for enrollment
in another type of plan.
\.Which of the following consumer characteristics demonstrates a good
fit for a CSNP? - ANSWERS-A consumer with a qualifying chronic
condition who wants a plan that will help them manage their illness and
health care costs
\.On July 19, each of the following consumers met with an agent. Based
on the information provided, which consumer must wait until the
Annual Election Period (AEP) or Open Enrollment Period (OEP) to
enroll? - ANSWERS-Joy has a cardiovascular disorder, is enrolled in a
CSNP that covers the condition, and wants to enroll in another CSNP
offered by the plan that covers the same condition.
\.Which service will a CSNP or DSNP member in the high risk care
management category receive? - ANSWERS-Case Management
(telephonic, digital and/or face-to-face) according to individual needs
AND DUAL SPECIAL NEEDS PLANS (CSNP-
DSNP) TEST QUESTIONS COMPLETE WITH
100% VERIFIED ANSWERS
\.Dual Special Needs Plans (DSNP) are defined as which of the following:
- ANSWERS-Medicare Advantage Plans uniquely designed for consumers
enrolled in both Medicare and Medicaid
\.Which statement is true about how loss of Medicaid affects a
member's enrollment in a DSNP? - ANSWERS-Special Election Period
(SEP Dual/LIS Change in Status) is available for DSNP members that lose
their Medicaid eligibility.
\.Which consumer might benefit the most by enrolling in a DSNP? -
ANSWERS-Joe, who receives Qualified Medicaid Beneficiary benefits
(QMB+)
\.What program is available to support CSNP and DSNP members who
may have unique health care needs? - ANSWERS-A care management
program that varies depending upon the level of the member's health
risk level
, \.Confirming the consumer's Medicaid level and that the consumer is
entitled to Medicare Part A and enrolled in Medicare Part B is a
requirement of: - ANSWERS-Selling DSNPs
\.The consumer states they currently pay a percentage of charges when
they receive medical care. This means: - ANSWERS-The consumer is not
likely to be a Full Dual-Eligible and may be better suited for enrollment
in another type of plan.
\.Which of the following consumer characteristics demonstrates a good
fit for a CSNP? - ANSWERS-A consumer with a qualifying chronic
condition who wants a plan that will help them manage their illness and
health care costs
\.On July 19, each of the following consumers met with an agent. Based
on the information provided, which consumer must wait until the
Annual Election Period (AEP) or Open Enrollment Period (OEP) to
enroll? - ANSWERS-Joy has a cardiovascular disorder, is enrolled in a
CSNP that covers the condition, and wants to enroll in another CSNP
offered by the plan that covers the same condition.
\.Which service will a CSNP or DSNP member in the high risk care
management category receive? - ANSWERS-Case Management
(telephonic, digital and/or face-to-face) according to individual needs
