2022 UHC CSNP DSNP Question and
Answers
What are Dual Special Needs Plans (DSNP)? - ✔ 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? - ✔ 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 reestablish Medicaid eligibility
A DSNP might be in the best interest of which of these consumers? - ✔ 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? - ✔ A care management program that varies depending upon the
level of the member's health risk level
Which statement best describes a DSNP? - ✔ The monthly premium is at or below the
Low Income Subsidy benchmark to cover drug costs
When selling DSNPs, agents must: - ✔ Confirm the consumer's Medicaid level and that
the consumer is entitled to Medicare Part A and enrolled in Part
Which consumer may be a good candidate for a DSNP? - ✔ Anne, who does not pay a
percentage of charges when she receives medical care
The following is a characteristic of consumers for whom a CSNP may be most
appropriate: - ✔ Consumers who have a qualifying chronic condition, are focused on
their health issues and may have concerns with having to manage their illness or
dealing with multiple providers
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? - ✔ 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 is a service provided to a CSNP or DSNP member placed in the low to moderate
care management risk level? - ✔ All of the responses are correct.
What is the purpose of the Chronic Condition Verification form? - ✔ It authorizes the
plan to contact the provider identified on the form in order to verify that the consumer
has at least one of the qualifying chronic conditions covered by the CSNP.
Answers
What are Dual Special Needs Plans (DSNP)? - ✔ 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? - ✔ 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 reestablish Medicaid eligibility
A DSNP might be in the best interest of which of these consumers? - ✔ 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? - ✔ A care management program that varies depending upon the
level of the member's health risk level
Which statement best describes a DSNP? - ✔ The monthly premium is at or below the
Low Income Subsidy benchmark to cover drug costs
When selling DSNPs, agents must: - ✔ Confirm the consumer's Medicaid level and that
the consumer is entitled to Medicare Part A and enrolled in Part
Which consumer may be a good candidate for a DSNP? - ✔ Anne, who does not pay a
percentage of charges when she receives medical care
The following is a characteristic of consumers for whom a CSNP may be most
appropriate: - ✔ Consumers who have a qualifying chronic condition, are focused on
their health issues and may have concerns with having to manage their illness or
dealing with multiple providers
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? - ✔ 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 is a service provided to a CSNP or DSNP member placed in the low to moderate
care management risk level? - ✔ All of the responses are correct.
What is the purpose of the Chronic Condition Verification form? - ✔ It authorizes the
plan to contact the provider identified on the form in order to verify that the consumer
has at least one of the qualifying chronic conditions covered by the CSNP.
