2023 Dual and Chronic Condition
Special Needs Plans (D-SNP/C-SNP)
Assessment Questions and answers,
latest updates
What are Dual Special Needs Plans (D-SNP)? - ✔✔Medicare Advantage Plans uniquely designed for
consumers enrolled in both Medicare and Medicaid.
Which statement is true about how the loss of Medicaid affects a member's enrollment in a D-SNP -
✔✔Special Election Period (SEP Dual/LIS Change in Status) is available for D-SNP members that lose their
Medicaid eligibility
Which statement describes the primary characteristic of a consumer who may benefit from a D-SNP? -
✔✔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.
Which program is available to support the unique health care needs of C-SNP and D-SNP members? -
✔✔A care management program that varies depending upon the level of the member's health risk level
Which statement is true about C-SNPs, D-SNPs, and prescription drug coverage? - ✔✔C-SNPs and D-
SNPs include Medicare Part D prescription drug coverage
Melanie wants to enroll in a D-SNP. Which of the following must her agent do? - ✔✔Confirm that
Melanie is entitled to Medicare Part A, enrolled in Part B, and her Medicaid level
The consumer states they currently pay a percentage of charges when they receive medical care. This
means - ✔✔Not - The consumer is not likely to be a Full Dual-Eligible; however, the DSNP is always the
best option in which to enroll this consumer.
Special Needs Plans (D-SNP/C-SNP)
Assessment Questions and answers,
latest updates
What are Dual Special Needs Plans (D-SNP)? - ✔✔Medicare Advantage Plans uniquely designed for
consumers enrolled in both Medicare and Medicaid.
Which statement is true about how the loss of Medicaid affects a member's enrollment in a D-SNP -
✔✔Special Election Period (SEP Dual/LIS Change in Status) is available for D-SNP members that lose their
Medicaid eligibility
Which statement describes the primary characteristic of a consumer who may benefit from a D-SNP? -
✔✔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.
Which program is available to support the unique health care needs of C-SNP and D-SNP members? -
✔✔A care management program that varies depending upon the level of the member's health risk level
Which statement is true about C-SNPs, D-SNPs, and prescription drug coverage? - ✔✔C-SNPs and D-
SNPs include Medicare Part D prescription drug coverage
Melanie wants to enroll in a D-SNP. Which of the following must her agent do? - ✔✔Confirm that
Melanie is entitled to Medicare Part A, enrolled in Part B, and her Medicaid level
The consumer states they currently pay a percentage of charges when they receive medical care. This
means - ✔✔Not - The consumer is not likely to be a Full Dual-Eligible; however, the DSNP is always the
best option in which to enroll this consumer.
