UHC 2021 Chronic Condition and Dual
Special Needs Plans, Questions with
accurate answers. Rated A
Melanie wants to enroll in a DSNP. 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
John, 68, is currently enrolled in a Medicare Supplement Plan with a stand-alone Prescription Drug Plan.
Newly diagnosed with a chronic condition, he calls agent Charles on May 3 to ask if there are plans that
will help him manage his condition. Can John enroll in a Chronic Special Needs Plan (CSNP) that covers
his chronic condition? - ✔✔Yes, he can enroll using his Special Election Period (SEP-Special
Need/Chronic)
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.
Which statement describes the primary characteristic of a consumer who may benefit from a DSNP? -
✔✔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.
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 service will a CSNP or DSNP member in the high risk care management category receive? -
✔✔case Management (telephonic, digital and/or face-to-face) according to individual needs
Which statement is true about the Medicaid program? - ✔✔Benefits vary from state to state.
Special Needs Plans, Questions with
accurate answers. Rated A
Melanie wants to enroll in a DSNP. 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
John, 68, is currently enrolled in a Medicare Supplement Plan with a stand-alone Prescription Drug Plan.
Newly diagnosed with a chronic condition, he calls agent Charles on May 3 to ask if there are plans that
will help him manage his condition. Can John enroll in a Chronic Special Needs Plan (CSNP) that covers
his chronic condition? - ✔✔Yes, he can enroll using his Special Election Period (SEP-Special
Need/Chronic)
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.
Which statement describes the primary characteristic of a consumer who may benefit from a DSNP? -
✔✔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.
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 service will a CSNP or DSNP member in the high risk care management category receive? -
✔✔case Management (telephonic, digital and/or face-to-face) according to individual needs
Which statement is true about the Medicaid program? - ✔✔Benefits vary from state to state.
