UHC '24 DUAL AND CHRONIC PLANS exam with complete verified solutions

Dual special needs plans are defined as? Medicare advantage plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith a d- snp member loses Medicaid eligibility. What impact does this have on her D-SNP 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. If she does not re-establish Medicaid eligibility. Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:04 / 0:15 Full screen D-snp benefits are designed for the consumer who__________ Is enrolled in their state Medicaid program, typically as a full dual with their Medicare call sharing paid by the state in which they reside What program is available to support members of a C-SNP and d-snp who may have unique health care needs? A care management program that varies depending upon the level of the members health risk Select the statement Best describes a feature of d-snps The monthly party premium is at or below the low income subsidy benchmark to cover drug costs Confirming the consumers Medicaid level and that the consumer is entitled to Medicare part A and enrolled in part B is a requirement of Incorrect. Answer: Selling any health insurance plans The consumer states they currently pay a percentage of charges when they receive medical care. this means: The consumer is not likely to be a full dull eligible and may be better suited for enrollment in a type of plan other than a d-snp AC-snp may be most appropriate for 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 John, 68, is currently enrolled in a Medicare supplement plan with a standalone prescription drug plan newly diagnosed with a chronic condition. He calls agent Charles on May 3rd to ask if there are plans that would help him manage his condition. Can John enroll in a chronic special needs plan that covers his chronic condition? Yes, he can enroll using his special election. Which service will a C-SNP or D-SMP member in the high risk care management category receive? Case management (telephonic digital and or face to face) according to individual needs The chronic condition verification form questions authorizes the plan to do what 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 c-snp Which statement is true about the Medicaid program? It helps pay medical costs for certain groups of people with limited income and resources Alice is a full dull eligible receiving full cost sharing from the state. What should her agent remind her about She is not required to pay co-payments for Medicare covered services when she uses a provider in the D-SMP network because she is full dull eligible. Her provider should build the state Medicaid program as a appropriate for these costs Jenny, Just enrolled in a C-SNP that uses the post enrollment verification method. When will the plan send her a termination notification letter if it has not yet been able to verify a qualifying chronic condition At the end of her first month of enrollment Members who lose their eligibility for the D-SNP do to a change or loss of Medicaid status are responsible for what cost sharing All such as premiums, deductibles, copay