UHC '24 DUAL AND CHRONIC
PLANS
1.Dual special needs plans are defined as?:
Ans>> Medicare advantage plans uniquely designed for consumers
enrolled in both Medicare and Medicaid.
2.Meredith a d- snp member loses Medicaid eligibility. What impact does
this have on her D-SNP enrollment?:
Ans>> 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.
3.D-snp benefits are designed for the consumer who :
Ans>> 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
4.What program is available to support members of a C-SNP and d-snp
who may have unique health care needs?:
Ans>> A care management program that varies depending upon the
level of the members health risk
5.Select the statement Best describes a feature of d-snps:
Ans>> The monthly party premium is at or below the low income
subsidy benchmark to cover drug costs
6.Confirming the consumers Medicaid level and that the consumer is
entitled to Medicare part A and enrolled in part B is a requirement of:
Ans>> Incorrect. Answer: Selling any health insurance plans
7.The consumer states they currently pay a percentage of charges when
they receive medical care. this means:
Ans>> 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
8.AC-snp may be most appropriate for:
Ans>> 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
9.John, 68, is currently enrolled in a Medicare supplement plan with a
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PLANS
1.Dual special needs plans are defined as?:
Ans>> Medicare advantage plans uniquely designed for consumers
enrolled in both Medicare and Medicaid.
2.Meredith a d- snp member loses Medicaid eligibility. What impact does
this have on her D-SNP enrollment?:
Ans>> 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.
3.D-snp benefits are designed for the consumer who :
Ans>> 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
4.What program is available to support members of a C-SNP and d-snp
who may have unique health care needs?:
Ans>> A care management program that varies depending upon the
level of the members health risk
5.Select the statement Best describes a feature of d-snps:
Ans>> The monthly party premium is at or below the low income
subsidy benchmark to cover drug costs
6.Confirming the consumers Medicaid level and that the consumer is
entitled to Medicare part A and enrolled in part B is a requirement of:
Ans>> Incorrect. Answer: Selling any health insurance plans
7.The consumer states they currently pay a percentage of charges when
they receive medical care. this means:
Ans>> 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
8.AC-snp may be most appropriate for:
Ans>> 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
9.John, 68, is currently enrolled in a Medicare supplement plan with a
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