MOST TESTED QUESTIONS WITH DETAILED CORRECT ANSWERS
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Terms in this set (15)
Medicare advantage plans uniquely designed for
Dual special needs plans are
defined as? consumers enrolled in both Medicare and Medicaid.
Meredith a d- snp member She will enter a grace period during which she is
loses Medicaid eligibility. What responsible for plan, cost sharing and she will be
impact does this have on disenrolled at the end of the grace. If she does not re-
her D-SNP enrollment? establish
Medicaid eligibility.
D-snp benefits are designed Is enrolled in their state Medicaid program, typically as a
for the consumer full dual with their Medicare call sharing paid by the state
who__________ in which they reside
What program is available to A care management program that varies depending upon
support the level of the members health risk
members of a C-SNP and d-
snp who may have unique
health care needs?
Select the statement Best The monthly party premium is at or below the low income
describes a feature of d-snps subsidy benchmark to cover drug costs
Confirming the consumers Incorrect. Answer: Selling any health insurance plans
Medicaid level and that the
consumer is entitled to
Medicare part A and enrolled
in part B is a requirement of
The consumer states they The consumer is not likely to be a full dull eligible and may
currently pay a percentage of be better suited for enrollment in a type of plan other than
charges when they receive a d-snp
medical care. this means:
Consumers who have a qualifying chronic condition, are
AC-snp may be most focused on their health issues, and may have concerns with
appropriate for
having to manage their illness or dealing with multiple
providers