UHC '24 DUAL AND CHRONIC PLANS exam with complete verified solutions
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Course
UHC Ethics and Compliance 2024
Institution
UHC Ethics And Compliance 2024
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 ...
UHC '24 DUAL AND CHRONIC PLANS exam with complete verified solutions
Dual special needs plans are defined as? - answer 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? - answer 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.
D-snp benefits are designed for the consumer who__________ - answer 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? - answer 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 - answer 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 - answer Incorrect. Answer: Selling any health insurance plans
The consumer states they currently pay a percentage of charges when they receive medical care. this means: - answer 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 - answer 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
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