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UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS (CSNP-DSNP) $17.49   Add to cart

Exam (elaborations)

UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS (CSNP-DSNP)

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  • UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS

The three types of Special Needs Plans are: - Precise Answer Dual, Chronic Condition and Institutional/Institutional-Equivalent. When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - Precise Answer The month after they are no...

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  • August 4, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS
  • UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS
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YANCHY
UHC CHRONIC CONDITION AND DUAL
SPECIAL NEEDS PLANS (CSNP-DSNP)


The three types of Special Needs Plans are: - Precise Answer
✔✔Dual, Chronic Condition and Institutional/Institutional-
Equivalent.


When does the Special Election Period for Dual/LIS Change
in Status begin for DSNP members that lose Medicaid
eligibility? - Precise Answer ✔✔The month after they are
notified by the plan of the loss of Medicaid eligibility


A DSNP might be in the best interest of which of these
consumers? - Precise Answer ✔✔Joe, whose low income
qualifies him for full Medicaid coverage


Which program is available to support the unique health
care needs of CSNP and DSNP members? - Precise Answer
✔✔A care management program that varies depending
upon the level of the member's health risk level

, Which statement best describes a DSNP? - Precise Answer
✔✔The monthly premium is at or below the Low Income
Subsidy benchmark to cover drug costs


When selling DSNPs, agents must: - Precise Answer
✔✔Ensure that the consumer only has Medicare
Confirm the consumer's Medicaid level and that the
consumer is entitled to Medicare Part A and enrolled in Part
B


Which consumer may be a good candidate for a DSNP? -
Precise Answer ✔✔Anne, who does not pay a percentage of
charges when she receives medical care


Which of the following consumers is best suited for a CSNP?
- Precise Answer ✔✔Mary, who has been seeing a specialist
for a qualifying chronic condition


On May 10, Michael meets with an agent and says he is
enrolled in another carrier's CSNP due to his diabetes.
When can Michael enroll in a different CSNP that also
covers diabetes (his only chronic condition), assuming he has
not moved out of his current plan's service area? - Precise
Answer ✔✔During the Annual Election Period (AEP) or
Open Enrollment Period (OEP)

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