UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS
UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS
Exam (elaborations)
UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS (CSNP-DSNP) EXAM 2024/2025
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UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS
Institution
UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS
UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS (CSNP-DSNP) EXAM 2024/2025
The three types of Special Needs Plans are: - Precise Answer Dual, Chronic Condition and Institutional/Institutional-Equivalent.
A DSNP might be in the best interest of which of these consumers? - Precise Answer ...
UHC CHRONIC CONDITION AND DUAL SPECIAL NEEDS PLANS
(CSNP-DSNP) EXAM 2024/2025
The three types of Special Needs Plans are: - Precise Answer ✔✔Dual,
Chronic Condition and Institutional/Institutional-Equivalent.
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)
Which is a service provided to a CSNP or DSNP member placed in the
low to moderate care management risk level? - Precise Answer
✔✔Ongoing reassessment of risk level for status changes
What is the purpose of the Chronic Condition Verification form? -
Precise Answer ✔✔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 CSNP.
Which statement is true of DSNP members? - Precise Answer
✔✔Members who are QMB+ or are Full Dual-Eligible are not required
to pay copayments for Medicare-covered services obtained from a
DSNP in-network provider.
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