A dsnp member - Study guides, Class notes & Summaries

Medicare CE Questions & Answers. Confirming the consumer's Medicaid level and that the consumer is entitled to Medicare Part A and enrolled in Medicare Part B is a requirement of: - CORRECT ANSWER Selling DSNPs The consumer states they currently pay a percentage of charges when they receive medical care. This means: - CORRECT ANSWER WRONG - The consumer is enrolled in a Medicare Supplement Insurance Plan. Which of the following consumers is best suited for a CSNP? - CORRECT ANSWER Mary...

Centene Midterm 50 questions with complete solutions already passed!! How long can member be out of their area without being disenrolled? Over 6 months 1 year Less than 6 months 8 months Less than 6 months Who is the Medicare Part B monthly premium paid to? CMS The member Private insurance company CMS How does a member request to sign up for an Optional Supplemental Benefits package? Call and speak with the Sales Department Online through the Member Service Portal Request to mee...

Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. True Which of the following health plans are now available through Centene Corporation? Select the best answer. Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare 3 MULTIPLE CHOICE OPTIONS Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute...

A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. True or False - True A) A type of MAPD plan designed to provide targeted care and services to individuals with specific needs. B) A MA plan that tailors benefits, provider choices and drug formularies to meet specific needs of the groups they serve. C) A MA plan for those who are eligible for Medicare and Medicaid. D) A MA plan required to contract with a state Medicaid agency. E)...

Chronic Condition and Dual Special Needs Plans assessment. UHC -2021 CertificationThe three types of Special Needs Plans are: - correct 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? - correct answer After the grace period ends Six months after they have been disenrolled from the DSNP Upon notification or effective date of the loss, whichever...

DEVOTED CERTIFICATION 24 ALREADY RATED A+ Customer Interaction Scenarios 1. Mrs. Carson's Inquiry: - Customer Concern: Mrs. Carson, who is often confused about her health plan and the healthcare system, asks Joyce, her Devoted Sales Agent, for assistance. - Joyce's Response: "As your Devoted Sales Agent, you can always call me with questions. Additionally, Devoted has a dedicated Guide Team focused on simplifying your healthcare experience. They will reach out to you periodically, a...

Wellcare Centene ACT ME Review (2023/2024) Graded A Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. True Which of the following health plans are now available through Centene Corporation? Select the best answer. Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare 3 MULTIPLE CHOICE OPTIONS True or False: The four stages of coverage are NOT the ...

Dual Special Needs Plans (DSNP) are defined as which of the following: - Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - Upon notification or effective date of the loss, whichever is earlier A DSNP might be in the best interest of which of these consumers? - Joe, whose low income qualifies him for full Medicaid coverage ...

2022 UHC CSNP DSNPWhat are Dual Special Needs Plans (DSNP)? - correct answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith, a DSNP member, loses Medicaid eligibility. What impact does this have on her DSNP enrollment? - correct 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 period if she does not reestablish Medicaid eligibility A DSNP...

2022 UHC CSNP DSNPWhat are Dual Special Needs Plans (DSNP)? - correct answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith, a DSNP member, loses Medicaid eligibility. What impact does this have on her DSNP enrollment? - correct 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 period if she does not reestablish Medicaid eligibility A DSNP...