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Which statement is true about MEDICAID program? -
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correct answer -
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It helps pay medical costs for certain groups of people with lim
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ited income and resources.
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-Benefits vary from state to state ../ ../ ../ ../ ../
Which statement is true about C-SNPs, D-
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SNPs, and prescription drug coverage? - correct answer C-
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SNPs and D- ../ ../
SNPs include Medicare Part D prescription drug coverage.
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Which statement is true of D-SNP members? -
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correct answer Generally, members who are Full Dual-
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Eligible are not required to pay copayments for Medicare-
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covered services obtain from a D-SNP in- ../ ../ ../ ../ ../ ../
network provider in the state in which they live.
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Of the election periods listed, which one can Full Dual-
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Eligible consumers use to enroll in an Integrated D-
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SNP in JULY? - correct answer SEP- INTEGRATED CARE
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,Which two consumers can use the Special Election Period "SE
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P-Special Need/Chronic"? - ../ ../
correct answer *Mark, currently enrolled in a medicare supple
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ment plan and a stand alone prescription drug plan, was just di
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agnosed with a cardiovascular disorder and would like to enroll
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in a c-snp that covers the condition.
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*Thu is enrolled in a C- ../ ../ ../ ../ ../
SNP that only covers diabetes. Newly diagnosed with a cardiov
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ascular disorder, she wants to enroll in a C-
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SNP that covers her new condition.
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The Chronic Condition Verification form/ questionnaire authori
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zes the plan to do what? -
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correct answer It authorizes the plan to contact the provider id
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entified on the form/questionnaire in order to verify that the co
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nsumer has at least one of the qualifying chronic conditions co
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vered by the C-SNP. ../ ../ ../
Which statement is true about how the loss of Medicaid affects
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a member's enrollment in a Dual Eligibility Special Needs plan
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(D-SNP)? -
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correct answer Special Election period (SEP Dual/LIS change
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, in status) is available for D-
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SNP members, and they will be responsible for all cost-sharing.
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When conducting an informal marketing/sales events, agents m
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ay__________ - ../
correct answer Display plan materials, lead cards, business car
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ds, and scope of appointment forms.
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Select the option that describes the rule about conducting a mar
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keting/sales event following an educational event. - ../ ../ ../ ../ ../ ../
correct answer At least 12 hours must separate a marketing/sal
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es event that follows an educational event at the same location
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(i.e. building or adjacent building).
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What type of event is an agent conducting when they present pl
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an information that includes benefits and cost-
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sharing in an audience-presenter format? -
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correct answer Formal marketing/sales event
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What event advertisement or invitation must include this disclai
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mer: "For accommodation of persons with special needs at mee
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ting, call"? - ../ ../
correct answer All educational and marketing/sales.
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