Chronic Condition And Dual Special Needs
Plans (CSNP-DSNP) Test 2025/2026:
Latest Quiz With 100% Correct Answers
Dual Special Needs Plans (DSNP) are defined as which of the following: -
Answer--Medicare Advantage Plans uniquely designed for consumers enrolled in both
Medicare and Medicaid
Which statement is true about how loss of Medicaid affects a member's enrollment in a
DSNP? - Answer--Special Election Period (SEP Dual/LIS Change in Status) is available
for DSNP members that lose their Medicaid eligibility.
Which consumer might benefit the most by enrolling in a DSNP? - Answer--Joe, who
receives Qualified Medicaid Beneficiary benefits (QMB+)
What program is available to support CSNP and DSNP members who may have unique
health care needs? - Answer--A care management program that varies depending upon
the level of the member's health risk level
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: - Answer--Selling DSNPs
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
Dual-Eligible and may be better suited for enrollment in another type of plan.
Which of the following consumer characteristics demonstrates a good fit for a CSNP? -
Answer--A consumer with a qualifying chronic condition who wants a plan that will help
them manage their illness and health care costs
, On July 19, each of the following consumers met with an agent. Based on the
information provided, which consumer must wait until the Annual Election Period (AEP)
or Open Enrollment Period (OEP) to enroll? - Answer--Joy has a cardiovascular
disorder, is enrolled in a CSNP that covers the condition, and wants to enroll in another
CSNP offered by the plan that covers the same condition.
Which service will a CSNP or DSNP member in the high risk care management
category receive? - Answer--Case Management (telephonic, digital and/or face-to-face)
according to individual needs
It is very important for consumers enrolling in a CSNP to know the following about
accessing providers: - Answer--Some CSNPs are Preferred Provider Organization
(PPO) or Point of Service (POS) Plans that allow members to see out-of-network
providers, generally with higher cost sharing.
Which is a service provided to a CSNP or DSNP member placed in the low to moderate
care management risk level? - Answer--All of the responses are correct.
It is very important for consumers enrolling in a CSNP to know the following about
accessing providers: - Answer--Some CSNPs are Preferred Provider Organization
(PPO) or Point of Service (POS) Plans that allow members to see out-of-network
providers, generally with higher cost sharing.
Which statement is true about the Medicaid program? - Answer--Benefits vary from
state to state.
Alice is enrolling in a DSNP. What should her agent remind her about? - Answer--She is
not required to pay copayments for Medicare-covered services when she uses a
provider in the DSNP network because she is Full Dual Eligible. Her provider should bill
the state Medicaid program, as appropriate, for these costs.
Members who lose their eligibility for the DSNP due to a change or loss of Medicaid
status are responsible for what cost sharing? - Answer--All, such as premiums,
deductibles, copayments, and coinsurance
Which statement best describes a care management program that varies depending
upon the level of the member's health risk? - Answer--Support provided to CSNP and
DSNP members that may have unique health care needs
Which statement best describes a DSNP? - Answer--The monthly premium is at or
below the Low Income Subsidy benchmark to cover drug costs
Plans (CSNP-DSNP) Test 2025/2026:
Latest Quiz With 100% Correct Answers
Dual Special Needs Plans (DSNP) are defined as which of the following: -
Answer--Medicare Advantage Plans uniquely designed for consumers enrolled in both
Medicare and Medicaid
Which statement is true about how loss of Medicaid affects a member's enrollment in a
DSNP? - Answer--Special Election Period (SEP Dual/LIS Change in Status) is available
for DSNP members that lose their Medicaid eligibility.
Which consumer might benefit the most by enrolling in a DSNP? - Answer--Joe, who
receives Qualified Medicaid Beneficiary benefits (QMB+)
What program is available to support CSNP and DSNP members who may have unique
health care needs? - Answer--A care management program that varies depending upon
the level of the member's health risk level
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: - Answer--Selling DSNPs
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
Dual-Eligible and may be better suited for enrollment in another type of plan.
Which of the following consumer characteristics demonstrates a good fit for a CSNP? -
Answer--A consumer with a qualifying chronic condition who wants a plan that will help
them manage their illness and health care costs
, On July 19, each of the following consumers met with an agent. Based on the
information provided, which consumer must wait until the Annual Election Period (AEP)
or Open Enrollment Period (OEP) to enroll? - Answer--Joy has a cardiovascular
disorder, is enrolled in a CSNP that covers the condition, and wants to enroll in another
CSNP offered by the plan that covers the same condition.
Which service will a CSNP or DSNP member in the high risk care management
category receive? - Answer--Case Management (telephonic, digital and/or face-to-face)
according to individual needs
It is very important for consumers enrolling in a CSNP to know the following about
accessing providers: - Answer--Some CSNPs are Preferred Provider Organization
(PPO) or Point of Service (POS) Plans that allow members to see out-of-network
providers, generally with higher cost sharing.
Which is a service provided to a CSNP or DSNP member placed in the low to moderate
care management risk level? - Answer--All of the responses are correct.
It is very important for consumers enrolling in a CSNP to know the following about
accessing providers: - Answer--Some CSNPs are Preferred Provider Organization
(PPO) or Point of Service (POS) Plans that allow members to see out-of-network
providers, generally with higher cost sharing.
Which statement is true about the Medicaid program? - Answer--Benefits vary from
state to state.
Alice is enrolling in a DSNP. What should her agent remind her about? - Answer--She is
not required to pay copayments for Medicare-covered services when she uses a
provider in the DSNP network because she is Full Dual Eligible. Her provider should bill
the state Medicaid program, as appropriate, for these costs.
Members who lose their eligibility for the DSNP due to a change or loss of Medicaid
status are responsible for what cost sharing? - Answer--All, such as premiums,
deductibles, copayments, and coinsurance
Which statement best describes a care management program that varies depending
upon the level of the member's health risk? - Answer--Support provided to CSNP and
DSNP members that may have unique health care needs
Which statement best describes a DSNP? - Answer--The monthly premium is at or
below the Low Income Subsidy benchmark to cover drug costs
