2021 United HealthCare Chronic Condition and Dual Special
Needs Plans (CSNP-DSNP) Review Test Questions with Detailed
Verified Solutions / A+ Grade Assured /2025
Terms in this set (42)
Dual Special Needs Plans Medicare Advantage Plans uniquely designed for consumers
(DSNP) are defined as which enrolled in both Medicare and Medicaid
of the following:
Which statement is true Special Election Period (SEP Dual/LIS Change in Status) is
about how loss of Medicaid available for DSNP members that lose their Medicaid
eligibility.
affects a member's
enrollment in a
DSNP?
Which consumer might Joe, who receives Qualified Medicaid Beneficiary benefits
benefit the most by enrolling (QMB+)
in a DSNP?
What program is available to A care management program that varies depending upon the
support CSNP and DSNP level of the member's health risk level
members who may have
unique health care needs?
Selling DSNPs
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:
, The consumer states they The consumer is not likely to be a Full Dual-Eligible and may
currently pay a percentage of be better suited for enrollment in another type of plan.
charges when they receive
medical care. This means:
Which of the following A consumer with a qualifying chronic condition who
consumer characteristics wants a plan that will help them manage their illness and
demonstrates a good fit for health care costs
a CSNP?
On July 19, each of the Joy has a cardiovascular disorder, is enrolled in a CSNP that
following consumers met covers the condition, and wants to enroll in another CSNP
with an agent. Based on the offered by the plan that covers the same condition.
information provided, which
consumer must wait until
the Annual Election Period
(AEP) or Open Enrollment
Period (OEP) to enroll?
Which service will a CSNP or Case Management (telephonic, digital and/or face-toface)
DSNP member in the high according to individual needs
risk care
management category
receive?
It is very important for Some CSNPs are Preferred Provider Organization (PPO) or
consumers enrolling in a Point of Service (POS) Plans that allow members to see out-
CSNP to know the following of-network providers, generally with higher cost sharing.
about accessing providers:
It helps pay medical costs for certain groups of people with
Which statement is true
limited income and resources.
about the Medicaid
program?
Needs Plans (CSNP-DSNP) Review Test Questions with Detailed
Verified Solutions / A+ Grade Assured /2025
Terms in this set (42)
Dual Special Needs Plans Medicare Advantage Plans uniquely designed for consumers
(DSNP) are defined as which enrolled in both Medicare and Medicaid
of the following:
Which statement is true Special Election Period (SEP Dual/LIS Change in Status) is
about how loss of Medicaid available for DSNP members that lose their Medicaid
eligibility.
affects a member's
enrollment in a
DSNP?
Which consumer might Joe, who receives Qualified Medicaid Beneficiary benefits
benefit the most by enrolling (QMB+)
in a DSNP?
What program is available to A care management program that varies depending upon the
support CSNP and DSNP level of the member's health risk level
members who may have
unique health care needs?
Selling DSNPs
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:
, The consumer states they The consumer is not likely to be a Full Dual-Eligible and may
currently pay a percentage of be better suited for enrollment in another type of plan.
charges when they receive
medical care. This means:
Which of the following A consumer with a qualifying chronic condition who
consumer characteristics wants a plan that will help them manage their illness and
demonstrates a good fit for health care costs
a CSNP?
On July 19, each of the Joy has a cardiovascular disorder, is enrolled in a CSNP that
following consumers met covers the condition, and wants to enroll in another CSNP
with an agent. Based on the offered by the plan that covers the same condition.
information provided, which
consumer must wait until
the Annual Election Period
(AEP) or Open Enrollment
Period (OEP) to enroll?
Which service will a CSNP or Case Management (telephonic, digital and/or face-toface)
DSNP member in the high according to individual needs
risk care
management category
receive?
It is very important for Some CSNPs are Preferred Provider Organization (PPO) or
consumers enrolling in a Point of Service (POS) Plans that allow members to see out-
CSNP to know the following of-network providers, generally with higher cost sharing.
about accessing providers:
It helps pay medical costs for certain groups of people with
Which statement is true
limited income and resources.
about the Medicaid
program?
