UNITED HEALTHCARE CHRONIC CONDITION AND DUAL SPECIAL
NEEDS PLANS (CSNP-DSNP) VERIFIED QUESTIONS WITH
DETAILED ACCURATE SOLUTIONS A+ GRADE 2025 ASSURED
A DSNP member loses his eligibility due to a change or loss of
Medicaid status. What cost sharing is he responsible for while in
the grace period? - --ANSWERS---All, such as premiums,
deductibles, copayments, and coinsurance
When does the Special Election Period for Dual/LIS Change in
Status begin for DSNP members that lose Medicaid eligibility? - -
-ANSWERS---Upon notification or effective date of the loss,
whichever is earlier
Which statement is true about csnps, dsnps, and prescription
drug coverage? - --ANSWERS---csnps and dsnps include
Medicare Part D prescription drug coverage
When selling dsnps, agents must: - --ANSWERS---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? - --
ANSWERS---WRONG - Larry, who has a qualifying chronic
condition and wants a plan that will help him manage his illness
and health care costs
Which of the following consumers is best suited for a CSNP? - --
ANSWERS---Mary, who has been seeing a specialist for a
qualifying chronic condition
John, 68, is currently enrolled in a Medicare Supplement Plan
with a stand-alone Prescription Drug Plan. Newly diagnosed with
, a chronic condition, he calls agent Charles on May 3 to ask if
there are plans that will help him manage his condition. Can
John enroll in a Chronic Special Needs Plan (CSNP) that covers
his chronic condition? - --ANSWERS---Yes, he can enroll using
his Special Election Period (SEP-Special Need/Chronic)
Which is a service provided to a CSNP or DSNP member placed
in the low to moderate care management risk level? - --
ANSWERS---All of the responses are correct.
It is very important for consumers enrolling in a CSNP to know
the following about accessing providers: - --ANSWERS---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? - --
ANSWERS---Benefits vary from state to state.
Alice is enrolling in a DSNP. What should her agent remind her
about? - --ANSWERS---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?
- --ANSWERS---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
NEEDS PLANS (CSNP-DSNP) VERIFIED QUESTIONS WITH
DETAILED ACCURATE SOLUTIONS A+ GRADE 2025 ASSURED
A DSNP member loses his eligibility due to a change or loss of
Medicaid status. What cost sharing is he responsible for while in
the grace period? - --ANSWERS---All, such as premiums,
deductibles, copayments, and coinsurance
When does the Special Election Period for Dual/LIS Change in
Status begin for DSNP members that lose Medicaid eligibility? - -
-ANSWERS---Upon notification or effective date of the loss,
whichever is earlier
Which statement is true about csnps, dsnps, and prescription
drug coverage? - --ANSWERS---csnps and dsnps include
Medicare Part D prescription drug coverage
When selling dsnps, agents must: - --ANSWERS---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? - --
ANSWERS---WRONG - Larry, who has a qualifying chronic
condition and wants a plan that will help him manage his illness
and health care costs
Which of the following consumers is best suited for a CSNP? - --
ANSWERS---Mary, who has been seeing a specialist for a
qualifying chronic condition
John, 68, is currently enrolled in a Medicare Supplement Plan
with a stand-alone Prescription Drug Plan. Newly diagnosed with
, a chronic condition, he calls agent Charles on May 3 to ask if
there are plans that will help him manage his condition. Can
John enroll in a Chronic Special Needs Plan (CSNP) that covers
his chronic condition? - --ANSWERS---Yes, he can enroll using
his Special Election Period (SEP-Special Need/Chronic)
Which is a service provided to a CSNP or DSNP member placed
in the low to moderate care management risk level? - --
ANSWERS---All of the responses are correct.
It is very important for consumers enrolling in a CSNP to know
the following about accessing providers: - --ANSWERS---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? - --
ANSWERS---Benefits vary from state to state.
Alice is enrolling in a DSNP. What should her agent remind her
about? - --ANSWERS---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?
- --ANSWERS---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
