MEDICARE C E EXAM WITH CORRECT ANSWERS
1. 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: - Selling DSNPs
2. The consumer states they currently pay a percentage of charges when they receive medical
care. This means: - WRONG - The consumer is enrolled in a Medicare Supplement Insurance
Plan.
3. Which of the following consumers is best suited for a CSNP? - Mary, who has been seeing a
specialist for a qualifying chronic condition
4. On May 10, Michael meets with an agent and says he is enrolled in another carrier's CSNP due
to his diabetes. When can Michael enroll in a different CSNP that also covers diabetes (his only
chronic condition), assuming he has not moved out of his current plan's service area? - DURING
OPEN OR ANNUAL
5. Which is a service provided to a CSNP or DSNP member placed in the low to moderate care
management risk level? - ALL of the responses
6. It is very important for consumers enrolling in a CSNP to know the following about accessing
providers: - 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.
7. Which statement is true about the Medicaid program? - It helps pay medical costs for certain
groups of people with limited income and resources.
8. Which statement is true of DSNP members? - Members who are QMB+ or are Full Dual-Eligible
are not required to pay copayments for Medicare-covered services obtained from a DSNP in-
network provider. Their provider should bill the state Medicaid program, as appropriate, for
these costs.
1. 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: - Selling DSNPs
2. The consumer states they currently pay a percentage of charges when they receive medical
care. This means: - WRONG - The consumer is enrolled in a Medicare Supplement Insurance
Plan.
3. Which of the following consumers is best suited for a CSNP? - Mary, who has been seeing a
specialist for a qualifying chronic condition
4. On May 10, Michael meets with an agent and says he is enrolled in another carrier's CSNP due
to his diabetes. When can Michael enroll in a different CSNP that also covers diabetes (his only
chronic condition), assuming he has not moved out of his current plan's service area? - DURING
OPEN OR ANNUAL
5. Which is a service provided to a CSNP or DSNP member placed in the low to moderate care
management risk level? - ALL of the responses
6. It is very important for consumers enrolling in a CSNP to know the following about accessing
providers: - 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.
7. Which statement is true about the Medicaid program? - It helps pay medical costs for certain
groups of people with limited income and resources.
8. Which statement is true of DSNP members? - Members who are QMB+ or are Full Dual-Eligible
are not required to pay copayments for Medicare-covered services obtained from a DSNP in-
network provider. Their provider should bill the state Medicaid program, as appropriate, for
these costs.
