UHC 2021 Chronic Condition and Dual Special Needs Plans Certification (English) passed

UHC 2021 Chronic Condition and Dual Special Needs Plans Certification (English)When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - correct answer Wrong - The month after they are notified by the plan of the loss of Medicaid eligibility; Wrong - After the Grace Period ends Which consumer might benefit the most by enrolling in a DSNP? - correct answer A: Joe, who receives Qualified Medicaid Beneficiary benefits (QMB+) Which statement best describes a care management program that varies depending upon the level of the member's health risk? - correct answer Wrong - Support provided only to members who have multiple chronic conditions and receive state Medicaid benefits Which statement best describes a DSNP? - correct answer A: The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs When selling DSNPs, agents must: - correct answer A: Confirm the consumer's Medicaid level and that the consumer is entitled to Medicare Part A and enrolled in Part B The consumer states they currently pay a percentage of charges when they receive medical care. This means: - correct answer A: Wrong - Medicaid Supplemental Plan Which of the following consumer characteristics demonstrates a good fit for a CSNP? - correct answer A: 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? - correct answer A: 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.