2023 Dual and Chronic Condition Special Needs Plans (D-SNP C-SNP) Assessment passed

2023 Dual and Chronic Condition Special Needs Plans (D-SNP C-SNP) Assessment What are Dual Special Needs Plans (D-SNP)? - correct answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Which statement is true about how the loss of Medicaid affects a member's enrollment in a D-SNP - correct answer Special Election Period (SEP Dual/LIS Change in Status) is available for D-SNP members that lose their Medicaid eligibility Which statement describes the primary characteristic of a consumer who may benefit from a D-SNP? - correct answer Is enrolled in their state Medicaid program, typically as a Full Dual, with their Medicare cost sharing paid by the state in which they reside. Which program is available to support the unique health care needs of C-SNP and D-SNP members? - correct answer A care management program that varies depending upon the level of the member's health risk level Which statement is true about C-SNPs, D-SNPs, and prescription drug coverage? - correct answer C-SNPs and D-SNPs include Medicare Part D prescription drug coverage Melanie wants to enroll in a D-SNP. Which of the following must her agent do? - correct answer Confirm that Melanie is entitled to Medicare Part A, enrolled in Part B, and her Medicaid level The consumer states they currently pay a percentage of charges when they receive medical care. This means - correct answer Not - The consumer is not likely to be a Full Dual-Eligible; however, the DSNP is always the best option in which to enroll this consumer. The following is a characteristic of consumers for whom a C-SNP may be most appropriate - correct answer Consumers who have a qualifying chronic condition, are focused on their health issues and may have concerns with having to manage their illness or dealing with multiple providers