- Study guides, Class notes & Summaries

Aetna Individual MA/MAPD/DSNP Mastery Test Verified & Updated. Which of the following is true for Low Income Subsidy? - CORRECT ANSWER All of the above What is a Special Needs Plan (SNP)? - CORRECT ANSWER All of the above or A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only net...

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2 pages

Written in 2023/2024

Grade A+

ROSEGRADES

LIS/DSNP/Medicaid Study Guide Test. What is Medicaid? - CORRECT ANSWER Medicaid is a joint federal and state program that helps with medical costs for people of all ages who have limited income and resources. *also offers benefits like nursing home care and personal care services.* What does dual eligible mean? - CORRECT ANSWER it means you have both Medicare and Medicaid If you have Medicare and full Medicaid coverage, most of your health care costs are likely covered? - CORRECT ANS...

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3 pages

Written in 2023/2024

Grade A+

ROSEGRADES

UHC - C&S - DSNP – NY REVIEW PRACTICE EXAM. Unaligned - CORRECT ANSWER Member has Medicare with UHC. However; Member has medicaid with another insurance broker CMS - CORRECT ANSWER Centers for Medicare and Medicaid Services Open enrollment dates for Medicare - CORRECT ANSWER Oct 15th - Dec 7th PCP - CORRECT ANSWER primary care physician Maestro - CORRECT ANSWER Main tool used to document every interaction C&S - CORRECT ANSWER Community & state LIS - CORRECT ANSWER Low inco...

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2 pages

Written in 2023/2024

Grade A+

ROSEGRADES

United HealthCare Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) Test Correctly Solved Quiz. Dual Special Needs Plans (DSNP) are defined as which of the following: - CORRECT ANSWER Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid Which statement is true about how loss of Medicaid affects a member's enrollment in a DSNP? - CORRECT ANSWER Special Election Period (SEP Dual/LIS Change in Status) is available for DSNP members that lo...

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5 pages

Written in 2023/2024

Grade A+

ROSEGRADES

Medicare CE Questions & Answers. 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: - CORRECT ANSWER Selling DSNPs The consumer states they currently pay a percentage of charges when they receive medical care. This means: - CORRECT ANSWER WRONG - The consumer is enrolled in a Medicare Supplement Insurance Plan. Which of the following consumers is best suited for a CSNP? - CORRECT ANSWER Mary...

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4 pages

Written in 2023/2024

Grade A+

ROSEGRADES

DSNP Chapter 50.3- 60.2.4 Review Practice Test. Question: The MA plan can disenroll a member for disruptive behavior? T or F - CORRECT ANSWER ANSWER: FALSE IT HAS TO BE APPROVED BY CMS Question: How many Notices are sent to member before a disenrollment for disruptive behavior is effective? - CORRECT ANSWER ANSWER: 3 The disenrollment for disruptive behavior process requires 3 (three) written notices: 1. Advance notice to inform the member that the consequences of continued disruptive beha...

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5 pages

Written in 2023/2024

Grade A+

ROSEGRADES

Aetna Individual MA/MAPD/DSNP Exam Questions Correctly Answered. Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding emergency or urgently needed services) - CORRECT ANSWER HMO plan Which plan type allows members to see preferred doctors in network, doctors out-of-network, and does not require referrals to a specialist? - CORRECT ANSWER PPO plan Most Aetna Medicare Advantage plans are integrated wit...

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2 pages

Written in 2023/2024

Grade A+

ROSEGRADES

Aetna MA/MAPD/DSNP Study Guide Test. Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding emergency or urgently needed services) a. PDP plan b. HMO plan c. PPO plan d. ESRD plan - CORRECT ANSWER b. HMO plan What is a Special Needs Plan (SNP)? a.A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics....

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5 pages

Written in 2023/2024

Grade A+

ROSEGRADES

UHC Chronic Condition and Dual Special Needs Plans CSNP-DSNP Written Exam Questions with 100% Correct Answers. The three types of Special Needs Plans are: - CORRECT ANSWER Dual, Chronic Condition and Institutional/Institutional-Equivalent. When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - CORRECT ANSWER The month after they are notified by the plan of the loss of Medicaid eligibility A DSNP might be in the best...

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3 pages

Written in 2023/2024

Grade A+

ROSEGRADES

UHC Chronic Condition and DSNP Exam Questions Correctly Answered. Dual Special Needs Plans (DSNP) are defined as which of the following: Medicare Advantage Plans uniquely designed for Medicare consumers residing in contracted Skilled Nursing Facilities. Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Medicare Advantage Plans uniquely designed for Medicare consumers with specific long-term illnesses. Medicare Advantage Plans uniquely desig...

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5 pages

Written in 2023/2024

Grade A+

ROSEGRADES

REVIEW PRACTICE TEST UHC DSNP CSNP ASSESSMENT END OF TERM . What are Dual Special Needs Plans (D-SNP)? - CORRECT ANSWER Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. When does the Special Election Period for Dual/LIS Change in Status begin for D-SNP members that lose Medicaid eligibility? - CORRECT ANSWER After the grace period ends Which statement describes the primary characteristic of a consumer who may benefit from a D-SNP? - CORR...

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2 pages

Written in 2023/2024

Grade A+

ROSEGRADES

Final Exam Pre Test UHC CSNP DSNP Correctly Solved. What are Dual Special Needs Plans (DSNP)? - CORRECT ANSWER Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith, a DSNP member, loses Medicaid eligibility. What impact does this have on her DSNP enrollment? - CORRECT ANSWER She will enter a grace period during which she is responsible for plan cost sharing, and she will be disenrolled at the end of the grace period if she does not ree...

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2 pages

Written in 2023/2024

Grade A+

ROSEGRADES

DSNP 30.5-40.2.5, Questions and answers, 2022/2023. 100% Verified. Graded A Document Content and Description Below DSNP 30.5-40.2.5, Questions and answers, 2022/2023. 100% Verified. Graded A How many elections can be made during the MA-OEP? - Individuals may make only one election during the MA OEP. An individual enrolled in a MA plan as of January 1 may use the MA-OEP during Open Enrollment? T or F - False-MA-OEP occurs January 1 - March 31 An individual may add or drop Part B coverage during...

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6 pages

Written in 2022/2023

Grade A+

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