Chronic Condition and Dual Special Needs Plans assessment. UHC Certification Exam Solved 100% Correct!!

The three types of Special Needs Plans are: - 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? - After the grace period ends Six months after they have been disenrolled from the DSNP Upon notification or effective date of the loss, whichever is earlier The month after they are notified by the plan of the loss of Medicaid eligibility A DSNP might be in the best interest of which of these consumers? - Joe, whose low income qualifies him for full Medicaid coverage Which program is available to support the unique health care needs of CSNP and DSNP members? - A care management program that varies depending upon the level of the member's health risk level Which statement best describes a DSNP? - The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs When selling DSNPs, agents must: - Ensure that the consumer only has Medicare 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? - Anne, who does not pay a percentage of charges when she receives medical careWhich of the following consumers is best suited for a CSNP? - Mary, who has been seeing a specialist for a qualifying chronic condition 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? - Only during the Annual Election Period (AEP)