UHC Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) 2021, Questions and answers

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UHC Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) 2021, Questions and answers The three types of Special Needs Plans are: - ✔✔Dual, Chronic Condition and Institutional/Institut... ional-Equivalent. When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - ✔✔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 care Which 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? - ✔✔During the Annual Election Period (AEP) or Open Enrollment Period (OEP) Which is a service provided to a CSNP or DSNP member placed in the low to moderate care management risk level? - ✔✔Ongoing reassessment of risk level for status changes [Show More]

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