Health Care > EXAM > UHC Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) 2021/2022 (All)

UHC Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) 2021/2022

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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 DS... NP 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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