Health Care > QUESTIONS & ANSWERS > Medicare CE, Questions and answers, 2022/2023. Questions and answers. 100% Verified. (All)

Medicare CE, Questions and answers, 2022/2023. Questions and answers. 100% Verified.

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Medicare CE, Questions and answers, 2022/2023. Questions and answers. 100% Verified. 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: - ✔✔Selling DSNPs The consumer states they currently pay a percentage of charges when they receive medical care. This means: - ✔✔WRONG - The consumer is enrolled in a Medicare Supplement Insurance Plan. 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 OPEN OR ANNUAL Which is a service provided to a CSNP or DSNP member placed in the low to moderate care management risk level? - ✔✔ALL of the responses It is very important for consumers enrolling in a CSNP to know the following about accessing providers: - ✔✔Some CSNPs are Preferred Provider Organization (PPO) or Point of Service (POS) Plans that allow members to see out-of-network providers, generally with higher cost sharing. Which statement is true about the Medicaid program? - ✔✔It helps pay medical costs for certain groups of people with limited income and resources. Which statement is true of DSNP members? - ✔✔Members who are QMB+ or are Full Dual-Eligible are not required to pay copayments for Medicare-covered services obtained from a DSNP in-network provider. Their provider should bill the state Medicaid program, as appropriate, for these costs. Using the post-enrollment method, when will a new member be disenrolled from their CSNP if a qualifying condition cannot be verified? - ✔✔WRONG - At the end of the first month of enrollment WRONG - 30 days after the last attempt to contact the provider WRONG - After a 6 month grace period Members who lose their eligibility for the DSNP due to a change or loss of Medicaid status are responsible for what cost sharing? - ✔✔All, such as premiums, deductibles, copayments, and coinsurance [Show More]

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