Queenie

What type of event is an agent conducting when they present plan information that includes benefits and cost sharing in an audience-presenter format? Formal marketing/sales event

Which statement is true of D-SNP members? Members who are QMB+ or are Full Dual-Eligible are not required to pay copayments for Medicare-covered services obtained from a D-SNP in-network provider. Their provider should bill the state Medicaid program, as appropriate, for these costs.

Which statement is true about the Medicaid program? It helps pay medical costs for certain groups of people with limited income and resources.

What is the purpose of the Chronic Condition Verification form? It authorizes the plan to contact the provider identified on the form in order to verify that the consumer has at least one of the qualifying chronic conditions covered by the C-SNP

Which service will a C-SNP or D-SNP member in the high risk care management category receive? Case Management (telephonic, digital and/or face-to-face) according to individual needs

On May 10, Michael meets with an agent and says he is enrolled in another carrier’s C-SNP due to his diabetes. When can Michael enroll in a different C-SNP 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) … Read more

Which of the following consumers is best suited for a C-SNP? Mary, who has been seeing a specialist for a qualifying chronic condition