#1
What is the primary purpose of Medicare?
To provide health coverage for people aged 65 and older
To offer financial assistance for long-term care services
To provide disability benefits
To cover preventive services for children
#2
What are Special Needs Plans (SNPs) designed for?
Exclusively for individuals with low income
For people with specific diseases or conditions
For individuals with high-income levels
For individuals aged 50 and older
#3
Which of the following is a requirement to enroll in a Special Needs Plan (SNP)?
Must be employed full-time
Must have a pre-existing condition
Must be a U.S. citizen
Must be below 30 years of age
#4
What additional services might a Special Needs Plan (SNP) offer compared to traditional Medicare?
Coverage for dental care
Coverage for any individual regardless of health status
Coverage for prescription drugs
Coverage for cosmetic surgery
#5
What is the purpose of a Medicare Advantage Special Needs Plan (SNP)?
To provide coverage for individuals with end-stage renal disease (ESRD)
To offer additional benefits for those with certain chronic conditions
To provide coverage exclusively for military veterans
To offer coverage for individuals aged 75 and older
#6
Which of the following statements about Dual Eligible Special Needs Plans (D-SNPs) is true?
They are only available in select states
They are designed for individuals with only one chronic condition
They provide coverage for individuals eligible for both Medicare and Medicaid
They offer coverage exclusively for individuals aged 60 and older
#7
What does the term 'dual eligible' refer to in the context of Medicare?
Individuals eligible for both Medicare and Medicaid
Individuals with dual citizenship
Individuals with dual chronic conditions
Individuals who are eligible for Medicare and private insurance
#8
What is the eligibility criterion for enrolling in a Chronic Condition Special Needs Plan (C-SNP)?
Having a chronic condition specified by the plan
Being employed full-time
Being a U.S. citizen
Being below 40 years of age
#9
What role does care coordination play in Special Needs Plans (SNPs)?
To complicate the healthcare process
To reduce costs for enrollees
To provide limited access to healthcare services
To ensure individuals receive appropriate, integrated care
#10
Which government agency oversees Medicare and Special Needs Plans (SNPs)?
Centers for Medicare & Medicaid Services (CMS)
Social Security Administration (SSA)
Food and Drug Administration (FDA)
Department of Health and Human Services (HHS)
#11
Which of the following is a characteristic of Chronic Condition Special Needs Plans (C-SNPs)?
They only cover acute care services
They are designed for individuals with end-stage renal disease (ESRD)
They offer specialized care for those with specific chronic conditions
They provide coverage exclusively for individuals aged 70 and older
#12
What is the purpose of the SNP Model of Care?
To increase administrative costs
To ensure individuals receive coordinated, high-quality care
To limit access to healthcare services
To exclude certain populations from receiving healthcare benefits
#13
Which of the following is a feature of Institutional Special Needs Plans (I-SNPs)?
They offer coverage for individuals with any health condition
They provide coverage exclusively for individuals living in long-term care facilities
They require enrollees to be employed full-time
They are designed for individuals aged 55 and older
#14
What is the purpose of the SNP Annual Notice of Change (ANOC)?
To inform enrollees about plan coverage changes for the upcoming year
To exclude certain populations from enrollment
To limit access to healthcare services
To increase administrative costs
#15
Which of the following individuals would likely benefit from enrolling in a Dual Eligible Special Needs Plan (D-SNP)?
A retiree aged 70 with no chronic conditions
An individual eligible for both Medicare and Medicaid
A young adult with a high income
An individual with end-stage renal disease (ESRD)
#16
Which of the following is NOT a type of Special Needs Plan (SNP)?
Chronic Condition Special Needs Plan (C-SNP)
Dual Eligible Special Needs Plan (D-SNP)
Institutional Special Needs Plan (I-SNP)
Universal Special Needs Plan (U-SNP)