#1
What is the primary purpose of Medicare?
To provide health coverage for people aged 65 and older
ExplanationMedicare primarily aims to offer health coverage for individuals aged 65 and older.
#2
What are Special Needs Plans (SNPs) designed for?
For people with specific diseases or conditions
ExplanationSNPs are tailored for individuals with specific diseases or conditions to address their unique healthcare needs.
#3
Which of the following is a requirement to enroll in a Special Needs Plan (SNP)?
Must have a pre-existing condition
ExplanationEnrollment in an SNP requires individuals to have a pre-existing condition.
#4
What additional services might a Special Needs Plan (SNP) offer compared to traditional Medicare?
Coverage for dental care
ExplanationSNPs may provide additional services like dental care beyond what traditional Medicare offers.
#5
What is the purpose of a Medicare Advantage Special Needs Plan (SNP)?
To offer additional benefits for those with certain chronic conditions
ExplanationThe purpose of a Medicare Advantage SNP is to provide extra benefits specifically tailored to individuals with certain chronic conditions.
#6
Which of the following statements about Dual Eligible Special Needs Plans (D-SNPs) is true?
They provide coverage for individuals eligible for both Medicare and Medicaid
ExplanationD-SNPs offer coverage for individuals eligible for both Medicare and Medicaid.
#7
What does the term 'dual eligible' refer to in the context of Medicare?
Individuals eligible for both Medicare and Medicaid
ExplanationIn Medicare, 'dual eligible' refers to individuals eligible for both Medicare and Medicaid.
#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
ExplanationEligibility for C-SNPs requires individuals to have a chronic condition specified by the plan.
#9
What role does care coordination play in Special Needs Plans (SNPs)?
To ensure individuals receive appropriate, integrated care
ExplanationCare coordination in SNPs is crucial to ensure individuals receive appropriate, integrated care.
#10
Which government agency oversees Medicare and Special Needs Plans (SNPs)?
Centers for Medicare & Medicaid Services (CMS)
ExplanationThe Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing both Medicare and SNPs.
#11
Which of the following is a characteristic of Chronic Condition Special Needs Plans (C-SNPs)?
They offer specialized care for those with specific chronic conditions
ExplanationC-SNPs provide specialized care tailored for individuals with specific chronic conditions.
#12
What is the purpose of the SNP Model of Care?
To ensure individuals receive coordinated, high-quality care
ExplanationThe SNP Model of Care aims to ensure individuals receive coordinated, high-quality care.
#13
Which of the following is a feature of Institutional Special Needs Plans (I-SNPs)?
They provide coverage exclusively for individuals living in long-term care facilities
ExplanationI-SNPs exclusively provide coverage for individuals residing in long-term care facilities.
#14
What is the purpose of the SNP Annual Notice of Change (ANOC)?
To inform enrollees about plan coverage changes for the upcoming year
ExplanationANOC serves the purpose of informing SNP enrollees about coverage changes for the upcoming year.
#15
Which of the following individuals would likely benefit from enrolling in a Dual Eligible Special Needs Plan (D-SNP)?
An individual eligible for both Medicare and Medicaid
ExplanationIndividuals eligible for both Medicare and Medicaid would likely benefit from enrolling in a D-SNP.
#16
Which of the following is NOT a type of Special Needs Plan (SNP)?
Universal Special Needs Plan (U-SNP)
ExplanationU-SNP is not a type of Special Needs Plan.