What is a Medicare Special Needs Plan (SNP) designed for?
All Medicare beneficiaries
Individuals with certain chronic conditions, institutionalized individuals, or those eligible for both Medicare and Medicaid
Only individuals with low income
Only individuals aged 65 and older
#2
Which federal agency oversees Medicare Special Needs Plans?
Centers for Disease Control and Prevention (CDC)
Department of Health and Human Services (HHS)
Environmental Protection Agency (EPA)
Department of Housing and Urban Development (HUD)
#3
What is a key benefit of enrolling in a Medicare Special Needs Plan?
Coverage for all medical expenses with no out-of-pocket costs
Access to a care team that helps coordinate care and services
Guaranteed acceptance regardless of pre-existing conditions
Ability to choose any healthcare provider without restrictions
#4
What is the primary goal of a Medicare Institutional Special Needs Plan (I-SNP)?
To provide coverage for individuals with specific chronic conditions
To offer specialized care for beneficiaries residing in certain institutions
To provide coverage for individuals eligible for both Medicare and Medicaid
To replace Original Medicare entirely
#5
Which of the following is NOT a type of Medicare Special Needs Plan?
Chronic Condition SNP (C-SNP)
Institutional SNP (I-SNP)
Standard SNP (S-SNP)
Dual Eligible SNP (D-SNP)
#6
True or False: Individuals enrolled in a Medicare Special Needs Plan can generally choose any doctor, hospital, or other healthcare provider that accepts Medicare.
True
False
#7
Which of the following statements is true about Medicare Advantage Special Needs Plans (SNPs)?
They are only available to individuals aged 75 and older
They offer coverage exclusively for dental and vision care
They must cover all Medicare Part A and Part B benefits
They have no network restrictions, allowing members to see any provider
#8
What is an essential requirement for eligibility for a Chronic Condition Special Needs Plan (C-SNP)?
Diagnosis of at least two chronic conditions
A history of hospitalization within the past year
Being enrolled in a Medicare Advantage plan for at least five years
A referral from a primary care physician
#9
Which of the following is a characteristic feature of Dual Eligible Special Needs Plans (D-SNPs)?
They are only available in certain states
They provide coverage for individuals with specific chronic conditions
They provide coverage for individuals eligible for both Medicare and Medicaid
They are available to all Medicare beneficiaries
#10
What is the purpose of Medicare Advantage Special Needs Plans (SNPs)?
To provide coverage for individuals with specific chronic conditions
To offer additional benefits not covered by Original Medicare
To limit healthcare options for beneficiaries
To replace Original Medicare entirely
#11
Which of the following factors can affect the availability of Medicare Special Needs Plans in a particular area?
The population density of the area
The number of hospitals in the area
The unemployment rate in the area
The median household income of the area
#12
Which entity determines the specific benefits and coverage offered by a Medicare Special Needs Plan?
The Centers for Medicare & Medicaid Services (CMS)