#1
What is a Medicare Special Needs Plan (SNP) designed for?
Individuals with certain chronic conditions, institutionalized individuals, or those eligible for both Medicare and Medicaid
ExplanationDesigned for individuals with specific health needs, including chronic conditions, those in institutions, and those eligible for both Medicare and Medicaid.
#2
Which federal agency oversees Medicare Special Needs Plans?
Department of Health and Human Services (HHS)
ExplanationMedicare Special Needs Plans are overseen by the Department of Health and Human Services (HHS).
#3
What is a key benefit of enrolling in a Medicare Special Needs Plan?
Access to a care team that helps coordinate care and services
ExplanationEnrollment provides access to a care team for coordinated care and services.
#4
What is the primary goal of a Medicare Institutional Special Needs Plan (I-SNP)?
To offer specialized care for beneficiaries residing in certain institutions
ExplanationI-SNPs aim to provide specialized care for beneficiaries in specific institutions.
#5
Which of the following is NOT a type of Medicare Special Needs Plan?
Standard SNP (S-SNP)
ExplanationStandard SNP (S-SNP) is not a type of Medicare Special Needs Plan.
#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.
False
ExplanationFalse, as individuals in a Medicare Special Needs Plan may have restrictions on healthcare provider choices.
#7
Which of the following statements is true about Medicare Advantage Special Needs Plans (SNPs)?
They must cover all Medicare Part A and Part B benefits
ExplanationMedicare Advantage SNPs are required to cover all Medicare Part A and Part B benefits.
#8
What is an essential requirement for eligibility for a Chronic Condition Special Needs Plan (C-SNP)?
Diagnosis of at least two chronic conditions
ExplanationEligibility for C-SNP requires a diagnosis of at least two chronic conditions.
#9
Which of the following is a characteristic feature of Dual Eligible Special Needs Plans (D-SNPs)?
They provide coverage for individuals eligible for both Medicare and Medicaid
ExplanationD-SNPs provide coverage for individuals eligible for both Medicare and Medicaid.
#10
What is the purpose of Medicare Advantage Special Needs Plans (SNPs)?
To provide coverage for individuals with specific chronic conditions
ExplanationTo offer coverage tailored to individuals with specific chronic conditions.
#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
ExplanationAvailability can be influenced by the population density of a specific area.
#12
Which entity determines the specific benefits and coverage offered by a Medicare Special Needs Plan?
The Centers for Medicare & Medicaid Services (CMS)
ExplanationBenefits and coverage are determined by The Centers for Medicare & Medicaid Services (CMS).