Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis,
putting him at severe risk for pneumonia. Otherwise, he has no problems
functioning. Which type of SNP is likely to be most appropriate for him
...
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis,
putting him at severe risk for pneumonia. Otherwise, he has no problems
functioning. Which type of SNP is likely to be most appropriate for him? Correct
Answer: C-SNP
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years
ago. In mid-February of 2021, her doctor confirms a diagnosis of end-stage renal
disease (ESRD). What options will Mrs. Davenport have regarding her MA plan
during the next open enrollment season? Correct Answer: She may remain in her
ABC MA plan, enroll in another MA plan in her service area, or enroll in a Special
Needs Plan (SNP) for individuals suffering from ESRD if one is available in her
area.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level.
She wishes to enroll in a MA MSA plan that she heard about from her neighbor.
She also wants to have prescription drug coverage since her doctor recently
prescribed several expensive medications. Currently, she is enrolled in Original
Medicare and a standalone Part D plan. How would you advise Mrs. Chi? Correct
Answer: Mrs. Chi may enroll in a MA MSA plan and remain in her current
standalone Part D prescription drug plan.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his
ability to access providers. What should you tell him? Correct Answer: In most
Medicare Advantage HMOs, Mr. Kumar must generally obtain his services only
from providers within the plan's network (except in an emergency or where care is
unavailable within the network).
Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care
he has received under Original Medicare, but he would like to know more about
Medicare Advantage Special Needs Plans (SNPs). What could you tell him?
Correct Answer: SNPs have special programs for enrollees with chronic
conditions, like Mr. Sinclair, and they provide prescription drug coverage that
could be very helpful as well.
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has
recently stopped paying his Part B premium. Mr. Castillo is still covered by Part A.
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