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Medical ExpenseVerified · outline & fact-checked · Sep 2026Difficulty 3/5

A Dual Eligible Special Needs Plan (D-SNP) is designed for beneficiaries who:

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Answer & full 3-part explanation (select an option above, or peek)

Why A is correct

A Dual Eligible Special Needs Plan (D-SNP) is a Medicare Advantage SNP that serves individuals entitled to both Medicare and Medicaid. These plans coordinate the benefits of both programs, and the eligibility group includes dual eligibles who must pay a Medicaid share of cost. The examination objectives specifically identify the Medicare-Medicaid dual eligible population and the share-of-cost component under AH-III.D.1f. Coordinating the two programs reduces fragmentation for a population with complex health needs.

Why the other options are wrong

  • B) A D-SNP requires eligibility for both Medicare and Medicaid; Part D enrollment alone does not qualify a person.
  • C) ESRD beneficiaries may be served by a different SNP type; D-SNP requires dual eligibility.
  • D) Medigap ownership is unrelated and cannot be combined with Medicare Advantage coverage.

Memory hook

D-SNP = dual eligibles, Medicare plus Medicaid, share of cost included.

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