State RegulationsCA specific✓ Verified · outline & fact-checked · Sep 2026Difficulty 3/5
A Medicare Advantage Special Needs Plan for dual-eligible beneficiaries (D-SNP) is designed for individuals who:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
A D-SNP is a Medicare Advantage Special Needs Plan serving dual-eligible beneficiaries, people enrolled in both Medicare and Medicaid (Medi-Cal in California). The SNP coordinates the two programs and may address the beneficiary's Medi-Cal share of cost. SNPs target defined populations: dual-eligibles (D-SNP), institutionalized persons (I-SNP), and those with chronic conditions (C-SNP). The dual-eligible/share-of-cost point is in the Part C objectives.
Why the other options are wrong
- B) A D-SNP requires Medicare and Medicaid eligibility, not employer coverage; employer coverage is separate from these programs.
- C) D-SNPs are for dual-eligible beneficiaries, who qualify through Medicare entitlement (age 65+, SSDI, ESRD/ALS), not for people with no qualifying status.
- D) Medicare does not cover long-term custodial care; D-SNPs coordinate Medicare and Medi-Cal benefits but do not turn Medicare into a custodial-care payer.
Memory hook
D-SNP = the bridge plan for people holding both Medicare and Medi-Cal cards.