2025 Gold Kidney MA Certification ExamBy Brian Platte / July 28, 2024 How many kidneys do most people have? 1 2 3 4 There are two types of kidney failure: Acute Kidney Failure and Chronic Kidney Failure True False In which two states are Gold Kidney Health Plans available? Georgia and Florida Colorado and Florida Arizona and Florida Arizona and Georgia If an individual has Medicare + Full Medicaid and is undergoing dialysis, which Gold Kidney plan is best suited for them? Gold Heart & Diabetes Gold Heart & Diabetes Complete Gold Dialysis Gold Dialysis Complete If an individual has Medicare and either Cardiovascular Disorders, Chronic Heart Failure, and/or Diabetes, which Gold Kidney plan is best suited for them? Gold Heart & Diabetes Gold Heart & Diabetes Complete Gold Dialysis Gold Dialysis Complete Which special needs plans are plans for people with chronic or disabling conditions? Dual Eligible Special Needs Plans (D-SNP) Chronic Condition Special Needs Plans (C-SNP) Institutional Special Needs Plans (I-SNP) None of the above C-SNP eligibles can enroll at any time with a Special Enrollment Period creating a year-long selling opportunity? True False Less than 1% ESRD members are served by Medicare C-SNP Plans? True False How many CMS approved chronic or disabling conditions qualify for a C-SNP? 9 12 15 18 How many calendar days do plans usually have to verify an enrollee’s chronic condition? 30 calendar days 45 calendar days 60 calendar days 90 calendar days You can enroll an individual undergoing dialysis in the Gold Heart & Diabetes Plan? True False What happens if an enrollee’s qualifying chronic condition cannot be verified within the 60 calendar days allowed? They remain enrolled in their current plan They are automatically switched to the correct plan They will be disenrolled and will have an SEP to join another plan They are granted an additional 15 days to complete the verification process What are the qualifying chronic conditions to enroll an individual in a Gold Heart & Diabetes Plan? Cardiovascular Disease & Diabetes Congestive Heart Failure & Diabetes Cardiovascular Disease & Congestive Heart Failure Cardiovascular Disease, Congestive Heart Failure, and/or Diabetes C-SNP enrollees can enroll in a Chronic Special Needs Plan during what timeframe? Initial Enrollment Period (IEP) Annual Enrollment Period (AEP) Special Enrollment Period (SEP) All of the above Gold Kidney Health Plan is a Medicare Advantage organization with Special Needs Plans specializing in serving individuals with chronic conditions that lead to kidney failure, such as diabetes, heart failure, and cardiovascular conditions? True False ResultsVote