Melanie wants to enroll in a D-SNP. Which of the following must her agent do?

• A. Confirm that Melanie is entitled to Medicare Part A, enrolled in part B, and her Medicaid level
• B. Confirm that Melanie is entitled to Part A only
• C. Confirm she is on Part D
• D. Check her bank info

Answer: (A)

Dual eligibility is the key concept here. A D-SNP is designed for people who qualify for both Medicare and Medicaid, so the agent must verify that Melanie meets both programs’ requirements before enrollment. Specifically, the agent should confirm she is entitled to Medicare Part A, is enrolled in Part B, and has Medicaid status. This combination shows she is dual-eligible and thus eligible for a D-SNP, which is built to coordinate benefits between Medicare and Medicaid.

Confirming only Part A wouldn’t show eligibility for a D-SNP, and Part D enrollment isn’t a gating requirement for joining a D-SNP (though many plans include drug coverage). Bank information isn’t relevant to eligibility or enrollment in a D-SNP.