When selling D-SNPs, agents must...

• A. Confirm the consumer's Medicaid level only
• B. Confirm Part B enrollment only
• C. Confirm Medicaid level and Part A entitlement and Part B enrollment
• D. Confirm the consumer's Medicaid level and that the consumer is entitled to Medicare Part A and enrolled in Part B

Answer: (D)

Dual eligibility verification is required when considering a D-SNP, because these plans are designed for people who have both Medicaid and Medicare. An agent selling D-SNPs must verify that the consumer has Medicaid coverage (the Medicaid level) and that they are entitled to Medicare Part A and enrolled in Part B. This ensures the person truly qualifies as dual-eligible and that the plan can properly coordinate benefits between Medicaid and Medicare. Merely confirming Medicaid or Part B enrollment alone doesn’t guarantee dual eligibility, and without Part A entitlement, Medicare benefits aren’t activated, so the plan wouldn’t be appropriate.