Which consumer is a good candidate for a DSNP?

A good candidate for a Dual Special Needs Plan (DSNP) is Larry, who has a qualifying chronic condition. DSNPs are designed specifically for individuals who are dually eligible for both Medicare and Medicaid. These plans provide additional benefits tailored to meet the complex needs of individuals with chronic health issues and often include services such as care coordination, disease management programs, and enhanced benefits beyond traditional Medicare coverage.

Individuals like Larry, who have qualifying chronic conditions, typically benefit from the more comprehensive healthcare services offered through DSNPs, as these plans focus on managing health conditions that require frequent medical attention and tailored care strategies. This targeted approach helps improve health outcomes and reduce overall healthcare costs for those most in need.

In contrast, while the other options mention various payment scenarios or coverage aspects, they do not highlight eligibility based on chronic conditions, which is a key factor for qualifying for a DSNP.