Selecthealth.org
Where do you find any sort of Form? (Include every step)
Menu -> Resources -> Click Arrow -> Forms -> Scroll down to Online Forms or type in form name needed
How can a member find In-Network Pharmacies through the portal?
Find Care -> Rx Management -> Pharmacy Search
Where can members see drug information on Drug Lookup tool? (i.e. label warnings, uses, side effects, etc)
Once med is pulled up in Drug Lookup tool, click the info Icon -> Purple button that says Medication Information
How long are you supposed to wait on hold when trying to contact Avera Warm transfer line?
5 minutes
Who hassles TL and Supervisors the most? (In a joking way)
TEAM A: Ari
PBM: Leslie
Where can you find Member Payment Summaries on the SH website?
Menu -> Resources (Click arrow to left of Resources) -> Plan Documents -> Find plan mentioned
How can members find medications specific to their plan?
Find Care Icon -> Under Rx Management -> Drug Search
Where on the drug lookup tool can members see what requirements may be needed for a PA?
Click on info icon -> Under Indicators section it will have the PA with a hyperlinked "Click here for PA requirements"
What is the name of the Avera clarification in Livepro?
Avera Health Plans
Who says Big-Dawg the most?
Noa/Ruben
Where to Find information on Saving Money on Rx Cost? And what are the 3 programs we typically offer?
Menu -> Pharmacy -> On page that pulls up under Save Money on Rx Costs
3 Programs we offer
Rx Saving Solutions, Pharmacy Compass, Cost Plus
Person Icon at top right -> Click name -> Card will pop-up and to see the back side there is a flip option at bottom right of the card
How can members know what the indicators on the Drug Lookup Tool mean for medications?
By hovering over them or clicking the info icon.
How would an Avera Member see preventative drugs?
Go to Find a Prescription -> Scroll down to Preventative Drugs -> click see lists -> Choose the correct year
Who has the better favorite color? Noa - Forest Green, Cambri - Sage Green
Answer will determine friendships:
Cambri says Sage green and will give points for that answer
Noa says Forest green and will give points for that answer
Where to find In-Network Pharmacies? (Include every step)
Menu -> Pharmacy -> Find Pharmacies -> Input address
How do members see their spending and claims?
On Dashboard page -> under Spending -> Hyperlinked View All Spending -> They can see accumulated amounts once on Spending page but can see Claims when they click on View Your Claims
Why would a medication not be found on the Selecthealth or Avera Website Drug lookup tools?
It is a not covered through Pharmacy benefits
(It may be Non-Formulary, or it could be a medication under the medical benefit)
Where can an Avera member find In-Network Pharmacies?
Go to Find a Prescription page -> Scroll down to "Tips to Maximize your Pharmacy Benefits" section -> Click Pharmacy Benefits -> Scroll down to Pharmacy Network Search and click Search
Who has the better taste in movies? Kali & Bri - Horror
Noa & Cambri - Action
Horror per the Sups
Where to find Drug Look Up tool? (Include every step)
Menu -> Pharmacy -> Lookup Drugs -> Choose Policy based on plan -> Search med
How can the member send a secure message to us?
Log into Portal -> Should be a messages icon on the screen (can be at bottom of screen or to the left when logged in on mobile app) -> Once in message center click new message -> Choose categories dependent on what is needed!
If a Non-Formulary medication is approved via PA, what Tier would they typically be approved as if not specified by the RPH notes?
Non-preferred Brand
i.e.:
Select T4 policy - Tier 3
Core T5 policy - Tier 4
Core T6 policy - Tier 5
Livepro document: Understanding Member Payment Summary Details
How can an Avera member find Prescription coverage on the Avera website?
On Home page click "Find a Prescription" -> Click which plan they are one -> Click which state they are in -> Search medication
Which team is the best Team A or PBM Team?
Answer will vary:
Team A (Cambri says this and will give points for)
PBM Team (Noa says this and will give points for)