Shop Sites
What site is used for members who live in the state of Tennesse
What is WellPoint
What system is used to change someone's address
What is Compass
This is the amount a beneficiary must pay for covered healthcare services before their plan begins paying.
What is a deductible.
What is it called when you collect 3 pieces of information from a beneficiary.
Hippa Verification
What is the last day of annual enrollment
What is December 7th
A member wants to know wheter their doctor participants in the plan .which shop tool should you head to?
What is Find a provider.
A Members Cousin calls in wanting to check plan details. Where would you go to check if you can speak with members cousin on their behalf.
What is Medisys and/or CIRS
A Beneficiary pays a fixed $20
What is co-pay or copayment
in the event we are disconnected for any reason, do I have permission to call you back at this number?
PTC/ Permission to Call
A beneficiary is turning 65 and is eligible for Medicare part A and part B they want to enroll in a Medicare Advantage plan for the first time. They have not experienced any qualifying life event . What enrollment period applies
What is ICEP
You need to check whether a prescription is covered. Which search feature gives you the answer?
What is Drug Search
I was sent a letter by Anthem but i lost it can you remail it to me?
What is Medisys letter reprint or Doculivery
A beneficiary pays 20% of Medicare appoved amount.
What is Coinsurance
“Are you interested in discussing Medicare Advantage or Medicare Supplement plans today?”
What is SOA
A beneficiary Moves outside theirs plans service area which type of enrollment period may allow them to change plans.
What is Move SEP or MOV
The customer asks," where can i find the official documents for the plan i just selected.
What is Plan Details
Before completing an application in saleforce, you'll need to launch this within the system.
What is Intact / Intact application
A member has reached their plans MOOP. What Type of cost may they still be responisble for after reaching this limit
What is Premiums and things not covered by plan
Before we get started, I'm required to let you know...
We do not offer every available plan in your area. Any information we provide is limited to the plans we offer. You can visit Medicare.gov or call 1-800Medicare or your local State Health Insurance Program (SHIP) to get more information on all your options. You do not have to provide any health information unless it’s used to determine your eligibility. By speaking with me today, you are under no obligation to enroll, and your Medicare enrollment status will not be impacted, and you will not automatically be enrolled in a plan. Would you like to continue?
What is TMPO
During this period a beneficiary can switch from one Medicare Advantage plan to another or return to Original Medicare .
What is OEP
Your're in a Shop and need to review the plans the customer is eligible for before moving forward. Which tab is your go-to starting point
What is View All Plans
You've been asked to process a plan cancellation, but the steps have slipped your mind. This is the place you'd go to find correct process and instructions
What is One note
This term refers to the amount a benificiary is responsible for paying after the plan has paid its share of a coverd service.
What is cost sharing
If we need to reach you in the future, do you agree that Elevance Health, Inc.’s subsidiaries, including Anthem Insurance Companies Inc., Wellpoint Corporation, and their affiliates and subsidiaries such as Simply Healthcare Plans Inc. and Blue Cross of California Inc., and those acting on their behalf, may call or text you using an automated telephone system, which may include marketing messages concerning their benefits and services? Consent to these types of calls is not a condition of enrollment of their benefits and services. If you consent to these calls, please say yes
TPCA
This Sep allows someone who loses Medicaid eligibility to make a Medicare Advantage or part D enrollment change.
What is loss of Medicaid Sep or LCC