Medicare
Hospital Insurance
What is Part A?
You can enroll in Medicare for the first time due to age or disability.
What is IEP (Initial Enrollment Period)?
A pre-set, fixed amount that you pay for a service at the time you receive it
Internal Medicine and Family Practice doctors are considered
What is a PCP (Primary Care Physician)
This system you use to access a member's account
What is Maestro/MIIM?
Part B is also known as....
What is Medical Insurance?
What is the dates for AEP (Annual Enrollment Period)
A pre-set, fixed amount that you pay for your medical care and services first, before Medicare or other insurance starts to pay
What is a deductible?
Providers are reimbursed for each service they perform
What is Fee for service?
This tool provides you on what intent to choose based off the callers situation and other knowledgeable information
What is Call Assistance Tool?
Having both Medicare and Medicaid is also know as what?
What is Dual/DSNP?
This election period is for dates January 1- March 31
IEP (Initial Enrollment Period)?
A list of covered medications by the insurance company
What is a Formulary?
Any physician that has a specialty other than family practice, Internal Medicine or pediatrician is called a what
What is a Specialist
Your google to UHC
What is Knowledge Central (KC)?
Who is eligible for Medicare?
What is age 65 years of age or older, younger than 65 with a disability, & ESRD?
2 circumstances that can qualify for a SEP (Special Enrollment Period)
What is
Moving/ Instutional
Loss of Coverage
Dual/LIS
A type of Medicare Advantage plan in which you must use doctors and hospitals in the plan's network for your care.
What is Health Maintenance Organization (HMO) plan?
This is a set amount of money that is paid to the provider (usually on a monthly basis) based on the number of member s that have utilized the provider.
What is Capitation?
"Thank you for calling Unitedhealthcare, my name is Mary, who do I have the pleasure of speaking with"
What is Call Script/Call Flow?
This covers annual wellness and doctor visits.
What is Part B?
What is the election periods job aid?
A type of Medicare plan offered by a private company that includes Medicare Part A and Part B, usually includes Part D prescription drug coverage, and may also offer other benefits such as dental or vision
What is Medicare Advantage?
A physician with more than on specialty is called a (blank) physician
What is double boarding?
I can share my screen on what you need to see and you can share pictures with your current feelings or to be funny.
What is Microsoft Teams?