Scripts
Good morning/afternoon thank you for calling Clear Spring Health my name is <name> how may I help you today?
Annual Enrollment Period dates ?
October 15-December 7
What can be verified using MARx?
Verify Medicare Part A and B eligibility
•Check level of LIS
•Check SEP availability
A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits?
Formulary
What does L.I.A stands for
License Insurance Agent
proper hold procedure
Can I please place you on a brief hold while i research that for you?
When is Open enrollment?
January 1-March 31
by running their NPN #
How to verify the agent is licensed?
A fixed dollar amount paid by the beneficiary for the services provided?
Copayment (Copay)
What does HMO stand for
Health Maintenance Organization.
Generally, when you turn 65. It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65.
Generally, when you turn 65. It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65.
Special Enrollment Period
(low income subsidy) which helps pay for their prescription's costs and Part D plan premiums
what is LIS?
A payment, often monthly, to an insurance plan that enables the individual to receive coverage
Preferred Provider Organization
transfer procedure
please hold while i transfer you to the department that will be able to assist you with your questions.
What does SEP stand for
Special Enrollment Period
What does QMB stand for
Qualified Medicare Beneficiary
The amount you must pay for health care before Medicare begins to pay; these amounts can change every year?
Deductible
Proper closing
what is! is there anything i can assist you with? (if no)
Im glad i was able to help. Thank you for calling CSH have a great day.
What does IEP stand for
Initial Enrollment Period
Whatd does FBDE stand for
Full Benefits Dual Eligble
Doctor must contact the plan for prior approval before a drug will be covered. The doctor must show medical necessity for the drug.
Prior Authorization