AEP
DEFINITIONS
UCARD
ANCILLARY
RESOURCES
100

WHEN IS AEP 

WHAT IS..? Oct 15th to Dec 7th 

100

WHAT DOES AEP STANDS FOR?

ANNUAL ENROLLMENT PERIOD

100

WILL PASSPORT BE AVAILABLE WITH UCARD FOR PPO AND HMO FOR PLAN YEAR 2024?

HMO and PPO are going to the National Network and will no longer have Passport as the members will have national access. (this can be found with a National Network logo on the member ID card).

100

WHEN CAN THE DENTAL RIDER PLAN BE ADDED TO EXISITING PLAN?

WHATIS..?  3-month time frame, or after AEP,  and SEP

100

WHERE CAN WE FIND ANOC DETAILS FOR 2024

WHAT IS..? MAESTRO AND RSS.

200

WHEN CAN I START SPEAKING TO MEMBERS ABOUT THEIR 2024 PLANS?

WHEN IS....? 

NOW!

Prior to 10/1/2023:

  • We CAN Discuss: Member’s 2024 plan changes reflected on their ANOC only.
  • We CANNOT Discuss: Any other 2024 plan options.
200

WHAT DOES SEP STANDS FOR?

WHAT IS....? SPECIAL ENROLLMENT PERIOD 

200

WHEN DO WE START REPLACING THE 2024 UCARDS?

Advocates should not be ordering 2024 UCard replacements. 

2024 Replacement UCards will be held until after 12/4 to allow the Annual Card process to complete and reach members 

 If they do not receive their 2024 UCard prior to 1/1, they can call us after for a replacement.

200

WHO SUPPORTS MEMBER ON THEIR DENTURE JOURNEY?

WHO IS...? UHC DENTAL ADVOCATES

200

Who can help tier one advocates  provide end to end resolution?

What is RSS?

300

WHAT IS A MEMBER REQUEST 2024 MATERIALS SUCH AS FULL FORMULARIES AND PROVIDER/PHARMACY DIRECTORIES?

WHAT IS....? 

  • Prior to 10/01/2023: Follow the Annual Formulary, EOC, Pharmacy, Provider Directory Mailing Fulfillment job aid and submit the request via the Early AEP Fulfillment Request macro process. 
  • After 10/01/2023: Submit the request through the Send Non-Marketing Materials intent in Maestro. (Note: For provider directories, a geo-coded directory will be mailed vs a full directory.)
300

WHAT IS PH PLAN AND WHO SUPPORT THIS GROUP?

WHAT IS..? "PEOPLES HEALTH" PEOPLES HEALTH WILL BE MIGRATING TO UHC SYSTEMS, THIS WAS COVERED IN THE AEP TRAINING "ALL M&R" WILL COVER AND ASSIST MEMBERS


300

WHAT IS THE UCARD?

UCard is a type of ID card that combines many benefits and rewards programs into one, making it easier for members to obtain the health services, prescriptions, and other health-related items they need.

300

WILL THE FLEX CARD BE AVAILABLE FOR 2024?


WHAT IS...? "NO" Flex card will expire at the end of the calendar year or upon plan termination of the plan 

300

WHERE CAN WE FIND THE MOST RECENT CHANGES ON AEP?

WHAT IS...? KNOWLEDGE CENTRAL AND AEP TRAINING MATERIALS (LS)

400

WHERE CAN I LOCATE AEP RELATED JOB AIDS IN KNOWLEDGE CENTRAL?

WHAT IS...? All AEP related content is located in the Annual Enrollment Period folder (under the Browse dropdown). 

400

WHAT IS  TROOP?

WHAT IS...? TRUE OUT-OF-POCKET

THE AMOUNT YOU PAY OUT OF POCKET FOR MEDICARE PART D DRUGS COUNT TOWARDS YOU DRUG PLAN'S OUT OF POCKET THRESHOLD.

400

WHAT SYSTEM IS USED TO REVIEW THE REWARD AND OTC BALANCE ON THE UCARD?

WHAT IS..? PROGRAM SPONSOR PORTAL (PSP)

400

WHAT IS 'OFF-LABEL" MEDICATION?

"OFF-LABEL USE"  IS ANY USE OF THE DRUG OTHER THAN THOSE INDICATED ON A DRUG'S LABEL APPROVED BY FDA (FOOD AND DRUG ADMINISTRATION)


 

400

WHERE CAN WE FIND DETAILS OF THE FLEX CARD FOR PLAN YEAR 2024?

WHAT IS...? JA "UnitedHealthcare UCard" FLEX CARD BENEFITS TAB 

500

IF A MEMBER CALLS BEFORE 10.01.2023 AND NEED TO REVIEW CHANGES FOR THE 2024 PLAN YEAR, WHAT RESOURCES IS MAINLY USED FOR THIS INQUIRY?

WHAT IS...? ANOC INTENT 

500

WHAT DOES "ANOC" STANDS FOR?

WHAT IS...? ANNUAL NOTICE OF CHANGE"

500

How long will it take after I earn rewards for them to be loaded onto my UCard?

  • Rewards: Within 24 hours of reporting the completed activity.
  • Housecalls and Optum at Home: Within a week (7-days).
500

HOW LONG DOES THE REWARD ESCALTION TAKE?

Rewards Escalations can take up to 10-14 business days to be resolved.

500

WHERE DO WE FIND DETAILS OF THE REWARDS TRANSACTION FOR MEMBERS?

WHAT IS..? rewards intent - and under rewards > rewards > reward card 

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