AT&T
If a Subsidy Eligible AT&T retiree opted out for 2024, and came back to the Group February 2024 would they still receive subsidy?
Yes
What plans are not alliable to a post-65 current employee of Duke Energy?
Retiree plans
What will Shopper Profile use as a Pharmacy if one is not selected?
A Preferred Retail Network Pharmacy
To get 110% of your PFP what ABS% do you have to have for the month?
0%
If you enroll a member into a AT&T plan for 2023, how many days a recommended they wait before submitting a 2024 plan application?
7 Days
Today is 01/01/2023. Your Duke member has already enrolled into the Plan 2 but wants to change to the Plan 1. When would they be able to do this?
11/17/2024
Your member stated they tend to go to the Saint Lukes around the corner, what must you do on your call?
Verify the Hospitals Network Status
Where can you find a calculator to get an estimate of your PFP bonus?
Everise Sharepoint
If an AT&T member is wanting to cancel an opt out request what should you do?
Complete a Telephonic Enrollment
What 5 types of people are not Eligible for the Duke Energy Retiree plans?
Pre-65 Retiree
Pre-65 Spouse
Pre-65 Child
Pre-65 Domestic Partner
Pre-65 Common Law
What are 5 Utilization Managment's?
Quantity Limit QL
Prior Authorization PA
Step Therapy ST
7 Day limits 7D
Dispensing Limits DL
Who was the Employee of the month for October?
Christopher Goodwin
If an AT&T retiree chooses not to enroll into the Group MAPD plan for 2024, can their spouse enroll into the plan if they are in the eligibility source?
Yes
What Tiers does the Duke Energy RX deductible Apply to?
3-5
What are three Categories of Behaviors listed in the QA job aid that QA looks for in regard to member experience.
Professionalism
Communication
Active Listening
Who won the Survey votes for 11/20?
Corina Guzman
How much in Pension must a retiree receive in order to pay their premiums with their pension benefits?
$400 or more
Who do Duke Energy Retirees pay their premium to?
UHC
If you have a provider for a NPPO plan that is out of network, and not showing in the historical what Job Aid must you reference in regard to claims?
Group NPPO Product Job Aid
What "Spell" did Ari Joffe cast in his Surveys and Dragons post yesterday 11/22.
Surveyus Disconnectus