Wellness Part 1
Is our hearing benefit the same on all our street MAPD plans?
Yes
Do members need to “opt in” for the rewards program?
No
Can we send out mailing materials from Mira?
Yes
What is considered a passing score for automated quality?
90%
Are medical benefits the same on Sups from one company to another?
yes
How many gyms can a member get a membership at using renew active?
The limited doesn't exist
How many different “tiers” does the OTC benefit have?
3
Where is the Medicare eligibility check located?
In the opportunity in the eligibility check stage
What is considered a passing score for Accuracy evaluations?
96%
What is the tobacco surcharge amount on UHC Med Sup plans?
10%
Does the home support service cover both light cleaning and cooking?
No
For the transportation benefit what is the standard milage amount allowed per one way trips?
50 miles
To launch shopper profile you need to be in which tab?
Plans Tab
For accuracy evaluations how many points are low and high errors worth?
Low are worth 2 and high are worth 6
Name 3 of the 5 discounts that member can received while on a Med Sup from UHC
Early enrollment discount, Annual payer discount, Monthly EFT discount, Monthly Insured discount, Household Discount
With the nurse line you have access to interpreters for how many languages?
140 different languages
What brand does UHC partner with for personal emergency response systems?
Philips
What is the difference in mira when setting a normal appointment vs a TS advisor appoint?
There is a check box that you have to select to make the appointment go to the advisor team
What is the difference between XM Discover quality and Qfiniti evaluations?
XM is automated and done by a computer vs Qfiniti evaluations are from when a person listens to your call
If a consumer Medicare started on or after January 1, 2020 what plans will not be available?
Plan C & F
When can a consumer/member enroll into a dental rider?
When first signing up for the plan, first 3 months when on the plan, and during AEP for the next year
Do all states use the same provider search for Chiropractic and acupuncture provides? If no state what state(s) are different?
No and California
What is REQUIRED information needed to build a lead?
First and Last name, DOB, Phone #, State, Zip code
What are 3 examples of high point errors if you release this information before getting HIPAA?
DOB, Medicare/Medicaid #, Medications on file, Medical conditions on file
What are the 3 waiver states that created their own Med Sup plans?
Minnesota, Wisconsin, & Massachusetts