SEP
LIS SEP can only be used for member who..
..are switching from one PDP plan to another
Please state your call opening.
Nice
What document should we present the plan from?
SOB
The Medicaid/ Extra Help SEP are only for members in what states?
FL, KY, NJ and VA
Please state your R&C statement for member who wants to change plan due to move.
Great job!
Name the 4 elements of proper hold procedures. Hint: ARTT
Ask, Reason, Time and Thank them
If the member moved in 12/1/2024, what date would you note on the application?
Todays date/ the date they notified us of the move.
Please state the SOA
Great!
What are the two requirements to enroll in an advantage plan?
Part A and Part B
Exceptional Circumstances SEP is determined by..
CMS
What is the required needs question?
Question about budget.
True or False: If you are NRTS you can still go to Aetnamedicare.com to advise of plan options.
False
Loss of MAPD and Part B, the caller is eligible for what plan type?
PDP
Give me 3 needs questions.
Good job!
We use Think Agent to...
Check Medicaid ID number