ELIGIBILITY & ENROLLMENT
During this period which runs from Oct 15- Dec 7, eligible persons can enroll with Aetna, switch their current plan or drop their plan
What is Annual Enrollment Period?
This vendor is contracted by Aetna to provide members with hearing exam services as well as hearing aids.
What is NationsHearing?
This is where you look to find out what services were provided, the diagnosis and what benefits were used.
What is claim lines ?
These are used along with the Subject and Sub-Reason fields to categorize call types and to assist the CSR with case documentation.
What are Service Requests?
Known as the "Wickedest City on Earth", this is a 17th-century pirate haven, a wealthy trading port, and a lawless debauchery hotspot that was largely destroyed by a massive earthquake.
What is Port Royal ?
This is a unique 11-character combination of numbers and uppercase letters assigned to you by the federal government. It is printed on your red, white, and blue Medicare card and is used by doctors, hospitals, and plans to check your health coverage and process medical bills
What is the Medicare ID number/MBI?
This is a set dollar amount you pay for a specific medical service at the time you receive it.
What is a copay?
This is the length of time it takes for a claim to be processed and approved.
What is 45 days?
This tab in GPS can be used to located communication sent out to members.
What is the Communications tab?
This is the only national flag in the world that does not contain the colors red, white, or blue.
What is the Jamaican flag?
During this period which runs from Jan 1- Mar 31, members can switch or drop their current plan.
What is Open Enrollment Period (OEP)?
This vendor is contracted by Aetna to provide members with vision care services as well as eyewear.
What is Eyemed?
This is the length of time it takes for a payment to be received after a claim has been processed.
What is 7-14 days ?
This is the hub that holds all systems and other resources
What is Wiki Tool ?
This is the birthplace of National Hero Paul Bogle and the starting point of the 1865 Morant Bay Rebellion.
Where is Stony Gut?
This is a private insurance plan that provides Medicare benefits and may include extra services
What is a Medicare advantage plan/part C?
This is a vendor that Aetna partners with to support who may need help applying or reapplying for programs such as Extra Help.
What is Benelynk?
This is used to locate and see detailed claim information.
What is HRP?
This NextGen system is used for calls and communications that helps with documentation and making the call handling process easier.
What is GPS?
Measuring 92.8 kilometers (57.7 miles) long, this river starts in the Mocho Mountains and empties into the Caribbean Sea at Carlisle Bay and is known as the longest river in Jamaica.
What is the Rio Minho?
This is the amount you pay for insurance coverage each month.
What is a premium ?
This is the specific percentage of a medical bill you pay after you meet your deductible (if applicable).
What is a coinsurance?
This column/line indicates how much the member is required to pay for services rendered.
What is Member Responsibility ?
This application is mostly used to check and locate paper enrollment applications.
What is CWAS?
Considered the largest parish in Jamaica, this parish covers roughly 1, 212 square kilometers on the island's northern coast and is often called the "Garden Parish"
What is St.Ann?