TOOLS
THIS DOCUMENT IS MAILED OUT YEARLY BY OCTOBER 1ST AND IS USED TO SHOW 2024 CHANGES FOR THE MEMBERS CURRENT PLAN
WHAT IS THE ANNUAL NOTICE OF CHANGE (ANOC)
WHAT IS LOW INCOME SUBSIDY (LIS)
THIS DOCUMENT HAS A VARIETY OF TALKING POINTS FOR OUR ADVOCATES TO USE TO ASNWER OUR MEMBERS QUESTIONS
WHAT IS MEDICARE AEP FAQ
ALL DSNP PLANS WITH THIS WILL BENEFIT WILL HAVE A MONTHLY ROLL-OVER IN 2024
WHAT IS HEALTHY OPTIONS ALLOWANCE
ADVOCATES SHOULD ALWAYS REVIEW WHAT PRIOR TO TRANSFERRING TO DMS
WHAT IS CURRENT PLAN CHANGES/2024 BENEFITS
THIS TOOL IS USED TO VIEW PAST, CURRENT, OR FUTURE EFFECTVIE PLAN BENEFITS AND IS REQUIRED TO BE USED ON EVERY AEP CALL
WHAT IS DEBUT
WHAT IS NON FORMULARY
THE INFORMATION IN THIS DOCUMENT OUTLINES BENEFITS THAT ARE NEW OR CHANGING ON VARIOUS PLANS FOR THE UPCOMING PLAN YEAR
WHAT IS WHATS NEW IN 2024
MOMS MEALS AND MEALS ON WHEELS WILL NO LONGER BE OFFERED IN 2024. INSTEAD HUMANA WILL CHANGE TO USE THIS VENDOR.
WHAT IS NATIONSMARKET
OCTOBER 15TH THROUGH DECEMBER 7TH ARE THE TIMEFRAMES FOR THIS BUSY TIME OF THE YEAR
WHAT IS ANNUAL ELECTION PERIOD (AEP)
THIS TOOL IS USED IN DEBUT TO COMPARE ALL 2023 AND 2024 BENEFITS
ADOVCATES CAN USE THIS SYSTEM WHEN A MEMBER WANTS TO INITIATE A PRIOR AUTHORIZATION
WHAT IS PROMPTPA
YOU MUST FOLLOW THIS DOCUMENT WHEN RECIEVING ALL AEP CALLS
WHAT IS AEP CALL FLOW MEDICARE
MEMBERS WILL RECIEVE AN ADDITIONAL $50.00 TO THEIR VISION ALLOWANCE IF THEY USE THIS PROVIDER TYPE
WHAT IS PLUS
THIS SHOULD BE GIVEN TO THE MEMBER ON EVERY AEP CALL SO THEY DO NOT MISS THE DEADLINE.
WHAT IS AEP TIMEFRAMES
ONLY USED DURING ENROLLMENT AND AEP THIS TOOL WILL SHOW DRUG PRICES FOR 2024
WHAT IS RX CALCULATOR
THE EMME CODE FOR DRUGS NO LONGER COVERED
WHAT IS MP0444
THIS DOCUMENT IS USED WHEN THE MEMBER WANTS TO LEARN MORE ABOUT THE MEDICAL BENEFITS DESCRIBED IN A LETTER THEY RECIEVE
WHAT IS COMMUNICATIONS FOR MEDICARE AEP
THIS POPULAR GYM BENEFIT WILL BE DISCONTINUED IN 2024
WHAT IS SILVERSNEAKERS
THIS PROBING QUESTION SHOULD BE ASKED TO EVERY MEMBER WHEN YOU ARE HELPING THEM TO REVIEW THEIR ANOC
WHAT IS WHAT BENEFITS ARE MOST IMPORTANT TO YOU/WHAT BENEFITS DO YOU USE THE MOST
YOU CAN FIND LETTERS THAT HAVE BEEN MAILED REGARDING LIS RIDER AND THE DRUG LIST UNDER THIS IN CRM LIGHTENING
WHAT IS 6
THIS DOCUMENT IS USED EVERYTIME A MEMBERS CALLS IN AND STATES THEY HAVE A QUESTION ABOUT THEIR ANNUAL NOTICE OF CHANGE
WHAT IS ANNUAL NOTICE OF CHANGES CALLS
WHEN A MEMBER CALLS IN DISSATISFIED WITH THEIR 2024 CHANGES THIS MUST BE FILED
WHAT IS A GRIEVANCE
THIS BENEFIT SHOULD ONLY BE QUOTED OR COMPARED BY THE THE APPROPIATE TEAM
WHAT IS DENTAL