Prime
Phone number to the BMA Prime Customer Care line
What is 844-549-1857?
Phone number to the BMA Plus Customer Care line if you are not a member.
What is 844-556-7685?
Benefit year for members with a Medicare plan.
What is January 1st - December 31st?
System used to pull members invoices.
What is Premium Billing?
Banner Medicare RX PDP Plans
What is Banner Medicare Simple Rx PDP, Banner Medicare Classic Rx PDP, and Banner Medicare Premier Rx PDP?
Drug Star Rating for Banner Medicare Advantage Prime.
What is 4 stars?
Counties serviced by this plan.
What is Maricopa, Pima, Pinal, Santa Cruz, and Yuma?
What is Annual Enrollment Period? AEP
Ways members can make a payment for their plan.
What are mail in, auto deducted from SS, or withdrawn from their bank accounts?
Allows participating Part D plans to offer a broad set of Select Insulins at a maximum $35 copayment for a one-month supply throughout the initial coverage and coverage gap stages of Part D drug coverage.
What is Part D Senior Savings Model?
Member's must continue to pay this to the federal government unless paid for by another party.
What is Part B Premium and LEP?
Member's do not need this when seeing in network or out of network providers.
What is a referral from their pcp?
Department member's would contact to enroll with any Banner Medicare plan.
What is Bloom?
Start of autopay through SSI
What is 60 days from the date of initial request?
Simple: $39.10
Classis: $47.60
Premier: $87.60
What is the monthly plan premium?
*Double Jeopardy* $25 OTC reward for annual completion during plan benefit year.
What is Colorectal Cancer Screening, Breast Cancer Screening, Dial into Diabetes & Annual Wellness Exam?
Emergency coverage outside of the United States.
What is Worldwide Emergency Care?
Member's who qualify would receive Medicaid assistance for Medicare premiums, deductibles, coinsurance and possible copayments. (Excluding Part D)
*DOUBLE JEOPARDY*
What is Qualified Medicare Beneficiary? QMB
1% for every month the member did not have coverage.
What is Part D Late Enrollment Penalty?
Simple: During this stage, you pay the full cost of all your drugs.
Classic: During this stage, you pay the full cost of your Tier 3, 4 and 5 drugs.
Premier: No stage
What is the Deductible stage?
Maricopa & Pinal $0 copayment per visit // Pima & Santa Cruz $20 copayment per visit // Yuma $0 copayment per visit
What is amount a member must pay for seeing a specialist provider?
Maricopa & Pinal Pima & Santa Cruz Yuma In-Network: $30 copayment per visit Out-of-Network: $70 copayment per visit
What is amount members must pay when seeing a specialist provider?
The time Medicare Reps should always say YES!
What is Medicare Test Call?
Submit ticket, TEAMS chat specific reps and include BMA Sups.
What is urgent finance protocol?
*Double Jeopardy* Not available for mail order or long-term supply.
What is Tier 5 Specialty Tier?