My Advocate
Members on a fixed income might have difficulty paying what?
What is Prescriptions/Premiums/Co-insurance (one of these we will take)
What are the three positions in the Eligibility and Enrollment department?
What is Advocates, Eligibility Counselors & Case Coordinators
Individuals under the age of ____ and receiving SSDI or RR disability for 24 months may enroll in Medicare.
What is 65
MMS is a software system used by the Advocate to _____ for members.
what is Search
What does MSP, LIS and CL stand for?
What is Medicare Savings Program, Low Income Subside, Community Link
Members may not realize they qualify for a Medicare Savings Program because they are not aware programs exist, they do not understand the application process and because?
What is Do not believe they qualify or have been denied in the past
The initial screen of calls and the person who creates the case file to Medicare beneficiaries.
What is Advocates
Medicare part A is funded by a ______
What is payroll tax
When conducting name search use the _____ match checkbox to your advantage.
The three healthcare plan clients of Change Healthcare
What is Selected Health, United Healthcare, and Kaiser Permanente
The Advocate indicates a call to a Medicare beneficiary for purposes of screening for eligibility for enrollment in what program?
What is Medicare Savings Programs (MSP)
What program is known as MAP?
What is Medicare Advantage Plan
What part of Medicare is covered by private insurance companies?
What is Medicare part D
(DAILY DOUBLE!) ______ help us foresee the possible direction of a call before even dialing a member. Every _______ is affected differently by them.
What is Billing Flags and Department
As a trusted partner what commitment do we make to the member?(name at least 2)
Advocate is calling people 65 or older, people under 65 with certain disabilities and what other types of people?
What is People of any age with End-Stage Renal Disease (ESRD)
What is TRUE
My advocate processes Medicaid applications for a total of ___ states where we service members from various health plans.
What is 10 states
LIS is also known as ________, that helps with ________________ for eligible individuals.
What is Extra Help and Prescription Drug Costs
As a trusted partner what commitment do we make to the health plan?(name at least 2)
What is
Maintain quality operations
Deliver on expectations
Align goals and objectives
Ensure security
compliance
Since the members we work with have opted to use what? they are enrolled in what program? that administer their what? (DOUBLE JEOPARDY!)
What is Part C/ Medicare Advantage Plans (MAP)/ Part A, B, and D benefits.
MAP membership application fee is ______
What is at no cost
________ is for individuals who have low income and are not considered Aged, blind or disabled
What is (MAGI)
LIS provides assistance with the ________, ________, and _________.
What is Premiums, Deductibles and Co-Payments.
What does each letter in C.A.R.E define?(DOUBLE JEOPARDY!)
What is CARE
ADVISE/ADVOCATE
RESPECT
EMPATHIZE