Health Plans
Disclosures
What Plan Am I?
What's the Answer?
NonLicensed
100

What plan has just basic coverage?

What is Classic Essential?

100

Can you skip over the disclosure and continue if a caller says they don't want to hear them?

What is NO!

100

Which plan has a MOOP of $3450

What is Classic Advantage?

100

Why is comparing only the monthly premium an incomplete way to evaluate the plans?

What is Plans differ in MOOP, Deductibles, Service Copays, Drug Coverage, and Supplemental benefits. 
100

What plans can you recommend specifically to a caller?

What is None.

200
Which Plan Has a MOOP of 5700?

What is Classic Complete?

200
When you get to the disclosures you are able to send them out the information for them to confirm rather than reading them?

What is NO, you will have to read them verbatim!

200

Plan that I have to have my own prescription drug coverage with and adds 70 dollars to my ssi check?

What is Heritage?

200

If a member has Tricare or Pace or pacenet are they required to enroll into the heritage? Why?

What is no, they can choose any plan that is their choice that accommodates their needs and has the qualifications to get. 
200

When Starting on the first page of creating an opportunity what are the boxes that individual will have to fill out?

What is Source, Stage, Resolution notes.

300

How Many PPO plans are there for 2027?

what is 3?

300

If the caller chooses a plan with a $0 dollar premium I have the option to skip over the premium disclosure? True or False?

What is False. 
300

Which plan has a deductible for medical?

What is Preferred Balance?
300
What is LIS?

The Low‑Income Subsidy (LIS), also called “Extra Help,” is a Medicare Part D program that helps people with limited income and resources pay prescription drug costs—including premiums, deductibles, and copays. I

300

When Logging a call what is the quick tab option that you will choose during outbound?

What is Outbound Retention.
400

In order for a caller to enroll into Secure Rx plan all they would need is Medicare part A and B and Medicaid only. True or False?

What is False?

400

In the disclosures If i read all the information and the caller says they want you to read it again slower do you have to read it again?

What is Yes. 

400

Which plan type should prompt a closer discussion of access to out-of-network Medicare providers?

What is PPO?

400

Part A and B covers ?

What is Medicare Part A covers inpatient hospital care, skilled nursing facility care, hospice care, and some home health services. Medicare Part B covers outpatient services, including doctor visits, preventive services, durable medical equipment, physical, occupational, and speech therapy, and other outpatient care. 

400

When doing an opportunity what should you post in chatter?

What is Copy resolution notes and paste them into chatter!

500
What plans can a caller enroll into that would allow them to use in network Drs?

What is ALL PLANS. 

500

In the Disclosure about the premiums what is the Part D Irma that they mention?

A Part D IRMAA is an extra monthly surcharge added to your Medicare Part D drug plan premium when your income exceeds the IRMAA thresholds 

500

Which listed plan has a $25 insulin cap?

What is Value Rx?

500

Geisinger partners with Bird Song offering what?

What is Geisinger partners with Birdsong for hearing aids. 
500

When doing outbound before you even begin what do you have to state?

What is this call may be monitor or recorded for quality assurance?

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