MEDICAID
Beneficiaries with Medicaid cannot enroll in this type of plan
Medicare Supplement Plan
This type of plan is for beneficiaries with both Medicare & Medicaid
DSNP
This is a common name for LIS
Extra Help
Used for Humana DSNP verification
Emdeon Chat in ASC (Agent Sale Center)
In this section you - State your name, GoMedicare, Client Name & purpose of the call
Introduction
This is the South Carolina Medicaid state program name
Healthy Connections
This client lives in a long term care facility
ISNP (Institutional Special Needs Plan)
This is where you send LIS referrals
ZenDesk
This is where you find the lead ID#
Broker Office
This is the most important step of the call flow
Needs Analysis
These are the 4 categories of Medicaid for individuals with Medicare covered in training
QMB, SLMB, QI & QDWI
This client has COPD
CSNP (Chronic Special Needs Plan)
What is level 1 copays
Jory's Pride & Joy
Reference Guide
This is where the agent -
Gives info or benefit
Customer hears benefit
Clarify what they heard
Reestablish value
The Square
This is the highest level of Medicaid
FBDE OR QMB+
This plan offers a once per year SEP
CSNP (Chronic Special needs Plan)_
This is a state run assistance program for RX
SPAP
Plan Name, Premium, Deductibles, PCP & Specialist Copays, Hospital & ER Copays Drug Tiers
Baseline Benefits
This Medicaid program has a monthly deductible
Spend Down Program
This carrier requires verification code for their DSNP application
Anthem
This is the name of the New York SPAP
Epic
This is where you find recorded carrier disclaimers
Five9 Select Audio File
This statement must be read verbatim on every call
Medicare Disclaimer