Benefits
Surveys
Gaps
Diamond
Ruby
100

What company is used for the Hearing Benefit?

TruHearing

100

What are the 2 different surveys you will fill out for members?

Goodness Reward survey and HRA survey

100

What does CBP stand for?

Controlling Blood Pressure

100

What is the copay for a routine eye exam?

0$

100

What does a preventative dental service include?

1 oral exam, 1 cleaning and 1 dental x-ray every 6 months. Panoramic x-ray every 5 years. 

200

What company does the Dental Service Benefit use?

Concordia

200

Are disclosures required to be read verbatim?

Yes

200

What does AWV stand for?

Annual Wellness Visit

200

Who is the delegated vendor for the healthy food and utility support benefit?

Solutran

200

How many trips are allowed with the transportation benefit?

30 one-way trips.

300

How do members access the home and bathroom safety benefit?

Case Management

300

Which survey is longer?

HRA survey

300

What does A1C stand for?

Diabetic sugar level test

300

How many batteries per hearing aid per year does the benefit cover?

80 batteries per hearing aid per year. With an additional box of 120 per year.

300
What is the allowance per month for the food and utility benefit?


$35

400

What is the 24/7 nurse line number?

1-855-805-9420 (711 TTY)

400

Which survey has more sensitive information?

HRA survey

400

What does COL stand for?

Colorectal screening

400

How many personal emergency response devices are allowed per year?

1 device per lifetime

400

How many bathroom safety devices will the member receive per year?

2

500

How many hours in advance are members required to schedule a trip for the transportation benefit?

72 hours

500

What info should you place on a sticky note to make inputting info easier?

Members name, DOB, Member ID number, Phone number

500

What does DRE stand for?

Diabetic Retinal Eye Exam

500

What is the comprehensive allowance per year allowed for dental?

$8,000

500

What is the allowance per quarter for the OTC (over the counter) benefit?

$140

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