Market Disruptors
"What did your pharmacy tell you?"
"What do you know about your insurance benefits?"
"What is your understanding of how the savings card works?"
What are Clarifying Questions?
A program administered by 3rd party vendors for commercial insurance plans that requires the patient to 1st apply to the manufacturer's Patient Assistance Program (myAbbvieAssist) as a condition of, requirement for or prerequisite to insurance coverage
What is an Alternate Funding Program?
Will now be conveniently located at the top of each page
What is the Search Bar?
Must be completed within one (1) business day of distribution.
What is Initial Outreach?
The period of time during which an individual may enroll in (or change) their selection of a health insurance plan
What is Open Enrollment?
The insurance company will accept the assistance of the Manufacturer’s Savings Card, but these funds will not apply to the patient’s deductible
What is an Accumulator?
May run a BV & help patient obtain financial assistance
What is the Insurance Specialist?
The items on the Utility Bar were previously located on the now retired Side Bar (Name 1 of the 4)
What are Links, Resources & Reports?
Links (AERT, TIM, CCD)
Resources (AbbVie Patient Outreach site, LMS, Training Content Questions, SMS Opt-in)
Reports (All patients assignments this week)
PEI 2A with Activity Type: Education must include this Activity Sub-type.
What is Daily Treatment Routine Education?
A process used by some health insurance companies to determine if they will cover a prescribed medication, procedure or service
What is a Prior Authorization?
These Programs are designed to leverage the maximum benefit available through the savings card. They claim to cover cost at 100% once the savings card is exhausted
What is Copay Maximizer (or Maximizer)?
An assistance program provided by AbbVie
What is myAbbvieAssist?
Used to be "New to Drug Education" for Activity Type
What is Education?
This must be done & documented within 10 business days of the initial engagement to meet PEI 2C
What is a virtual interaction?
A list of medications approved for coverage by the insurance company
What is Formulary?
The patient pays $0 for the medication for the entire year, the savings card is fully depleted over the year, and no funds wend toward the deductible
What is a Maximizer?
Charitable organization providing financial assistance
What is an Independent Charitable/Copay Foundation (ICF)?
A resource for On-Demand learning located on the Tabs Bar
What is ACTfirst?
FaceTime & Zoom
What are Virtual Delivery Channels
The amount you will have to pay for your healthcare costs before your insurance starts to pay for your care
What is the Deductible?
Patient faces Co-pay Surprise when the co-pay card is exhausted
What is an Accumulator?
The area where we can see if a BV has been run or if the patient has an activated Savings Card
What is the CCD?
No enhancements have been made to this tab. It looks & functions the same as it did in iEngage Classic
What is the My Accounts tab?
A Progress Check must include this & be done between 75-180 calendar days after therapy start.
What is a PRA?
The most a person will have to pay per year for covered healthcare services
What is the Maximum Out of Pocket?