Navigator
The members Phone # is under the _________ tab in navigator?
what is the Details tab
AEP stands for
what is Annual Election Period
An Appeal is a member right to have a decision changed
what is True
Medicare part D covers?
Prescriptions
Reimbursement of overpayment for monthly premiums for termed members or by request of a beneficiary
what is a Refund
The PCP/ Specialist copay is under the _________ tab in navigator?
what is the Plan/Cobra tab
what does ANOC stand for
Annual Notice of Change
Payments are considered late after the 5th of the month.
False (they are considered late after the 10th of the month)
Daily Double
Medicare part C covers?
what is Advantage plans
Program designed to help Medicare beneficiaries with limited income and resources pay for their co-pays, deductibles and/or premiums
What is LIS
The light bulb is under the _________ tab in navigator?
What is the Summary tab
Daily Double
what does DME stand for
what is Durable Medical Equipment
Category identifies the type of issue that is being reported
what is True
Medicare part A covers
what is Hospitals
If a member calls in with a complaint or a dispute the rep is suppose to file a
What is a Grievance
The broker/ Agent name is under the _________ tab in navigator?
what is the Emp group tab
What does DOD stand for
what is Date of Death
A premium is an amount you may be required to pay as your share of the cost for a prescription drug or dr visit.
False (the answer is a copayment)
daily double
medicare part B covers
what is medical
Placing of a customer’s record in an active status after having been suspended, cancelled, expired, or otherwise inactivated
What is Reinstatement
Daily Double
The PB adjusted amount is under the _________ tab in navigator?
what is the medicare tab
What Does EFT stand for
what is Electronic Funds Transfer
Designated Representative is anyone designated by the member to discuss the account
True
Hospices is covered by
what is Original Medicare
What does POA stand for
Power Of Attorney