Part D
plan's list of covered drugs
What is Formulary
This part of Medicare is known as Medicare Advantage
What is Part C
This platform is used during training to access resources, agendas and other training materials.
What is JARVIS?
In consultative selling, you act ore like this than a traditional seller
What is coach?
During the opening, these pieces of information are obtained to verify the consumer.
What is HIPPA? (Name, DOB, and Medicare number)
This type of Part D plan adds RX coverage to Original Medicare
What is PDP?
Medicare Advantage combines these two parts of original Medicare
What are Part A and Part B?
This resource provides the trainer with guidance, activities, talking points, and information needed to facilitate training.
What is the Facilitator's Guide (FG)?
This is the first step of the 5-step consultative selling process.
What is Research?
After gathering the consumer's information, this is the next major step in the call flow.
What is Check Eligibility?
This rule requires a plan to approve a drug before coverage is provided
What is Prior Authorization (PA)?
Medicare Advantage plans are offered and administered by these types of companies.
What are private insurance companies
TRUE or FALSE: JARVIS is the platform used to process a member's Medicare benefits.
FALSE
A member says, "I don't really understand my benefits." Instead of immediately telling them what plan to choose, you should first do this.
What is ask questions to understand their needs?
Name TWO areas you should explore when assessing a consumer's needs.
What is knowledge, what's important, current plan, cost considerations, and/or drug coverage?
This utilization management rule requires a member to try one drug before another will be covered
What is step Therapy (ST)?
These Medicare Advantage plans are design for people with specific qualifying needs, such as chronic conditions or dual eligibility.
What are Special Needs Plans (SNP)?
This tool can be used to present training content and information to the class
what is PowerPoint?
After understanding the consumer's needs, this step involves providing information or education.
What is Inform or Educate?
A consumer tells you they have diabetes, but you're not trained to sell SNP plans. What should you do?
What is transfer the consumer to an SNP/LIS - trained agent?
Going 63 or more consecutive days without creditable RX coverage after becoming eligible for Part D may result in this
What is the Late Penalty (LEP)?
A member wants a Medicare Advantage plan specifically designed around a qualifying chronic condition. What type of plan should you think about?
What are Chronic (C-SNP)?
When you need to verify official Medicare information rather than relying on a training resource, these are two authoritative government websites you can reference.
What are Medicare.gov and CMS.gov?
A member tells you their current plan isn't meeting their needs. What approach should you take before recommending a solution?
What is explore their needs, concerns, and priorities?
A consumer says, "I don't know what I want in a health plan." What should you do before presenting a solution?
What is ask questions and listen to understand their needs?