Diamond/Plans
Part D
Benefits/Extras
Premium Billing
Misc.
100
What is the exact order to access F4 Notes?
F4, Enter 3x, Arrow to Note, press enter, press end
100
How much is the initial coverage for Part D in 2010?
$2830
100
How much can a member receive for eyeglasses per calendar year?
Up to $150
100
What screen do you go to when a member inquires about their PB balance?
PBLGR
100
What screen do you go to if you wanted to print up a member's Premium Bill?
Baby Metavante
200
How do you check a member's previous eligibility?
F6 E
200
How many days are copays based on?
30 days
200
What is the copay for an Inpatient stay for a member on the HMO basic plan?
$200 per day for days 1-10
200
If a group member calls about their premium, what screen do you go to?
Group
200
What is the OOP Max for the HMO Basic, Value and Prime Plans?
$3400
300
What is the plan(s) in 2011 that can select the Rx Plus plan.
HMO Prime
300
How much is the initial coverage in 2011?
$2840
300
What is the hearing aid benefit for a GIC member
$1700 every 2 years
300
What are the 3 options a member has to pay their premiums?
EFT, SSA and Direct
300
What is the name of the mail order company that TMP uses?
Caremark
400
What are the Individual PDP plans in 2011
Enhanced and Standard
400
In PeopleSafe what tab do you press to find the Initial Coverage and TROOP info?
Account Balance
400
What must an HMO member receive to get a diagnostic test such as X Rays
Work Order
400
What day of the month are premiums due by?
15th
400
What are the two types of grievances?
Clinical and Administrative
500
What are the Individual Med Supp Plans in 2010
None in 2010
500
What two types of drugs are members covered for regardless of the drug plan they are on?
Immunosuppressants and Medicare Mandated
500
What is the EXACT chiropractic benefit?
Manual manipulation of the spine to correct subluxation
500
If a member is deceased and they are owed a refund who is the refund sent to?
The estate of
500
If you see a code in the 600's in PBLGR what does it mean and does it impact the member's balance.
Cleanup/No
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