NGD
This tool should be used on every call to take notes and requires active listening
What is the dashboard?
This script holds the approved Medicare greeting and an action field for next steps
What is the "Greetings, Disclosure, Closings, and Holds" script?
This type of Medigap policy, offers coverage only if you use in-network hospitals and doctors.
What is a Medicare SELECT policy?
This enrollment period is specifically for current MA or MA-PDP bene's to switch or disenroll
What is the Medicare-Advantage OEP?
This script will help you assist beneficiaries with understanding mail they received.
What is the "Drug Coverage and Medicare Advantage Plan Mailings" ?
This view is used for new beneficiaries
What is the "New to Medicare" view?
Use this script to assist beneficiaries with Medicare savings program information
What is the "Applying for Low-Income Assistance" script?
It is illegal to enroll a beneficiary in Medigap if they have this kind of plan.
What is a Medicare-Advantage Plan?
When using the plan finder to enroll in MA plans, you can only add 5 of these at a time.
What are Pharmacies?
This type of insurance pays after Medicare.
What is Supplemental insurance?
We use this tool to find, compare, and enroll bene's into MA and PDP's.
What is the Launch plan finder tool.
A smaller script within a bigger script is also known as.
What is a subscript?
Medigap policies in these states are standardized differently and separated from "All other states" in scripting.
Where is Massachusetts, Minnesota, and Wisconsin?
This enrollment period allows anyone with Medicare to join, switch, or leave a plan from October 15 to December 7 every year. The effective date will be January 1.
What is the Open Enrollment Period (OEP)?
This is how many Pharmacies can be added to the plan finder at a time
What are 5 pharmacies?
This box may be if a beneficiaries provider suspects abuse of prescribed drugs.
What is the POS Drug Overutilization Flag?
This script lists the enrollment and election periods in hierarchal order for MA and Prescription drug plans
What is the Enrollment Disenrollment Periods Drug Coverage and Medicare Advantage (enrollment disenrollment) script?
As of January 1, 2020, these medigap policies are not available to NEW bene's.
What are Policies C and F, including the high-deductible Policy F?
This is the fixed rate Medicare pays to a Medicare Advantage plan for a beneficiaries care every month.
What is the Capitation rate?
Clicking this allows you to view the difference in cost between generic and name brand drugs in the online enrollment center.
What is "View more Drug Coverage" drop-down?
CSRs should use this to make CMS aware of errors in scripting or learning resources and request updates/changes.
What is user feedback?
If a beneficiary disagrees with a denied claim you would refer to this script.
What is the Medicare Appeals script?
This is the name for the 30-day period in which a bene may temporarily have more than one medigap policy at a time.
What is the "Free-look period" ?
This is a mailing, which your plan sends within 30 days of your enrollment and every year after. This notice informs you of any other payer information that Medicare has on record.
What is the Coordination of Benefits notification?
Beneficiaries enrolled in these types of plans are excluded from ACO's.
What is Medicare-Advantage plans?