Dispositions
Rebuttals
Medicare
Tricare/ChampVA
Compliance
100

The line disconnects and you don’t hear anything from the other end.

Dead Air

100

We are not Medicare, or affiliated with the government. We are here to help see what additional benefits you may qualify for.

Are you Medicare? OR Is this through the government?

100

What is the Medicare phone number?

1-800-MEDICARE (1-800-633-4227)

100

What is Champ VA? 

It is designed for the dependents of disabled veterans or those who died in service, and it provides a level of secondary coverage for those individuals.

100

Are agents required to state their full name when introducing themselves at the beginning of a call?

No, first name only. 

(NO USA) 

200

You can hear a dog barking or people talking, but the consumer doesn’t respond

Background Noise

200

We work with the supplement side to Medicare, and we are not a scam. I work with Senior Benefits, and this is for the additional value-added benefits you may be able to qualify for.

Is this a scam?

200

What is Medicaid?

Medicaid is a government program that provides free or low-cost health coverage to people with low income or certain disabilities.

200

What is Tricare? 

Primarily for active-duty service members, retirees, and their families, offering comprehensive health insurance, including dental and pharmacy benefits.

200

Are you required to sound upbeat & energetic on each and every call?

Yes!

300

You try two transfers, but no one picks up and the consumer hangs up.

Transfer No Answer

300

I don’t have that information, but a licensed agent can go over everything with you and let you know exactly what you’re eligible for. No changes will be made without your permission.

Are you going to change what I currently have?

300

What is Medicare Part A & B? 

Part A- Hospital, Part B- Medical

300

If the consumer receives regular VA Benefits, can we move forward?

YES!

300

What must be disclosed at the beginning of a call for compliance purposes?

This call is being recorded....

400

You begin the transfer, but the consumer hangs up before it completes.

Transfer Prospect Hung Up

400

Our calls are recorded for training and quality purposes only.

Why is this call being recorded?

400

How would you respond to: 

I have Medicare Part C - (Medicare Advantage) 

Proper Response: 

Oh ok, so just to confirm you do receive Medicare part's A & B? 

400

What are we required to say to someone who served in the military?

Thank you for your service! 

400

What type of responses would need further clarification?

Maybe, I'm not sure, I think so & I guess. 

500

The consumer cannot speak English and is asking for a translator in another language, like Russian or French

Language Barrier

500

I understand, however I wouldn’t want you to miss out on the possible value-added benefits such as transportation, groceries, and out-of-pocket expenses. I just need to ask you a few quick questions to see if you qualify.

I’m not interested.

500

How do you respond to someone who states I have Medicare Part C?

Oh ok, you have a medicare advantage plan. 

500

A consumer does not know if they have Tricare or ChampVA, how would we figure this out? 

Ask clarifying questions! 

Ex: Are you the spouse or child of a deceased or fully disabled service member. (Likely Champ Va)

Ex: Are you a military retiree? (Likely Tricare)

500

If someone is calling on behalf of the consumer, are there any specific steps we need to take to remain compliant?

Yes, if it is anyone OTHER than the spouse they must have Power of Attorney (POA) or legal authorization to make decisions on the consumer's behalf.

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