Og Medicare
Sep Dive
New Benefits for 2022 Plans
Definitions
Sunfire
100
Whats the yearly limit on what you pay out of pocket?

What is none

100

Institutionalized Individuals leaving a long term care facility?

What is LTC

100

What rewards program has aetna added for most 2022 plans?

What is Gift Cards

100

What is Coinsurance?

What is An amount you may be required to pay as your share of the cost for services after you pay any deductibles

100

Should you use the sunfire dr lookup to confirm drs network status?

What is no

200

If you have Medicaid and Medicare who pays first??

What is Medicare


200

Chronic Condition

What is CHR

200

Has aetna expanded their dental allowance?

What is True

200

What is a deductible?

What is The amount you must pay for health care or prescriptions before Original Medicare, your Medicare Advantage Plan, your Medicare drug plan, or your other insurance begins to pay

200

Why may the premium on a plan for a person who has lis say $0 in sunfire but has a premium when you load up the SOB? 

What is because the SOB is not personalized to each individual it is standard
300

if you have group health plan coverage based on your or a family member’s employment or former employment, and you’re eligible for Medicare because of End-Stage Renal Disease (ESRD)… who pays first?

What is Your group health plan pays first for the first 30 months after you become eligible to enroll in Medicare. Medicare pays first after this 30-month period.

300

Program of All-Inclusive Care for the Elderly

What is PAC

300

What has the mail order day increased to in most plans?

What is 100 days

300

What is a formulary?

What is A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits

300

What piece of information does sunfire provide to save the customers info?

What is Sunfire personal code

400

Are you eligible for a special enrollment period if your COBRA coverage ends?

What is no?

400

Beneficiaries with Medicare due to disability (before age 65) will have a second (7-month period) when they turn 65 to change/enroll in a MAPD or PDP

What is Iep2
400

What three new states have been added to cigna?

What is CT,WA, AND OR

400

What is Medicaid?

A joint federal and state program that helps with medical costs for some people with limited income and (in some cases) resources

400

Who are the sunfire administrators?

What Ted Keough and April Sailor

500

If you have Lou Gehrig's disease when do you automatically get part B?

What is you’ll get Part A and Part B automatically the month your Social Security disability benefits begin 

500

Moved back into the US after permanently residing outside

What is RUS

500

Who has cignas transportation company partnered with to make it easier for their customers to secure transportation to medical appointments, the pharmacy or the dentist

What is Lyft

500

What is a referral?

A written order from your primary care doctor for you to see a specialist or get certain medical services

500

If you refresh sunfire what happens to the information you put in for the customer?

What is everything erased?

M
e
n
u