Medicare
The age you must be to receive Medicare without being disabled.
Age 65
This scoring mechanism has 7 Sections.
If an Agent does not sell this with the MA plan, the customer could get pentalized.
Part D coverage
This SEP allows you to save on your Rx and also enroll into a plan once every quarter for the first three quarters.
LIS
Who is the Director of GoHealth QA
Amber Ro
At age 70, If you retire from your Employer insurance, you are eligible for this.
Medicare Advantage Plan
This is the 5th section of the scorecard
Application and Enrollment Process
Include benefits and services covered under Part A and Part B
Part C Medicare Advantage Plans
Someone must move "blank" then later return to be able to enroll into a SEP.
out of the country
This tool is used to locate/download the scorecard and other useful information
Wiki
This government group oversees Medicare policies.
CMS
This metric requires the agent to verbally state which SEP is being used during enrollment
Provides full Member info
This benefit gives beneficiaries money to go towards vitamins and Advil
OTC
If an accident happens and you end up in a "BLANK", this can give you a SEP.
Hospital
You may receive at least two of these a week
Audit
This is the largest health insurance program in the nation.
Medicaid
30 Day Preferred Rx tiers are required during this metric
QA Plan Benefit Review
This additional benefit allows a beneficiary to meet with a nurse via cellphone
24hr Nurse Hotline
Good Rx and discount cards are not considered "BLANK"
Credible Coverage
This department at GoHealth handles Medicare.
Captive O65
This covers 2 types of services, Medically Necessary and Preventative Services
Medicare Part B
If a customer confirms that they want to enroll in a plan but does not state the confirmation correctly, we mark down on this metric.
Agent receives "yes" instead of "I agree"
This plan is best for members that want low monthly premiums and copays
HMO Plan
Determining what SEP the customer has is usually determined in what metric on the scorecard.
Determined eligibility to enroll.
This is the year GoHealth QA started a training program.
2019