Prescription Advantage
Medicare
Insurance Vocabulary
Systems
Wild Card
100

One of the benefits of being a PA member is this type of assistance

What is copay assistance for prescriptions?

100

Medicare coverage is a State or Federal benefit

What is Federal?

100

This is what a member pays when they receive their prescription at the pharmacy or mail order. The amount is determined by their insurance plan and is a type of cost sharing.

What is a copay?

100
This captures enrollment and eligibility information for Prescription Advantage members
What is BEEs?
100
This is where a new hire can see important updates and special links from UHealthSolutions
What is SharePoint?
200

Prescription Advantage is available to residents in this state

What is Massachusetts?

200

Most US citizens are eligible for Medicare at this age

What is 65?

200

This is the amount paid by a member towards covered benefit costs PRIOR to gaining access to covered benefits. Most insurance plans include one of these.

What is a deductible?

200
This system is used to view pharmacy claims and to see if a member has reached the coverage gap
What is Xerox?
200

These are the 4 benefit stages of a Part D plan

Deductible, Initial Coverage, Coverage Gap and Catastrophic

300

This is the name of the client UHealthSolutions supports for Prescription Advantage.

Who is Elder Affairs?

300

Medicare is available for people under the age of 65 if they are this

What is disabled?

300

PDP

What is a Prescription Drug Plan?

300
This is a system used to document all calls (inbound and outbound) made in the call center
What is CRM?
300

For Medicare recipients, this is also known as the "Donut Hole?

What is the coverage gap?

400

SEP stands for what

What is Special Enrollment Period?

400

Medicare Part A provides this type of insurance coverage

What is Hospital Insurance and skilled nursing care?

400

This is a list of covered drugs for a particular insurance plan

What is a Formulary?

400
This is where you clock in & out each day
What is ADP?
400

This is the amount someone pays monthly (or yearly) for their insurance coverage

What is a premium?

500

These 2 people are allowed to make demographic changes on a members account

Who are the member or Authorized Representative?

500

Name the 4 types of Medicare and what each of them help cover

Part A, Part B, Part C and Part D

500

CMS stands for this

Center for Medicare and Medicaid Services

500

This is the name of the call center software used at UHealthSolutions?

What is MITEL?

500

LIS stands for

What is Low Income Subsidy?

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