Prescription Advantage
One of the benefits of being a PA member is this type of assistance
What is copay assistance for prescriptions?
Medicare coverage is a State or Federal benefit
What is Federal?
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?
This captures enrollment and eligibility information for Prescription Advantage members
What is BEEs?
This is where a new hire can see important updates and special links from UHealthSolutions
What is SharePoint?
Prescription Advantage is available to residents in this state
What is Massachusetts?
Most US citizens are eligible for Medicare at this age
What is 65?
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?
This system is used to view pharmacy claims and to see if a member has reached the coverage gap/donut hole
What is Conduent? ( also called Xerox, OS+)
These are the 4 benefit stages of a Medicare Part D plan
Deductible, Initial Coverage, Coverage Gap and Catastrophic
This is the name of the client UHealthSolutions supports for Prescription Advantage.
Who is Elder Affairs?
Medicare is available for people under the age of 65 if they are this
What is disabled?
PDP stands for this
What is a Prescription Drug Plan?
This is a system used to document all calls (inbound and outbound) made in the call center
What is CRM?
For Medicare recipients, this is also known as the "Donut Hole?
What is the coverage gap?
SEP stands for what
What is Special Enrollment Period?
Medicare Part A provides this type of insurance coverage
What is Hospital Insurance and skilled nursing care?
This is a list of covered drugs for a particular insurance plan
What is a Formulary?
This is where you clock in & out each day
What is ADP?
This is the amount someone pays monthly (or yearly) for their insurance coverage
What is a premium?
These 2 people are allowed to make demographic changes on a members account
Who are the member or Authorized Representative?
Name the 4 types of Medicare and what each of them help cover
Part A- Hospital, Part B- outpatient, Part C- Medicare Advantage ( bundle) and Part D- prescriptions
CMS stands for this
Center for Medicare and Medicaid Services
This is the name of the call center software used at UHealthSolutions?
What is Avaya?
LIS stands for
What is Low Income Subsidy? Also know as "Extra Help"