Medicare
Member Retention
Medicare Part 2
Outbound calls
Miscellaneous
100

Call is silent on the other end. 

What is Hung Up

100

Member calls in wanting to know why we had called.  Has no questions and received all material. Agent verified information and plan (026) Not interested in attending webinar. 

What is Plan Renewal - HMO 

100

I'm calling to check on my order? Is this Banggoods?

What is Wrong Number 

100

Outbound call on Member Retention - you connect with the intended member, verify information (they are on the 015) , and go through the script with no questions. At the end of the call, the member would like to sign up for member only webinar. 

What is Plan Renewal - HMO plus RSVP

100

You have a callback put you into pause. You dial (first time calling back) and leave a voicemail

What is callback requested

200

Transfer for Member services - wants to know more about DNSP plan - T65 April.  Currently has Medicaid plan. Agent collects demographics verifying county. Prospect has Medicare and Medicaid. Agent recommends contacting SSA to find out what Medicaid covers. 

What is Government coverage
200

Member calls back in wanting to know why an agent called him and has one question about a claim. 

What is Transfer to Member Services

200

Caller calls in for a specific agent but after checking with management, that agent is unavailable. Caller requests to be have them return their call.  

What is callback requested?

200

Member Retention OB call - Member is currently at Walmart and would like a callback . 

What is Not home 

200

Are you the right person to answer questions about Prescription drug benefits for the HAP Senior Plus Option 2 PPO?

What is CMS Test Call

300

Caller got something in the Mail asking for her to call to get information about our Medicare Plans. Caller has Aetna Right now and will be T65 in July. Agent sends Medicare made simple and Medicare planning guide. In the middle of SOA caller says he just wants information to be sent and they'll call back if they want more information. 

What is Mail Kit 2021

300

Call comes in a goes straight to "wrap up"

What is Hung Up

300

Member had called in after receiving member retention call. Has no questions and had already received their materials. Agent informed member of webinars but member was not interested.

What is Member question

300

Member Retention OB call - spouse picks up and informs you that the Member has died. 

What is Deceased

300

This is Patty calling to test the line 

What is Test call

400

Caller is calling for their FREE MMS Guide. T65 October. Caller asks where the agent is located since the brochure shows Ohio. Agent tell her she is in the HAP call center. The caller push's further and ask where agent is located again. Agent states they are in Indiana. Caller does not want to give Email for quick quote.

What is Not ready 6 months

400

Member is about to have breakfast and wants us to call them back later

What is callback requested 

400

Prospects are in AZ and are planning to Move to MI and needs to find some Doctors in the area where they are moving and a new plan. Agent gathers demographics and send a quick quote of a recommended plan based on their needs. Callers are a bit confused and think they are calling BCBS Agent professionally lets them know we are HAP or Health Alliance Plan. They are still interested but wanted to check what BCBS might have in the area.

What is Quick Quote

400

You have a callback put you into pause - Prospect is still wanting to shop around before  T65 in April. Agent reviews plan information and recommends setting up a meeting with local agent. Agent reads SOA and connects local agent with prospect. 

What is Agent Connect

400

Prospect is wanting our HMO plan because of the travel benefit. Prospect has Medicare A and B and no Medicaid. Agent verified demographics. Lives in FL and not planning on moving to Michigan. 

What is Out of Area

500

Caller is T 65 in over 1 year and wants info on Medicare and our plans to be as prepared as possible for when they age in. Agent sends Medicare Made Simple and signs the caller up for a Medicare 101 webinar. Caller asks about doctors and prescriptions. Agent reviews travel benefits.

What is RSVP

500

You connect with member and verify demographics and plan (004). You go through the script and after verifying doctors and prescriptions there are no further question. While offering to sign up for a webinar the member expressed they would rather sign up themselves after looking at all the options. Agent gives web address and highlights the "How to make the most of your benefits webinar". Agent closes properly

What is Plan Renewal - PPO Plus RSVP

500

Transfer from MS member: caller wants to reenroll, member plan ended 2/28/2021. Caller switched to Wellcare thinking they will save money in January using OEP. Agent asked all our SEP questions and did not find another election period. 

HAP Ineligible No SEP

500

Call goes to member's voicemail and you leave a message 

What is Left message - machine

500

Bonjour! French Please. No English

What is CMS Test Call

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