Medicare advantage
When is the Medicare Annual Election Period (AEP)?
10/15 12/7
When is Open Enrollment Period (OEP) for off exchange members?
November 1, 2025 – January 15, 2026
Can i take a copay payment? If so, which system would i use?
no transfer to the pfs department
When going into KAT what will we use to locate the member?
MRN
What one identifier is always required when verifying a member?
first and last name
What is the name of the Medicare enrollment/election period between January 1-March 31st?
MA OEP
What does the acronym KPIF stand for?
Kaiser Permanente Individual & Family
My work cell is Medicare/AID and I have an essential plan. Which system will I process the payment in?
Ipay
To complete the verification process over the phone for kp.org registration, how many total verifiers must be obtained?
4
What does the Advantage Plus 1 plan cover?
Dental
Where would you look to see if a Medicare member is registered for online premium payments?
velocity
A subscriber on an HBE plan is calling to update their address. How will you assist?
Direct to HBE and do not update the address
True/False
I can take premium payments for all employers.
False
What should be done first if a member is not able to register for kp.org due to an error?
troubleshoot
What system can you access to review if DPOA or another Legal document is on file?
epic
What parts of Medicare is the member required to have before joining our Medicare Advantage (Part C) plan?
A and B
A current KPIF member has questions about coverage for metoprolol. How will you assist?
direct to optum
What does it mean if a caller has registered on kp.org, but the Activation Status in KAT is PENDKBA?
Member selected KBA but abandoned session before process was complete
What system can you access to review if DPOA or another Legal document is on file?
FDPOA
What is another way of saying a member has a part C plan with KPWA?
Medicare advantage
If my work cell shows INF, do i have an on or off exchange account ?
off
True/False
I can make a payment in person
False
Can you assist member with adding the optional supplemental Advantage Plus 2 benefit?
yes