Medicare
What does it mean when a member is a dual eligible member?
The have a Medicaid and Medicare D-SNP plan
What is the Banner ALTCS phone number?
833-318-4146
What is the name of our new PBM vendor?
Express Scripts or ESI
Which is the only edible food that never goes bad?
Honey
Medicare member called and advised they have moved out of state. What action do you take?
AND
What actions do the Enrollment department perform?
Create a disenrollment SR
AND
They will sent a notice to the member thanking them for new information and will disenrolled at the end of that month
What does PDP stand for?
Prescription Drug Plan
What is the ALTCS dental benefit if the member is over the age of 21?
They have are eligible for dental covered services. Services may include diagnostic, therapeutic and preventive care. There is a limit of $1,000 per benefit year (October 1st to September 30th). In addition to the emergency dental benefit
Name 1 new benefit for Dual members in 2022.
Transportation Services
VBID Benefits: Home modifications; Simple Therapy; Dial a Diabetes program; Healthy Food Card for SSBCI); Fitness Benefit;
What is the rarest M&M color?
Brown
A member called to get a new OTC card because they lost their card. What resolution should be chosen in Siebel?
Provided information based or completed necessary action steps based on caller's inquiry.
Why do members need new ID cards?
New pharmacy processing information will change. Current member Id's have Medimpact information.
When should our AHCCCS members start using their new pharmacy processing information?
January 1, 2022
What is the name of the new OTC vendor that we will use in 2022?
SoluTran
How many Centimeters are in a meter?
100
If a Medicare Member calls and ask if a medication is covered and they medication requires an authorization. What next steps should you take?
Offer the following options: Member can start a verbal authorization process by connecting them the pharmacy queue or they can advise their provider to submit an authorization. The request for a medication that requires an authorization is a coverage determination.
What is the name of our D-SNP plan starting in 2022?
Banner Medicare Advantage Dual
Name 2 counties that are not in our BUFC service area?
Coconino
Mohave
Navajo
Apache
What is the name of our the new Banner pharmacy benefit plan?
Banner Medicare RX
How many eyes does a spider have?
Eight eyes
True or False: You can provide a caller a Care Manager's full name and contact information?
False: Can only provide a Care Manager's first name
If a member called for their BIN and group information to make sure they have no issues getting their medication, what is the primary reason category that should be choosen?
Pharmacy inquiry
What does OIFA stand for?
Name 4 new benefit for Dual members in 2022
Transportation Services
VBID Benefits: Home modifications; Simple Therapy; Dial a Diabetes program; Healthy Food Card for SSBCI); Fitness Benefit;
What are the names of Cinderella’s stepsisters?
Anastasia and Drizella
A non-member is calling to get information on our Banner Medicare Advantage HMO and PPO plans, how do you handle the call?
“Thank you for your interest in Banner, let me transfer you to an agent"
“Thank you for your interest in Banner, let me transfer you to an enrollment specialist." and then warm transfer to Bloom