Am I Covered?
The medication Saxenda is _______________ on the formulary
What is excluded?
Appropriate response to the statement "the MarketPlace told me all my medications were $3."
What is:
I apologize for any misinformation received from the MarketPlace. Your plan has 5 tiers of medication, each with a different benefit.
(Answers will vary but must be accurate)
Screen in Facets used to locate information to find the ESI Group ID in the ESI Group ID Search tool
What is Eligibility screen?
The maximum credit amount allotted to a customer before a hold is placed on a prescription order
What is Floor Limit?
Cigna's Specialty Pharmacy
What is Accredo?
________________ medications available without a prescription are not covered
What is Over-the-Counter?
I can't afford my brand name medication. What is available to help me cover the cost of my medication?
What is Manufacturer Savings Card?
😱🤔 DAILY DOUBLE 😵🥳
What is:
> Customer is at the pharmacy and experiencing an access to care issue
> Customer will be out of medication within 24 hours
The maximum amount of money Express Scripts will charge a customers credit card for a home delivery prescription
What is Authorization Limit?
Tool used by a customer to access the Express Scripts portal
What is myCigna?
When a customer pays cash for a covered medication, a ____________________ can be submitted online or via mail
What is Direct Member Reimbursement (DMR) claim?
INAPPROPRIATE response to a complaint from a customer when you CANNOT remove the grace period
What is:
ANYTHING Snarky but Accurate
Location used to confirm customer plan is active
What is ServiceLink or Facets?
Insufficient Funds Fee amount
What is $15?
eSD screen used to determine a customer's account balance
What is Billing/Account Info screen?
Insulins covered at a $25 co-pay under the Patient Assurance Plan
What are Basaglar, Humulin and Humalog?
How do I get the grace period removed?
What is pay all premiums due in full through the current month?
Tool used to capture the necessary information to complete the ESI Pass Through Macro when a customer is NOT located in Facets
What is 2022 Master Account Structure?
Options available to a customer to avoid a hold being placed on a medication for payment due above the Floor Limit
What is add a credit card or eCheck to allow for Auto-Pay or apply for the Extended Payment Program (EPP)?
Location where an IFP customer can enroll in Automatic Refill
What is IFP does not allow automatic refills?
The co-pay for Preferred Brand Asthma or COPD prescription medications, such as:
• Anoro Ellipta • Arnuity Ellipta • Breo Ellipta • Flovent Diskus • Flovent Hfa • Incruse Ellipta • Serevent Diskus
What is $20?
Cigna denied the prior authorization for my medication. What makes Cigna think they know better than my doctor what medication I should be taking?
What is:
You and your doctor determine the best medication for you. Cigna only determines if the medication is covered based on your plan. I am happy to provide you any covered alternatives.
(Answers will vary but must be accurate)
Information input in the Locator ID field when adding a new customer to eSD
What is Relationship / Person code?
To remove a collection hold (Hold 26) the customer must ____________________________________
What is pay the collection amount plus any amount over the floor limit?
eSD screen accessed to stop or put a medication on hold
What is the Order Status screen?