Call Management
Medicare
Medicare
Part D
2025 Medicare Changes
Grab Bag
100

“Hello, my name is [insert your name] and I am calling from AstraZeneca US Patient Support on a recorded line. May I please speak to [insert patient’s name].”

What is the call greeting (and disclaimer)?

100

This part of Medicare covers prescription drugs.

What is Medicare Part D?

100

The patient could pay $545 out-of-pocket during this stage of coverage in 2024.

What is the Deductible stage?

100

This stage of Medicare Part D coverage has been eliminated for 2025.

What is the Coverage Gap/Donut Hole?
100

This Program Name should be selected on the CHAMPion Form when reporting AE/PQCs.

What is Access Services?

200

This softphone feature is selected when the patient asks to not be recorded.

What is Mask?

200

This part of Medicare covers medications administered in an inpatient setting.

What is Medicare Part A?

200

The enrollee would spend no more than this amount out-of-pocket for medications in 2024.

What is $8,000?

200

The enrollee would spend no more than this amount out-of-pocket for medications in 2025.

What is $2,000?

200

You contact a patient today (July 15th) and receive their voicemail. The next task is assigned this due date.

What is Thursday/July 18th?

300

This should happen when another individual joins/enters the room during the call.

What is restate the Call Disclaimer?

300

Enrollees have a $174.70 monthly premium and a 20% responsibility when services are covered under this part of Medicare.

What is Medicare Part B?

300

During this stage of coverage the patient has a $0 responsibility.

What is the Catastrophic Stage?

300

This new option, available in 2025, may also be referred to as Smoothing.

What is the Medicare Prescription Payment Plan?

300
Agents should use this feature in the General Inquiry case to determine if the patient is A360 or AZ&Me.

What is the Case Tag?

400

This must be provided to patients if asking to place them on hold.

What is a timeframe for the hold?

400

In order to enroll in this part of Medicare, patients must at least have Parts A and B.

Medicare Part C/Medicare Advantage Plans

400

Medicare enrollees that are low-income can apply for this extra help program through Medicare Part D.

What is Low Income Subsidy (LIS)?

400

During the Coverage Gap stage of coverage in 2025, pharmaceutical companies will pay this amount towards the total drug cost.

What is 20%?
400

After completing the script the patient has a clinical question about their medication and also mentions an Adverse Event for their medication. What are the required next steps?

What is report the Adverse Event then cold transfer the caller to the Medical Information?

500

Agents should only use the Conference/Merge feature on the softphone under this condition.

What is when utilizing the Language Line?

500

Medicare enrollees that are low-income can apply for this savings program through Medicare Part B.

What is the Qualified Medicare Beneficiary (QMB) program?

500

The maximum that a LIS patient between 100% and 150% of the FPL would pay for brand medications in 2024.

What is $11.20?

500

Which stakeholders are responsible for contributing to the patient's total drug cost during the Initial Coverage Phase in 2025?

Who are the patient, the payer/plan, and the pharmaceutical company?

500

You're conducting pre-resarch for your cases today and notice that your patient lives in Hawaii. It is currently 9am EST. Around what time would you contact the patient today?

What is 2pm or after?