DSNP
True or False
The Eligibility tool, SOB, and EOC are all great resources for confirming eligibility of DSNP
TRUE
which Pack member would pick "flying" as a superpower
Peter Jansen, Emeri Maguregui, Guilherme "G" Duque
who are our CQ Partners
Dustin Neumaier, Holly Meyer, and Kelly Lester
how many 5 star plans does humana/careplus have for 2025
ZERO...Let's get this changed for 2026 via Green Glove and Growth Mindset
when do we start sandbox training for MP360
Next week (5/26 -5/30)...
*Make sure to confirm your team training date in go/wfo
which level of Medicaid eligibility has the following:
Medicare premium covered by medicaid for part a and b
medicaid coverage type is full coverage
has cost share protection
QMB +
who modeled for 3 years after highschool
Diana Williams
what is the average compliance score year to date for DMS
87.57
which medicaid levels are the ONLY medicaid levels eligible for INT SEP
Full-benefit Dual eligible individuals refers to FBDE, QMB+ and SLMB+ only
what are some benefits of switching from Canvas to MP360
Simplified Support Model
Agent Self-Service
Collaboration
End-to-end Sales Experience Inefficiencies
Transparency
what DSNP Type
•Coverage may be with the same insurer
•Coordinates long-term support services for members
Highly Integrated
D-SNP
(HIDE SNP)
who had the favorite boy bands as The Beatles/The Backstreet Boys
Brian Fait
what are the benefits that often cause beneficiaries to file complaints and thus, need clear guidance
Spending account card including allowance types
Dental, vision, and hearing benefits in either stand alone or MA plans with these benefits
Transportation
This new Quarterly SEP is ONLY for the enrollment into a PDP. That means beneficiaries can change their existing prescription coverage or use this as an opportunity to newly enroll into a PDP.
Keep in mind beneficiaries need to be informed about how their coverage might change if they decide change their plan.
They might be disenrolled from an existing MAPD plan and transitioned back to Original Medicare + PDP. Make sure they are aware of this change and how it will affect their coverage
SEP-DEP
what do we convert "leads" into so we are able to enroll
"opportunities"
what DNSP Type
Medicare and Medicaid benefits are covered by the same insurer
•Must also cover primary and acute care services.
Fully Integrated
D-SNP
(FIDE SNP)
star wars or star trek for Kimmie Kim, Diana Williams, Sandy Myles, and Peter Jansen...which do they all prefer
Neither
Which of the frequently missed CQ items are most closely tied to CTMs/Allegations
C11-Provider/Prescription/Pharmacy review. This is tied in to having TPP conversations, as we want to ensure we are not steering or listing a provider without consent/knowledge.
true or false
DST is best SEP for agents to mention for use by anyone who resides in a disaster area
FALSE
ALL THREE conditions must be met to be valid:
•Reside (or resided at the time) in an area for which a government entity has declared an emergency;
AND •Was eligible for another election period at the time of the incident;
AND•Did NOT make an election during the other valid election period due to the incident
Use of this SEP is Monitored. SEP-DST should NOT be marketed by agents, as the process must be initiated by the beneficiary, not the agent. (always confirm with direct manager or manager on duty prior to use)
True or False
Decision Maker and SOA can be noted for prospects in MP360
True
what is the Kentucky MCO for Humana
Humana Healthy Horizons
how long has Nick Polzin worked for Humana
22 years or 20 and 1/2 years...BOTH work
the below are all examples of what:
Do you feel confident with everything we’ve discussed today?”
RECAP the benefits that matter most to them and share what happens next/what to expect when (ID card, etc.).
“I’m grateful we spent time together . I know healthcare can be complex and I’m here to make it simple and easy for you.” “If you have any questions in the future, please don't hesitate to reach out to me directly. Here is my contact information (you have my contact info-if already shared) . If I am unable to answer, please leave me a message so that I can return your call.”
“Welcome to/Thank you for being a part of/Thank you for joining the Humana family!”
the Humana Handshake
Best Resource for SEP Definitions and Eligibility
DMS 024
what is the rescheduled date if agent misses training for MP360
July 14th... DON'T MISS TRAINING