MAPD
If someone enrolls in multiple MAPD plans during AEP which one sticks?
last one
What are the three main plans we will enroll?
F, G, N
What is spice and nice?
Spice: CMS system
Nice: Calling system
What applications are done in Think Agent
MA/MAPD
PDP
What applications are done in SSI
Med sup and ancillaries
Name 3 types of MAPD plans
PPO, HMO, HMO-POS, PFFS, DSNP, CSNP
When should a client drop their previous Med sup or MA plan?
After approval (even with a GI or OE)
Do you disposition in spice or nice first?
Spice
what are the four things you need while gathering medication information
name
form
dose
quantity
Where can you see where you are licensed?
My information
What are three enrollment periods for MAPD
AEP, IEP, ICEP, GEP, OEP, SEP
What are 2 states we do not sell med supps in?
CT
HI
MA
NY
WA
Name 4 statuses in nice that we use
available
unavailable
lunch
break
bathroom
outbound call
committed callback
Before starting an application what three thing do you need to go over?
Providers
Medication
SOB
What are the three ways to enroll a med sup?
Open enrollment, general enrollment, Underwritten
What benefit is included in ALL mapd aetna plans?
silver sneakers
What are 3 of the 7 guaranteed issue rights
What campaign are we in?
HP One
If a doctor is out of network will the PPO out of network coverage cover that provider
Not always! Out of network coverage is up to the individual provider.
Name all of our ancillary products
DVH
DVH +
HIIP
CHAS
What is the 2023 Part B premium?
Do they need to continue to pay it? Are there exceptions
$164.90
Yes unless you have benefits (medicaid state assistance that pay it or part b buy back to cover part!)
What plan can you not signed up with a guarantee issue right?
what are the three things you must say for compliance before talking about a plan?
Licensed agent
Permission to record
scope of appointment
When in a plan and discussing medications what needs to be discussed about each medication
Tier
restrictions (ST, PA, QL)
Name 3 med sup underwriters
ahlic
alic
ahic
aci
cli
acc