•First and Last Name
•Date of Birth (including the year of birth)
What is Verifying HIPAA
100
Must be discussed before the application.
What is Baseline benefits?
100
a number given to every Medicare patient for tracking and billing purposes. This number can be found on the Medicare card.
What is medicare number?
100
Covers hospital and doctors, but you must pay coinsurance.
What is Original medicare?
200
A written legal document in which one person (the principal) appoints another person to make health care decisions on behalf of the principal in the event the principal becomes incapacitated.
What is Power of Attorney?
200
This document informs prospective as well as existing members about all of the benefits offered by the plan.
What is summary of benefits?
200
First Name, Last Name, date of birth
What is HIPAA?
200
You must gather this information exactly as it is on the medicare card.
What is First name, middle initial,last name, date of birth, gender, medicare number and effective dates?
200
An annual period (October 15 through December 7) when consumers and members can make new plan choices.
What is AEP?
300
Stores Medicare member's medicare number, effective dates, and lis status.
What is Marx?
300
A document that describes the health care benefits covered by the Health Plan. It provides the Beneficiary with some form of documentation of what that insurance covers and how it works.
What is Evidence of Coverage?
300
After Hipaa is obtained you should collect this information.
What is full residential address?
300
The federal government agency that oversees the Medicare and Medicaid Programs.
What is CMS?
300
You can't enroll a consumer with this disease into a medicare advantage plan. Unless certain circumstances apply.
What is ESRD?
400
Witness Process requires the consumer to provide his/her full name and date of birth when they first come on the phone
What is Witness process?
400
Additional benefits that can be added to the plan.
What is a Rider?
400
You shouldn't tell the prospect this information if they don't have it.
What is medicare number?
400
An amount added to the plan premium when a consumer does not obtain creditable prescription drug coverage when first eligible for Part D or who had a break in creditable prescription drug coverage of at least 63 consecutive days.
What is LEP?
400
The amount a member must pay for health care services or prescriptions, before Original Medicare, their prescription drug plan, or other insurance coverage begins to pay.
What is a Deductible?
500
Caller/third party must provide:
•His/her First and Last Name
•Relationship to consumer
•Consumer's First and Last Name
•Consumer's Date of Birth
What is Authorized Representative?
500
You can not tell the consumer what level they have.
What is LIS?
500
A federal government health insurance program for:
People age 65 and older
People of all ages with certain disabilities
People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or kidney transplant)
What is Medicare?
500
When entering a provider you must enter this number.