Benefits/Call flow
In how many seconds do we have to answer a call?
within 5 seconds.
When does AEP starts?
October 15 to December 7
On which type of plan is the Flex allowance going to be offered in 2025?
Not offered on any plan in 2025.
What's the human body's largest organ?
Skin
Who is the Author and Singer of the song "Se va armar la potra"
The world famous "Polache" aka the honduran mozart
Humana ID #
Medicare ID#
Payment ID#
SSN
Transfer calls to Direct Marketing Sales (DMS) before October 1.
There will no longer be a sixth tier for any plans for 2025.
What was the name of the crime boss who was head of the feared Chicago Outfit?
Al Capone
What is the highest-grossing film of all time?
Avatar
Scenario Benefits including how to proper make research on a members account.
Who can make changes during Open Enrollment Period?
Individuals enrolled in MA/MAPD can change to another MA/MAPD plan, or disenroll and return to Original Medicare (OM).
Deductible - $590
Initial coverage: $2,000 of True Out-of-Pocket costs (TrOOP)
What guitarist notably performed on the Michael Jackson song “Beat It”?
Eddie Van Halen 🤘
Who was the world’s highest-paid athlete in 2023?
Cristiano Ronaldo 😎
Name at least 4 types of specialties that can be assigned to a members policy
- Family Practice
- General Practice
- Internal Medicine
- Geriatric Medicine
- Pediatrician - must meet age requirements
- Obstetrics and Gynecology (OBGYN).
Are Open Enrollment Period and Annual Election Period (AEP) the same? Explain your answer.
• Open Enrollment Period: Starts within the first three months from the date a member becomes eligible for Medicare Part A and B.
• Annual Election Period: Starts: October 15 through December 7
For 2025, the Humana Value RX plan (PDP) name will change to?
Humana Value Rx Plan (PDP).
Results-CX CEO?
Rajesh Subramaniam
What is the highest mountain in Honduras?
Cerro Las Minas, Cerro Las Pipinas, Cero San vincente, Cerro El Pital
Mention at least 3 reasons why an authorization can be denied
Administrative Denial, Benefit Exhaustion, Contract Exclusion, Converted to Observation, Cosmetic, Experimental, Lack of Information, Non-Par Provider & Not Medically Necessary
Which are the document outlines talking points that help you address member questions and will be updated periodically through the AEP season.
Medicare AEP FAQ
What's the Medicare Prescription Payment Plan (MPPP?
The Medicare Prescription Payment Plan (the program) is an optional program that can help members manage their prescription payments.
They'll receive a monthly bill from Humana with the amount they owe, their due date, and instructions on how to make a payment.
What are the VOC PILLARS?
Agent Ease
Agent Helpful
Process Ease
Issue Resolution
Name the 7 wonders of the word
Great Wall of China, Chichén Itzá, Petra, Machu Picchu, Christ the Redeemer (Cristo Redentor ), Colosseum, Taj Mahal