Election Period
This is the time frame when the Open Enrollment Period occurs each year.
What is January 1- March 31?
If the member is NOT found in Jarvis application status, what follow-up information is required?
The members Date of birth, and one of the following
-Medicare number
-Member ID
- Full address
What system does UHC use to verify Medicare eligibility?
What is MARx
Name one of the three ways to search for an application in GPS.
Member Search, Work Queue, Application Search.
How long must must you wait before sending replacement materials?
14 days after the last replacement(or original) was sent
During OEP, this is the maximum number of plan changes a Medicare Advantage member can make using this election.
What is one
Can you give member or application information to an agent who is not AOR?
No unless the member is on the phone and provides verbal permission
What system houses most MA/MAPD and PDP plans?
What is GPS
What must every GPS note include?
SR number, contact info(if caller is contact), agent name, summary of call and your MS ID
Do PDP applications qualify for AOR retention?
If you enroll in Medicare during the 3 months BEFORE your 65th birthday, your coverage begins on this month.
What is the first day of your Birthday Month
Who can provide verbal permission for an Intent to Enroll?
If an agent submits and application using this platform it will load almost immediately in GPS?
What is Jarvis Enroll
Other application submissions (3rd party systems, faxed or emailed applications can take up to 3 bus days)
Which GPS section shows Welcome Kits, ID cards, and letters?
What is Fulfillment Requests
Where must all HIPAA be documented in the SR on PCL?
What is the Process Specific Information section
You would use this election period if you delayed enrolling into Part B 3 months or more from your Part A start date.
What is ICEP Delayed Part B?
True or False
We are not able to assist contacts who are calling on behalf of another agent with Application Status.
False - if they are able to verify the agents name, and 2 pieces of HIPAA we will treat them like they are the AOR
What system would you look in to view paper applications or missing information received (such as Medicaid award letter, Chronic forms, etc)?
What is VIEW
Which tab do you use to check the Agent of Record (AOR)?
Update tab under the plan timeline.
What date timeframe defines CCM and CCM -1 ?
CCM = Current Calendar Month effective date
CCM -1 = Current Calendar Month minus 1 (previous month effective date)
This election allows enrollment once per month into a Fully Integrated Dual Eligible SNP (FIDE), Highly Integrated Dual Eligible SNP (HIDE), or Applicable Integrated Plan (AIP) for full benefit dually eligible individuals who are enrolled in, or are in the process of enrolling in, the D-SNP’s affiliated Medicaid Managed Care Organization (MCO) to align enrollment.
What is SEP Integrated Care?
Can you give member or application information to an agent who is not AOR and does not have the member on the phone with them
No, you can answer yes or no questions but cannot give any specifics
Where would an application be in GPS if it is pending for Medicare information such as unable to verify MBI?
What is the GPS Work Queue
Where can you view the CMS transactions in GPS?
What is Plan Summary Line -- CMS Transactions -- TRR History
When can multiple members be documented under one SR?
When they all have the same AOR and their dispositions are identical.