Required to be on Medicare & Medicaid
DSNP
What is the common name for LIS
Extra Help
This is where you will find the recorded carrier disclaimers
Five9 Select Audio File
This must be read verbatim on every call
Medical Disclaimer
This person has COPD
CSNP
$3.70 - $9.20
Level 1 LIS Copays
Key tool in Excel Format
REFERENCE GUIDE
This section requires you to state -
YOUR FULL NAME
CLIENTS NAME
GoMedicare
INTRODUCTION
This is in the Marketplace where the agent looks to confirm the plan's DSNP eligibility level
SOB (Summary of Benefits)
This is the acronym for state assistance with RX
SPAP
This is the most important stage of the call flow
NEEDS ASSESSMENT
This SNP plan allows the beneficiary to switch plans once per quarter for the first 9 months
Dual Eligible (DSNP)
New York State RX Assistance Program
Epic
This is where the agent will verify the beneficiaries Humana DSNP
Emdeon Chat
GIVE INFO OR BENEFITS
CUSTOMER HEARS BENEFIT
CLARIFY WHAT THEY HEARD
REESTABLISH VALUE
THE SQUARE
This is the maximum out-of-pocket limit per year
Where we send LIS referrals
ZenDesk
This carrier requires a verification code for DSNP applications
Anthem
Plan Name, Premium, Medical Deductible, PCP, Specialist, ER & Hospital CoPays,
Drug Deductible
Drug Tiers
BASELINE BENEFITS