Med Supp
MAPD/ Sales Skills
PCE
RANDOM
ep's
100

how many waver states are there? What are the states?

what is: 3, Minnesota, Wisconsin, and Massachusetts. 
100

We were just notified of a change in res, however the consumer moved over a year ago. Is this something we can handle?

yes! Key word, just notified! As long as we do not have the new address on file with a new/current app, we can use change in res for this to get them in a new plan in the new area, no matter when the move occured we go by the date they informed us

100

will my mom have to pay for the flu shot if she has one of your plans?

what is: no, it would be $0

100

In what area does Tonya live?

What is: Basset 

100

A caller moved from CA to FL what ep would we use?

what is: change in res. 

200

Caller has Anthem med sup plan G and wants to change to med supp plan G with AARP. Can we write this?

what is: YES. med supps can change any time of the year, consumer may have uw ect, but we can change it. we only need an ep for the pdp... if we do the pdp as well. 
200

its the month of may. caller has used their Q2 lis already. They want the dual hmo-pos in Baldwin co GA? what other ep can we use?

what is: 5 star

200

My mother is blind. Can she get a Braille version of your Evidence of Coverage?

what is: yes

200
True or False: Pigs can sweat.

what is False. 


Pigs do not sweat but they are able to rid themselves of heat in other ways such through respiration.

200

My chronic condition was never verified by my doctor, i need a plan!

 what ep do you use?

what is: loss of snp status 

300

Please read the baseline benefits for plan N in GA. 

plan n, check on part a, does not cover part b, and co pay amount call out: Plan Pays 100% of the Part B coinsurance except for an insured copay of up to $20 for each doctor's office visit and up to $50 for each emergency room visit (emergency room copay waived if admitted as inpatient).

300

name the 4 steps in the Sales process from the "Closing the sale" JA

Opening

needs dialogue

Solution

closing

300

Is the drug Isentress 100mg tablet chewable covered under the plan AARP MedicareRx Saver Plus (PDP) in South Carolina, and at what tier level

Yes, tier 4 drug

300

What force controls the oceans tides and water levels?

What is: The Moon and Earth's gravitational pull on each other.

300
Caller used their IEP for an eff date of 7/1 to match part's A and B, but they want to make a plan change. Its now the middle of July. What EP would you use, how long do they have to use this ep?

what is: OEP Newly-Eligible, 2 full months after the Medicare eligibility month 

400

In Maine, how long is the GI trial period?

what is: 3 years 

400

When a consumer expresses that they are just calling for information or “shopping” during the opening portion of the call: what steps should we take per the Closing the sale JA?

1 - Assume the sale.  Treat the contact as high value.   

2 -Conduct your Need Dialogue making sure you obtain information for each component in order to fully understand the caller’s needs. 

3 - Identify the appropriate plan option to meet the caller’s needs. 

4 During the Solution Dialogue, remember to tie your recommendation directly to the needs uncovered during the Need Dialogue portion of the call. 

5 - Close - to act using a value statement to create “sense of urgency.”

400

Does the AARP Medicare Advantage Patriot (PPO) in Montgomery County, Maryland reduce or affect my Part B premium? If so. by how much?

answer: 

Yes, up to $55 a month


400

How many dogs does Stephanie have?

What is: one

400

A caller informs you they JUST found out they lost their medicaid 6 months ago and now they are with out their dual plan. Can we enroll them into a new plan? and What EP would you use?

What is: Change of status and yes you can!

500

if a caller who just moved from CA to NY calls in with a current humana plan G. Can we write this? and will they have any UW? Please explain

Yes we can write this! There is no UW, NY has no UW at any time. 

500

A caller who has Tricare advised some one enrolled them into a mapd plan, they expressed how they cannot have this due to getting their meds with express scripts via Tricare. They are ok with a MA Only plan. What do you do in this situation? Is there an EP we can use?

what is: enroll them in the ma! yes EP is: eligible for other cred. coverage. they can get a ma only plan for the following eff date!

500

For AARP Medicare Advantage Choice Plan 1 (PPO), will my mother need to get a referral for outpatient diagnostic blood services? (Charleston county, SC)

what is: no

500

what's the only sugar free syrup/flavor option Starbucks has to offer?

What is SF Vanilla 

500

Caller just found out from Medicare they received their parts A and B again after losing it with no fault of their own. What EP would we use in the case?

What is: Retro Medicare Determination