Prescription Coverage
What document lists covered medications under a health plan?
Formulary
What service allows members to see a provider remotely?
Telehealth/Virtual Care
What concern focuses on monthly costs?
Premium
What term refers to children covered under a health plan?
Dependents
What should agents do before recommending a plan?
Ask Questions
What tier generally contains generic drugs?
Tier 1
What device is usually needed for a virtual visit?
Phone or computer
What concern focuses on provider access?
Network
What life event often requires updating health coverage after a baby is born?
Birth of a Child
What should agents avoid when explaining benefits?
Jargon verbiage/inaccurate information
What process may require approval before certain medications are covered?
Prior Authorization
What type of illness is commonly treated through virtual care?
Minor illnesses
What concern focuses on prescription affordability?
Drug Coverage
What household information should agents gather before recommending coverage?
Household Composition
Why is note-taking important during a call?
Accuracy
What can members use to see if their medication is covered before enrolling?
Drug Formulary/Search Tool
True or False: Virtual care can eliminate the need for all in-person visits.
False
What concern focuses on protection from unexpected medical bills?
Out-of-Pocket Protection
Why is family size important when reviewing options?
Coverage Needs
What should agents do if they do not know an answer?
Research/Get Assistance
What is the term for replacing a brand-name drug with its generic equivalent?
Generic Substitution
Name one advantage of virtual care for members.
Convenience/Cost savings/Accessibility
What sales skill helps identify a customer's biggest concern?
Discovery Questions
What factor may change subsidy eligibility when family size increases?
Household Income Calculation
What should every recommendation be based on?
Customer Needs