Benefits
Way to promote self service when a member calls in for their copays/cost share benefits for common services (ie., ER visit, Urgent Care, Specialist Office visit)
What is advise the member can login/register for MWS account to easily access an overview of their benefits
Provide the pathway on MWS
Promote this self-service tool when members need to find a dental, vision , or medical provider in their area.
What is Find a Doctor Tool
Navigate to standalone dental directory and OOS provider directory
Member: I forgot my username to login, can you just send the documents to my email?
Advocate: No worries, I can walk you through how to get your user ID so you can get your documents through our secure portal. All you will need is your ___ and ___.
What is Member Number and DOB
A way to promote self service when a member calls to check on the status of a prior authorization or appeal
What is advise the member they can login/register for MWS to easily access a history of their authorizations & appeals, as well as check the status of new requests;
Provide the pathway on MWS
Pathway to self-service option for off exchange and group member's to get copy of their 1095B
what is login/register for MWS, navigate to My Account, go to Tax Documents
5 self-service options member have for maintenance updates/changes to their account
What is any 5 of the following:
The two ways a member's medication guide (drug formulary) can be accessed for self-service options
What is Login/register for MWS and Go to FB.com
Provide pathways for both
Pathway to promote self-service when a member requests a copy of their "EOB"
What is advise they can access a copy of their monthly/annual health statement or print off claim details on MWS
Provide pathway for MWS
Your PCP has been updated for your appt today. In the future, you can update this on your MWS account with these steps
What is Logging into your acct , going to Find & Get Care, go to Find doctor & more , scroll down , click make updates here
Way to promote self service option for member wanting to know their deductible and out-of-pocket maximum for the year
What is advise the information is available on the MWS and offer to walk member through navigation.
Provide Pathway on MWS
Five Pharmacy Resources available for self-service via MWS
What is (any five resources from MWS)
You can update you and your dependents other insurance information online through these steps
What is
A way to promote self-service when member wants a copy of their benefit booklet/contract language
What is advise they can access a copy on MWS or FB.com and offer to walk through
Provide pathway for both options
Five Health Insurance Education Resources currently available on our site
The self-service option for non-members calling to make premium payments for one of our members
What is IVR payment and online Guest Payment (detail pathway for online)