So Many Rules
If an individual is on medicare and cannot afford meds, they can apply for...
Low Income Subsidy (LIS)
What is the best way to determine the form of Medicare that someone has?
Get a copy of their Medicare card
Medicaid eligibility is primarily based on what?
Income
This is the copay card provider for Oncopetides
Trial Card
In a website browser address bar, what does “www” stand for?
World Wide Web
Can someone purchase a Medigap plan if they are on an Advantage plan?
No
What should you do if you don't trust what a Medicare rep says?
Thank them, document, call back and try to reach a different rep.
Who is eligible to receive Medicare?
Individuals that are over the age of 65 or have a disability or end stage renal disease
This is the Oncopeptides representative that will be the overall account lead and lead point of contact for HCP sites?
Who is the OAM or Oncology Account Manager
What was Frosty the Snowmans nose made from?
A Button
If someone is on a Medicare Advantage plan, can they switch back to regular Medicare?
Yes but sometimes it can be complicated depending on the state regulations
Is there a cost difference between SP's when filling Medicare meds?
No, the contracted rate is the same for all. Average Sales Price + 6%
Medicare Advantage plans must cover what?
The same things that regular Medicare part B and D covers
This is the Oncopeptides representative that will be focused on educating Advanced Practice Providers, Nursing and Clinical Staff
Who is the ONE or Oncology Nurse Educator
Can you name 5 of the 7 dwarves?
Dopey, Grumpy, Sneezy, Sleepy, Happy, Doc, Bashful
SPs must provide patients with an estimated ______ based on a benefit investigation.
Cost
If someone has a medigap plan, how many premiums do they pay?
3 - Part B, Part D and Medigap
Medicare Part C is also know as what?
An Advantage Plan
This is the standard recommended starting dose for patients receiving Melphalan Flufenamide
40mg
What is the largest continent in the world?
Asia
A Medicare Advantage Plan replaces what?
Parts A, B, D and Medigap
What does the phrase “Buy and Bill” mean?
The HCP buys the medications and then sells them to the patients
Can you define how many appeals there are in Medicare and the differences between them?
First Level of Appeal: Redetermination by a Medicare Administrative Contractor (MAC) Second Level of Appeal: Reconsideration by a Qualified Independent Contractor (QIC) Third Level of Appeal: Decision by the Office of Medicare Hearings and Appeals(OMHA) Fourth Level of Appeal: Review by the Medicare Appeals Council.
This is the appropriate diagnosis for patients receiving Melphalan Flufenamide
What is Relapsed and Refractory Multiple Myeloma or Triple Class Refractory Multiple Myeloma
Can you name 2 countries that start with the letter A?