Medicare 101
Covers for hospitalization, hospice care, Home Health Care, skilled nursing home
PCP
Primary Care Provider
Medical Deductible for TUFT PPO plan
What is $0
Changing your address, phone, updating tax information and payroll is completed
Where is Oracle
AEP date
When is October 15th through December 7th
IEP
Initial Enrollment period
annual OOP maximum both INN and ONN combined.
What is $10,000?
PAs are designed to explained if a procedure will be covered for a member through their coverage. PA are coordinated from a provider to the insurance.
True or False
If prospects select coverage they are not required to obtain a PA from an OON provider.
What is true
What system is used to check for daily scheduled breaks and lunches
What is Verient?
True or False
Recipients looking into Medicare can only be age 65 and has either loss/gained coverage
What is False
OOPM
Out of pocket maximum
TUFTS has how many plans within
What is 9?
Preferred pharmacy
What is CVS
Reports about absences, tech issues, WF concerns, navigation and basic trouble shooting are addressed to
Who is Candice
Recipients of Medicare receives coverage that is funded by _________.
What is Federal Gov't
OON
What is Out of Network
Must have a permanent residence in MA service for at least 6 months
What is THPTMP Access PPO?
John is calling to seek information about what plan that would benefit his needs. All of his providers take CPCT (Medicare Part C) but he's needing to have his annual eye exam, he also interested in weight management. He then begins talking about how he needs dental but looking to obtain dentures. What plan would you offer the prospect
What is CareAdvantage Preferred
True or False
We are allowed to clock in 10 minutes early to help give time to log into all systems
What is False
Has a 1% penalty for each month recipients are not enrolled if they did not have the coverage and needed due to not having separate coverage; i.e through employer
What is part D
MAPD
What is Medicare Advantage Prescription Drug
Extra supplemental benefits included __________, ________, ________, _________, ___________, ____________
What are dental, vision, hearing, physical exam, Silver Sneakers, transportation
What is $39?
Questions related to product, AHT, incentives, call drive and etc are addressed
Where is in Point 32 Teams Chat