Medicare
Sales Process
Systems
Medicare Plans/Enrollment Period
Special Election Period
100

This part of Medicare covers clinical laboratory services.

Medicare Part B

100

This is your first contact with the customer.

Sales Open


100

This is the tool to track your attendance and adherence. 

Five9

100
These plans are offered by private insurance.

Medicare Advantage Plans and Prescription Drug Plans

100

This is the timeline to change plans for individuals receiving Medicaid/LIS.

Once per quarter: Jan - March, April- Jun, July- Sept

200

How many lifetime reserve days does someone have under Part A that can be used in a lifetime?

60 Days

200

This allows us to demonstrate that we are paying attention to the thoughts, feelings and behaviors of the other person. 

Active Listening

200

Enables agents to quote and enroll consumers in Medicare Advantage (MA), Medicare Advantage Prescription Drug Plans (MA-PD), and Prescription Drug Plans (PDP) plans.

Marketplace

200

This enrollment timeframe is from October 15 to December 7

Annual Election Period

200

New Medicare beneficiary who enrolled in a Medicare Advantage Plan during IEP/ICEP and would like to make a change.

OEP- New

300

A period beginning when a patient is admitted to the hospital and ends after being released for 60 days.

Benefit Period

300

It informs the customer what the next step is and what they can anticipate moving forward in the call. 

Transition Statement

300

This is where the plan enrollment is located in Broker Office. 

Plan Info Tab

300

If you didn’t sign up for Part A or B when you were first eligible, you can enroll from January 1 - March 31 each year.

General Enrollment Period

300

I belong to a pharmacy assistance program provided by my state, or losing/recently lost participation in such a program.

State Pharmaceutical Assistance Program or SPAP

400

What is a Lifetime Reserve Day?

Each day of inpatient care beyond 90 days.

400

Structured approach to presenting a plan to the customer.  Matches Benefits to Needs and gets their agreement that each Benefit offers them Value.

The Sales Square

400

This is the tool to check customer's level of LIS and current plan.

MARx System

400
Medicare Advantage Plans designed for people with both Medicare and Medicaid.

Dual Special Needs Plans

400

I was unable to enroll previously due to a government-declared disaster.

Disaster SEP or DST

500

Most people will pay the standard premium amount for Part B. If your modified adjusted gross income is above a certain amount, you may pay __________.

Income Related Monthly Adjustment Amount

500

It's a tool to help move a call forward when customers place hesitations or speed bumps in our way.

ATR- Acknowledge, Trust, Redirect Statements

500

Where in Five9 identifies all the states in which you are licensed and able to sell. You will not receive calls from states that are not listed.

My Skills

500

This plan type does not include any networks and you can go to any Medicare-Approved doctor. You can go to any Medicare-approved doctor, other health care provider, or hospital that accepts the plan's payment terms and agrees to treat you. 

Private Fee For Service Plans

500

I would like to disenroll from either MAPD or PDP to enroll in an MA-Only plan because I receive or will receive other creditable drug coverage, such as the VA.

Other Creditable Coverage or OCC