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WorksheetsPhase 1
Total questions: 14
Worksheet time: 12mins
A “premium” is
The amount a member must pay for their health insurance plan
The amount paid to a doctor/facility for services
The amount the insurance company reimburses a member for out-of-pocket expenses
The amount a pharmacy charges for their services
What is a co-payment?
The periodic payment required to keep a policy in force
A flat-dollar amount that a member must pay for a prescription or precedure
A percentage of a healthcare professional 's charge for which the member is financially responsible under the terms of the policy
None of the above
what do we do when we do not understand the members question
Just assume What the member needs
place them on hold and let them hung up
Ask Probing questions and request for them to repeat again, if its necessary
What is a co-Insurance?
The periodic payment required to keep a policy in force
A flat-dollar amount that a member must pay for a prescription
A percentage of a healthcare professional 's charge for which the member is financially responsible under the terms of the policy
None of the above
Original Medicare covers? Select all that apply
in patient stays
out patient stays
in network care
Out network care
What is the name of that character?
Taz
Rex
Tornado
Elephant
Who is the superhero who is from Krypton?
Batman
Aquaman
Superman
The Flash
Does pineapple belong on pizza?
Yes
No
Mia is a family member of Angela who is an AARP Medicare Advantage PPO plan Member, she wants to change the permanent address on file- Can Miya change it over the phone?
What does OTC means
Other Things to Change
On The Counter
Over the counter
Offshore Technology Center
When is the Annual Election Period?
Oct 15-Dec 30
Oct 15- Dec 7
Oct 10-Nov 15
Oct 7- Dec 15
Draw your favourite food
Emily has a deductible of $100 and has paid $50 toward it. She must have a Tier 3 medication that will cost $150. Her coinsurance is 20 percent. How much does she need to pay?
$60
$50
$65
$70
what is a must have to verify an account?
Member id + DOB + Full Name
DOB + Phone number + Address
Email + Zip Code + Phone Number
