Race to the Resource Game

Race to the Resource

Roll the dice

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WINNER!

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Team Tokens

QUESTION

RESOURCE

According to the All In One Guide | Medicare + Medicaid + LIS + Prescription Drugs, is the Part B premium paid for clients who have the QDWI level of Medicaid?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

Summary of Benefits

CLIENT INFO

• Lives in Fairfield County, CT
• DOB: 4/13/1950
• Part A: 4/1/2015 || Part B: 4/1/2015
• Government Assistance: Medicaid [SLMB+]
• Health: Okay - wants to lose weight

Is this client eligible to enroll in the H2752-003 plan?

QUESTION

RESOURCE

According to the Enrollment Periods Hierarchy, when available, OEP New should be used BEFORE the Dual-eligible / LIS Maintaining SEP?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

QUESTION

RESOURCE

According to the Navigating the UTT resource, clients who are residents of which state(s) are not eligible for transfers to PopHealth?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

Summary of Benefits

CLIENT INFO

• Lives in Maricopa County, AZ
• DOB: 7/10/1950
• Part A: 7/1/2015 || Part B: 3/1/2018
• Government Assistance: Medicaid [QI]
• Health: Okay - has congestive heart failure

Is this client eligible to enroll in the H0354-027 plan?

QUESTION

RESOURCE

According to the Rx Prescriptions Conversations Job Aid, what are some common prescription issues that cause clients to cancel / withdraw their plans?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

QUESTION

RESOURCE

Which carriers provide updated information on the FEMA | SEP Opportunities resource?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

QUESTION

RESOURCE

According to the Dig for Biz resource, what does a contract ID beginning with X0001 indicate?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

Summary of Benefits

CLIENT INFO

• Lives in Fremont County, CO
• DOB: 3/8/1958
• Part A: 3/1/2023 || Part B: 3/1/2023
• Government Assistance: Medicaid [SLMB]
• Health: Good - takes a lot of prescriptions

Is this client eligible to enroll in the H7147-003 plan?

QUESTION

RESOURCE

According to the PCP Clarification & POA vs Witness resource, does Humana allow a witness to complete enrollment?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

Summary of Benefits

CLIENT INFO

• Lives in Oakland County, MI
• DOB: 6/2/1956
• Part A: 6/1/2021 || Part B: 10/1/2023
• Government Assistance: Medicaid [QMB]
• Health: Fair - has diabetes

Is this client eligible to enroll in the H4624-023 plan?

Congratulations - You win!

Be sure to explore the valuable resources available and follow the processes to increase your retention and persistency rates!

QUESTION

RESOURCE

According to the Enrollment Periods Hierarchy, should OEP New be used before or after an SEP?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

AVAILABILITY

• Is a FEMA SEP available in this client's area?

CLIENT INFOUnable to switch their MAPD Plan during OEP due to a declared emergency in their area.

• Lives in Lubbock County, TX
• DOB: 5/5/1956
• Part A: 5/1/2021 || Part B: 5/1/2021
• Government Assistance: NONE
• Health: Great - walks 2 miles every day

ELIGIBILITY

• If so, is this client eligible to use the FEMA SEP to enroll in a Aetna plan?

QUESTION

RESOURCE

According to the Cognitive Impairment Job Aid, what are some common Alzheimer's and Dementia medications?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

AVAILABILITY

• Is a FEMA SEP available in this client's area?

CLIENT INFOUnable to switch their MAPD Plan during OEP due to a declared emergency in their area.

• Lives in Larimer County, CO
• DOB: 10/2/1956
• Part A: 10/1/2021 || Part B: 10/1/2021
• Government Assistance: NONE
• Health: Okay - needs to get more exercise

ELIGIBILITY

• If so, is this client eligible to use the FEMA SEP to enroll in a Humana plan?

Summary of Benefits

CLIENT INFO

• Lives in Jefferson County, KY
• DOB: 12/7/1955
• Part A: 12/1/2020 || Part B: 5/1/2023
• Government Assistance: Medicaid [QMB+]
• Health: Poor - has COPD

Is this client eligible to enroll in the H1036-234 plan?

Summary of Benefits

CLIENT INFO

• Lives in Westchester County, NY
• DOB: 10/2/1956
• Part A: 10/1/2021 || Part B: 10/1/2021
• Government Assistance: Medicaid [FBDE]
• Health: Okay - needs to get more exercise

Is this client eligible to enroll in the H3312-069 plan?

Summary of Benefits

CLIENT INFO

• Lives in Westchester County, NY
• DOB: 9/29/1956
• Part A: 9/1/2021 || Part B: 6/1/2023
• Government Assistance: Medicaid [QMB]
• Health: Good - takes a lot of vitamins

Is this client eligible to enroll in the H4868-014 plan?

Summary of Benefits

CLIENT INFO

• Lives in Bexar County, TX
• DOB: 2/24/1953
• Part A: 2/1/2018 || Part B: 2/1/2018
• Government Assistance: Medicaid [FBDE]
• Health: Good - needs to eat healthier

Is this client eligible to enroll in the H0028-036 plan?

QUESTION

RESOURCE

According to the PCP Clarification & POA vs Witness resource, does Cigna accept an NPI in lieu of a PCP / Provider ID for ALL states?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.

QUESTION

RESOURCE

How can agents search for SPAP names by state?

Where can this resource be found?

► MUST be specific ◄

Players must provide the correct answer AND tell specificallywhere the resource can be found to move their token for this question.