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Copay Structure
Nick
Created on June 11, 2024
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Transcript
05.
SECTION ONE
Copays
LEARN MORE
TEAMSTERS & FOOD EMPLOYERS
Teamsters and Food Employers
COPAY STRuCture
Generic Brand Non-Preferred BrandRetail $10 $15 $30Mail Order $20 $30 $45Specialty 30% co-insurance
TFE Groups
Teamsters and Food Employers
General Breakdown
- TFE members are broken up by into groups by member status (Active, Cobra, Medicare Retiree and Non-Medicare Retiree) as well as plan type (PPO, Kaiser, Aetna).
- General coverage (copay structure, drug exclusions, etc.) are mostly the same between groups, but it is important to confirm which group a member is a part of.
- Certain things like diabetic supplies or specialty medications, may vary from group to group. Check the RGB and confirm with team leaders if you are unsure.
Topics to Be Covered
Teamsters and Food Employers
The objective is to provide a fundamental overview of one of BMR's most important customers. You will receive information regarding all aspects of the TFE plans, to prepare you to assist their members effectively and efficiently.
Groups and Copay Structure
Who/what is TFE?
Pharmacy Information
Important Contacts
Drug Coverage
Additional Client-Specific Characteristics
- TFE Second Level Appeals
- Covid-19 Policies
- Breaking Insulin Boxes
Unit 1
Training Module
Here you can put an important title
Contextualize your topic with a subtitle
Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
With the Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like!
Unit 1
Training Module
Yep, you read that right. Interactivity and animation can turn even the most boring content into something super fun. In Genially, we use AI (Awesome interactivity) in all our designs so that you can level up with interactivity and turn your content into something that engages and provides value.
When giving a presentation, you need to go after two main objectives: to convey information and avoid yawns. To do this, it can be good practice to make an outline and use words that will be imprinted in the memories of your audience.
Unit 1
Training Module
An awesome title
Contextualize your topic
Yep, you read that right. Interactivity and animation can turn even the most boring content into something super fun. In Genially, we use AI (Awesome interactivity) in all our designs so that you can level up with interactivity and turn your content into something that engages and provides value.
Unit 1
Training Module
An awesome title
An awesome title
An awesome title
Contextualize your topic
Contextualize your topic
Contextualize your topic
With the Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like!
Yep, you read that right. Interactivity and animation can turn even the most boring content into something super fun. In Genially, we use AI (Awesome interactivity) in all our designs so that you can level up with interactivity and turn your content into something that engages and provides value.
Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
Unit 1
Training Module
An awesome title
An awesome title
An awesome title
Disciplines such as Visual Thinking facilitate the taking of visually rich notes through the use of images, graphs, infographics, and simple drawings. Give it a go!
Visual content is a transversal, universal language, like music. We can understand images from millions of years ago, even from other cultures.
Did you know that Genially allows you to share your creation directly, with no need to download? All ready for your audience to view it from any device and share it anywhere.
Unit 1
Training Module
Here you can put an important title
Contextualize your topic with a subtitle
Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
Unit 1
Training Module
‘Use this space to write a quote. And remember, always name the source.’
Here you can put an important title
Contextualize your topic with a subtitle
Genially
With the Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like!
Unit 1
Training Module
An awesome title
Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
An awesome title
Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
Training Module
Unit 2
Image Compositions
Sections like this help you create order
Unit 2
Training Module
Visual content is a transversal, universal language, like music. We can understand images from millions of years ago, even from other cultures.
Our brain is biologically primed to process visual content. Almost 50% of our brain is involved in the processing of visual stimulus.
When you tell us a story, it excites us, and can even move us, which means that we remember stories up to 20 times more than any other content we consume.
Unit 2
Training Module
Visual content is a transversal, universal language, like music. We can understand images from millions of years ago, even from other cultures.
Our brain is biologically primed to process visual content. Almost 50% of our brain is involved in the processing of visual stimulus.
Unit 2
Training Module
An awesome title
An awesome title
An awesome title
Contextualize your topic
Contextualize your topic
Contextualize your topic
And use this space to caption it. This is essential for giving your presentation more visual impact.
And use this space to caption it. To insert an image, you can upload it from your computer or use the resources in the Editor.
And use this space to caption it. You can upload an image from your computer or use the resources available in Genially, on the left side of the Editor. Knock their socks off!
Unit 2
Training Module
We generally grasp visual content better. Visual content is associated with cognitive and psychological mechanisms. We receive things through our eyes; the first image is what counts. We associate visual content with emotions.
Unit 2
Training Module
An awesome title
Contextualize your topic
Yep, you read that right. Interactivity and animation can turn even the most boring content into something super fun. In Genially, we use AI (Awesome interactivity) in all our designs so that you can level up with interactivity and turn your content into something that engages and provides value.
Unit 2
Training Module
With interactive images. Include additional information and display it with one click.
Surprise your audience with interactive images
Animate your content and take it up a notch.
Surprise your audience with additional info.
Unit 2
Training Module
Insert an awesome video for your presentation.
And use this space to caption it. Multimedia content is essential in a presentation, to really wow your audience. What’s more, this way you can summarize the content and entertain your audience.
Unit 2
Training Module
Insert an awesome video for your presentation.
And use this space to caption it. Multimedia content is essential in a presentation, to really wow your audience. What’s more, this way you can summarize the content and entertain your audience.
Insert an awesome video for your presentation.
And use this space to caption it. Multimedia content is essential in a presentation, to really wow your audience. What’s more, this way you can summarize the content and entertain your audience.
Unit 2
Training Module
Unit 2
Training Module
An awesome title
An awesome title
An awesome title
Disciplines such as Visual Thinking facilitate the taking of visually rich notes through the use of images, graphs, infographics, and simple drawings. Give it a go!
Visual content is a transversal, universal language, like music. We can understand images from millions of years ago, even from other cultures.
Did you know that Genially allows you to share your creation directly, with no need to download? All ready for your audience to view it from any device and share it anywhere.
Training Module
UNIT 3
Timelines y Diagramas
Sections like this help you create order
UNIT 3
Training Module
20XX
20XX
20XX
Contar historias con orden y jerarquía es fundamental.
Telling stories with an order and a hierarchy is fundamental.
And add toppings: interactivity and animation.
Phase 1
Phase 3
Phase 1
20XX
20XX
20XX
Phase 2
Phase 4
Phase 2
Turn numbers into a story with a graph.
Icons are always a good ally.
Icons are always a good ally.
UNIT 3
Training Module
Icons are always a good ally.
Phase 1
20XX
Telling stories with an order and a hierarchy is fundamental.
Phase 2
20XX
Turn numbers into a story with a graph.
Phase 3
20XX
And add toppings: interactivity and animation.
Phase 4
20XX
UNIT 3
Training Module
Interactivity and animation can be your best allies for making content fun.
Here you can put an important title
Contextualize your topic with a subtitle
That’s why in Genially, we use AI (Awesome interactivity) in all our designs, so that you can level up with interactivity and turn your content into something that engages and provides value.
With the Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like!
Do you need more reasons to create dynamic content to tell stories?
UNIT 3
Training Module
Wow effect
Magic
Design
Interactivity
Animation
Creativity
You can add interactivity to your timeline.
The important thing is for everything to be suitable for the topic.
MIND MAP
Interactivity
Animation
Creativity
Wow effect
Magic
Design
And for you to wow your audience.
And animations to make it fun.
Contextualize your topic
Training Module
quiz
Sections like this help you create order
QUIZ 1/5
Training Module
QUIZ 2/5
Training Module
QUIZ 3/5
Training Module
QUIZ 4/5
Training Module
QUIZ 5/5
Training Module
Bibliography
Training Module
Use this space to write down your sources of information. Citing where you got the info from is always a plus.
The APA Standards (Publication Manual of the American Psychological Association) are indispensable when citing bibliographies.
This is a set of guidelines for citing any type of project: theses, reports, presentations ... You name it!
These references include information on the author, date of publication, title, and source.
Here’s a quick little guide: Arial or Times News Roman font, 12 pt, 2.0 line spacing, left aligned, and unjustified.
Congratulations!
More Information
TFE members can fill 90 days through mail order but only 30 days at retail, so despite the higher copay of mail order, the cost per dose is lower.
Got an idea?
Let the communication flow!
With Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like! Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
- Generate experiences with your content.
- It’s got the Wow effect. Very Wow.
- Make sure your audience remembers the message.
Got an idea?
Let the communication flow!
With Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like! Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
- Generate experiences with your content.
- It’s got the Wow effect. Very Wow.
- Make sure your audience remembers the message.
WATCH OUT
When implementing a PA, it is important to run a trial claim to ensure the medication is being paid out in accordance with the plan’s copay structure.
Got an idea?
Let the communication flow!
With Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like! Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
- Generate experiences with your content.
- It’s got the Wow effect. Very Wow.
- Make sure your audience remembers the message.
WATCH OUT
- For both Aetna and Kaiser members, they must fill their Specialty meds through their respective provider.
- The same is true for diabetic supplies, except for Aetna Medicare Retirees, who are covered by BMR.
Watch Out
When implementing a PA, it is important to run a trial claim to ensure the medication is being paid out in accordance with the plan’s copay structure.
Got an idea?
Let the communication flow!
With Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like! Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
- Generate experiences with your content.
- It’s got the Wow effect. Very Wow.
- Make sure your audience remembers the message.
Helpful Context
TFE members can fill 90 days through mail order but only 30 days at retail, so despite the higher copay of mail order, the cost per dose is lower.
Got an idea?
Let the communication flow!
With Genially templates, you can include visual resources to wow your audience. You can also highlight a particular sentence or piece of information so that it sticks in your audience’s minds, or even embed external content to surprise them: Whatever you like! Do you need more reasons to create dynamic content? No problem! 90% of the information we assimilate is received through sight and, what’s more, we retain 42% more information when the content moves.
- Generate experiences with your content.
- It’s got the Wow effect. Very Wow.
- Make sure your audience remembers the message.