Annual Election Period

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Across
  1. 2. ____ A,with this,the subscriber will receive hospitalization, Skilled Nursing Facilities, Hospice and some home health.
  2. 5. This person is who we go to for any personal business.
  3. 7. If an application does not have a signature, it is this.
  4. 11. It is very important,this must always be in your notes.
  5. 12. The _______tool is one of the best resources to go to for information.
  6. 14. Acronym for someone who is an expert in our operations.
  7. 15. We require an answer to the question about this on our apps.
  8. 17. Type of facility where a mbr may live,they may enroll and Disenroll any time they choose, while living there.
  9. 19. We can't release any PHI without verifying this.
  10. 20. Great tool for viewing blank copies of our applications and for comparing SMURF ID.
  11. 21. This is the name of the central/east processing system.
  12. 24. Members use these to assist in the enrollment process.
  13. 25. This is the name of the west processing system.
  14. 26. Member’s who have this SEP may enroll and disenroll from plans, as long as they still qualify.
  15. 27. This number has a letter @ the beginning or on the end of it, and is used to identify a member.
  16. 28. This type of plan includes both medical and Rx.
Down
  1. 1. This elect type is number one on the ranking order.
  2. 3. The # of days for a response to a non-sep RFI.
  3. 4. Main system used to verify Medicare eligiblity.
  4. 6. You must always remember to put these in whenever you touch a record.
  5. 7. This medicare verification system is maintained by us.
  6. 8. A type of plan where Part B is not needed.
  7. 9. Many key pieces of information are needed in order to determine this kind of date.
  8. 10. This is the amount of months that a newly eligible individual has to enroll in.
  9. 11. You will find these contain the answers on how to perform the functions needed to complete a work item.
  10. 13. Name of a queue where you will find many of the same.
  11. 16. First of this month is eff date for AEP enrollment.
  12. 18. New to Part B only,this many months to enroll during.
  13. 22. _______Eligible- Member who has both Medicare and Medicaid.
  14. 23. This is the term for the monthly cost of the plan.