Generation Advantage Plan Jeopardy Template

GA Basic	GA Advanced	Case Classification	Benefits and Templates	Miscellaneous
100 October 15 - December 7 What are the dates for AEP?	100 6 How many plans are offered by Martin's Point?	100 60 How many days does the member have to file a grievance?	100 IP hospital stay SNF PT Complex Diagnostic Imaging Name 2 benefits that require authorization?	100 QMBY, SLMBY, QI Name the 3 types of MSP's
200 2006 When was Part D added to Medicare?	200 Focus DC What is the name of our SNP?	200 Appointment of Representative What does AOR stand for?	200 Shingles TDAP What shots are not covered at the Doctor's office?	200 Beneficiary Beneficiary's representative What does "B" and "BR" stand for in Salesforce?
300 End stage renal disease What is ESRD?	300 Value Plan What plan does not have drug coverage?	300 Member, members rep with an AOR or POA on file Who can initiate grievances?	300 False True or false? Self administered drugs are covered in an Out Patient setting?	300 Value Plus and Flex plans What 2 plans have Part D deductibles?
400 1964 What year was Medicare established?	400 Late Enrollment Penalty What does LEP stand for?	400 Plan level appeal IRE ALJ MAC Judicial review Name 3 of the 5 levels of appeals.	400 Conversation between the member and their provider What is OUR referral process?	400 Matrix, My advocate, NEDD, Evicore, Amplifon, CVS Caremark What is the name of 3 of our vendors?
500 No Can a member have a GA and Supplemental plan both pay at the same time?	500 January 1 - March 31 When is the OEP? (Open Enrollment Period)	500 Tiering Exception Formulary Exception Quantity Exception Name 2 different types of coverage determinations	500 .gaddress What template is used to update an address in GA?	500 Salesforce? Org Determination Grievance Quality of Care CMS test call What are the 4 things that should be entered into Salesforce?

Generation Advantage Plan

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