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You can help prevent grievances by

You can help prevent grievances by: (Select all that apply.) a. Always confirming availability of the beneficiary’s primary and specialist providers by using the provider search tool available on the plan’s website. b. Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding. c. Always confirming a beneficiary’s … Read more

When discussing prescription drug coverage, you should

When discussing prescription drug coverage, you should: (Select all that apply.) a. Explain how to use the formulary to look up limitations and exclusions (e.g., step therapy, quantity limits). b. Confirm coverage of the beneficiary’s current and/or anticipated prescriptions. c. Explain formulary tiers as well as drug copayment amounts. d. For drugs that are not … Read more