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378 Upskill-Part 2

A healthcare professional discussing plan details with a member in a modern office setting, with documents and a computer, emphasizing education and support in health insurance services.

Clearstone and KelseyCare Knowledge Quiz

Test your knowledge about Clearstone and KelseyCare plans with our engaging quiz! This quiz covers important topics including grievance handling, member inquiries, and coverage details. Perfect for enhancing your understanding and assisting members effectively.

Multiple choice questions
Focus on member support processes
Improve your clarity on healthcare plans

9 Questions2 MinutesCreated by HelpingHand527

(X8633 Clearstone) When speaking with member are we allowed to refer to the plan as Clearstone?

Yes

(X8633 Clearstone) If member is upset about the Opioid letter they received, who would file the grievance?

Clearstone

Caremark

(X8633 Clearstone) If member has questions concerning Co-pay structure or Plan Design questions. Who handles?

Clearstone

Caremark

X20AA KelseyCare Who handles redeterminations?

Kelsey

Caremark

X20AA KelseyCare If member has questions concerning their EPIC coverage, who handles?

Kelsey

Caremark

X20AA KelseyCare For a vacation override member is allowed how many per year , per medication

Three

One

Two

X8613 GlobalHealth Does this plan allow bulk ups?

Yes

X8613 GlobalHealth Which of the following people are considered Global Health authorized individuals who can add or approve Pharmacy Authorizations?

Santha Ross

Merin Collins

Valerie Douds

X8613 GlobalHealth Who handles Part B Coverage Determinations?

GlobalHealth

Caremark

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