Plan Your oprema trade. Are you calling to enroll in a new Medicare plan with United Healthcare or to explore plan options. No, I found your account using your phone number for verification. What's your date of birth,
September, 21 1938.
Thanks Shirley. Just a moment while I get your account details. Please hold while your call is transferred.
Thank you for calling non healthcare This is Christopher How can I help you.
Hello, Christopher
My name is Jen and I'm calling on behalf of my mother Shirley who has coverage with you guys and I had a question about the coverage. So, do you have her account there so you can look it up. Yeah,
I'm actually pulling it up right now. Gleditsch say that we usually, it automatically comes through the automated system. But I do have the account for, is taking this time for
sure. No worries.
Question. Oh,
okay. The question is, yeah, the question is this, so we took her in to get a hearing test to an audiologist, that was set up by the. You see, and hearing outfit. Okay. And so we have the test yesterday, and they got there they have ordered the hearing aids. And what I wanted to verify is what the billing or what her coverage is for a they in the course of that appointment they referred my mother to a specialist, who is an ear nose and throat. A. And because he has a symmetric hearing loss and they want to make sure that there's no physical, physiological blockage or anything going on. Exactly. So anyway, so I just wanted to verify where the billing is going to go for that and see what if any cost, we're going to incur on our end for a deductible or anything like that.
No, so your specialist is actually hurting, Right, so the visit is free, so they are if they're they're doing X ray the X ray, I got to look at it the benefit for the X ray might be an MRI. Right, right. The MRI is usually the 20% which you could also get Medicaid to help pay for that extra 20% that's covered cover calls. Now we did open it up.
No worries. I can be patient. So what you're saying is that, is that at the specialist who is the ear nose and throat doctor. If they do, so the specialist right so so the visit is, is covered by by United Health. Okay. And then, because of the abundance plan.
Okay. Oh, because he's doing a complaint, which means that she has a primary and a secondary to offer insurance. So the current period would be Medicaid. Okay. So, when you go to the specialist and before you go to the specialist grant and give your mother's Medicaid information. Okay, Okay, as well. Okay. So, both of our eyes on our radiology our service. Okay, up to 20% discharging. So, you can call and find out if you want to know their educational purposes like behind that. It all depends on what he is going to charge you could call him and see how much he seems charging for his reality radiology services for as the MRI. How much you got to get billed for that you have to separate call the billing department who really want to know, but on your mother's benefits and stuff to 20%.
So are you saying that they cover that, that her benefit at United Health Care covers up to 20% Oh, it covers 80% So So 20%, or
20% of the out of pocket, out of pocket, okay,
but that might also be covered by Medicaid is what your was what you're suggesting there.
Yes, bye. Bye bye. It will be about for sure the adult because Medicaid is a different entity, and they will have to look at all the documents that they receive. Okay. All right, so they leave you with 5%, or the baby was 18%. So, I really wouldn't know. Okay.
But United Health. This is about yeah that's that's good enough. So as long as we know that, that the United Healthcare is covering 80% of any radiology and 100% of the actual visit itself. Okay.
Visit any visit that you do that your brother Eddie visit really is covered, you know, you know, okay, worry about that at all. Excellent, excellent. Okay.
Excellent. Okay, well, this gives me what I need and I can follow up with the Medicaid people on the rest of it. Except the emergency room visit. Is that what you said
when you gave an emergency room for your mother's diabolical pay. Okay. Yeah, because either they generally take their whole diversity. Okay. Yeah, the urgent Care and stuff like that yeah that's that's true. Urgent Care. Urgent Care crazy stuff like that, that's for anybody for us like nursing, stuff like that.
Okay.
Okay, so 100% for urgent care and 100% for office visits. Okay, and 20% out of pocket for radiology or other external services, and then we can check with Medicaid to see who, if they, how much of that they have those things they cover. Okay, great. Well, I think you've given me everything I need to know without even accessing your system so you're better than
I've got access to.
Okay, well, you're still better. You're still better than the computer. Sure.
Oh, every time you call United Healthcare you're going to be routed directly to me. Okay. Others care coordinator for benefits.
Okay,
yes so good as they call
excellent knowledge and what's your name, sir. Christopher. Christopher. Okay,
great,
you do call health care regardless of how you call, you're going to be routed directly to the only.
Okay. Terrific. That's, that's great news.
Yes, yes, we'll definitely be in contact with the person every hour for the whole time on this position where a lot of us are unless you're literally British reassigned to another person, right. So, basically the care coordinators are like experts at this particular client that your mom has painted out of the plane. Okay. Where to guide her where to go. One thing you do with the health assessment provider health assessment, okay. It may be financial or social needs that need to be there and was published next year she's using the healthy food benefit every day where, where it's like, it's basically like healthier foods, that's where we give you $30 A month of healthy food benefits. Oh, okay. Oh, yeah, so should have that, I don't know the doctors know how. Okay, okay, cool, I can call it a secret address 22 South Adams Street department forces.
Yes it is.
Okay, cool. So if if not active, get the percent of the running car for, okay, and the old apartment benefits card issued by a Walgreens it's hard just like medicine COVID accommodations like aspirin and stuff like that, oh,
oh, no yeah she needs that too.
Okay, okay. Yeah, we should we should have sent everything in the beginning of the year to this address. It does come in a white card and a blue card. Okay. Wife.
Okay, yeah she her he both her her hearing in her eyesight is so bad anymore that she doesn't really have complete ability to to under read and understand everything that's going on so any information that you're giving me is really good.
Okay, okay, so what we're gonna call a boat on the boat. Okay. Oh,
is there any, what about, because we're going to be encountering this here in the next few weeks. What about eye care so that said we're going to be taking her into at some point to a an eye doctor to get her. She's got severe eyesight problems. So, what would you suggest will be the best procedure for forgetting, taking her through that process.
Well, first, first I will let her go to the regular eye adopted optometrists first. Okay, pick five. Okay. Make sure if they're gonna refer you to apology doctor, like a real eye that's like a surgeon, like they have to call me therefore, make sure that they refer to someone that's in there, network and they accept Medicaid, and without a health care. Okay. Oh, but if they say you have to go through, I like eye surgeon or a specialist for the eyes. You can call back,
please. Well, if you could do that right now that would be great because I need to go ahead and schedule whatever we need to do.
Thomas's first. Yes.
Yeah, actually both if you could give us both and. and if there's anybody like in Denver like near the rose medical or in the Rose medical facility. That's very convenient for her either. The Rose, or, or Lowery, here in Denver
Yako everything right now. Okay. So with the social media to financial meetings in any other, any other like containers and stuff like that word OR.
Yes, absolutely. Internet especially if there's any internet any help getting her a high speed internet that would be extremely helpful. She lives. She lives at a. She lives at a
senior. I guess it's a private facility but it's for low income people and she gets she gets like $500, a month from Social Security, and then out like she pays like I think like 300 of that to the facility and that includes her rent and her basic utilities, but it does not include, you know, phone or internet. So anything like that would be really super helpful.
Hello, but I'm going to start with the doctors first since I've got everything pulled Oh, okay. Yep, looking for somewhere with Zuko they should be like usual,
closest to us 80209 Yes.
What I have right now is LensCrafters. Okay, fine. Sure. I believe crap was is like a something like I wrote a chain
right there like a retail place that sells glasses and stuff.
Yeah, but they also do. They also check guys but what I want to warn you. I want you to take care of.
Yeah, you know, that might make more sense to get together directly to an eye surgeon, because we know that she has also those are surgeons and we'll be honest.
Like if she glasses. They won't. They won't cover that. Oh, anything medical is where the eye surgeon come into play. Right, well
we know that she's got medical, you know, issues we know that from the in the years, years past few Scott macular degeneration going on, and other things as well, so.
So, Bob is going to read glasses.
Well, sure, yeah sure he has to he has glasses. It's way beyond that at this point, she's like practically blind in one of her eyes and she just hasn't gotten to a doctor in years about it just literally just going blind and deaf
application.
Sure.
signify that it's instructive.
Did you say, did you say 65 Madison Street.
See
80214 hours a week.
Yeah, that would be great.
Oh yeah,
that'd be perfect person,
Frank. His name is Frank superego. Okay, I can't pronounce them
okay could spell it.
Yes. Hi Laura. Ngo,
serving NGO, okay. And he is a, what is he ophthalmologists
ophthalmologist. Okay. His surgery. Okay.
Okay. And is he going to get another pen. Okay, excellent, excellent. Okay. And so we could make an appointment with him. Excellent, excellent. That sounds perfect. And then, and then he. Oh, let's see, an eye surgeon right. And so we wouldn't need to go to a primary care provider for we could just go directly to him. Okay.
Great.
That looks like they're Omni eye specialists. Yeah 303
Okay.
Me mi
3377 2020, swept the number that I have. Yes.
Okay. Cool.
Perfect. But also want to give another one. Okay. Oh, 777 bad knock tree.
Yeah, that's close to. Yep.
Okay. Oh, definitely searching today to take Medicaid and Medicare and Medicaid in it. Okay, okay.
See,
yeah.
Oh yeah, that looks like Denver, that looks like Denver Health is Denver Health Medical Center. Oh, okay,
fine, there's a lot of people are like, Oh no,
they're great we like them. Yeah, yeah they're terrific. Yeah, people I think they people are say they don't like them because they're, they're the sort of the public care option here in Denver, but they're actually fabulous, and we've had my mom has had a lot of really good care from them so that's, yeah that's great. And so let's see the number I have for that let's see is there a specific because that's there a big organization, let's see. Do you have a. Yeah, okay,
that'd be zero, or 49494949
Okay, that's the ophthalmology department.
Okay. Richard, David, David.
David, Richard Davidson Okay.
Very good.
Perfect. Well, it gives us two great options.
All these.
Yeah, it might be called Internet it might be called broadband or cable TV, or, you know, Things like any of those kinds of things 80209
So, I'm gonna remind you in the last day to this time employees are so familiar with sonar sonar, we have the console to the mile to get you authorize all this particular benefits. Sure, okay. You got on here and certain things I know for a fact that I can get.
Can I, can I get her on the, on the my other phone line right now, get her on the phone and just do it, get it done.
Yes, on this.
Okay let me, let me give her a call and get her on, on the line here.
What's your phone number, just in case.
Yes, my number is 3036471411411 Yes.
Shirley. Okay.
We try calling her right back oftentimes she just is can't get to the phone quick enough, so let's try her again.
Shirley.
Give her one more try.
Hello.
Hey, Ma. This is very, hey, I've got you on speakerphone right now. Oh, we have Christopher who is your care coordinator at United Healthcare. And we've been talking for about a half an hour about your coverage and getting everything straightened out with the, the hearing appointment yesterday and all, you know what's going on with all that, and he's super super helpful he's really really good at, and he needs to, there are certain things he needs to talk to you to get me approved on your account so that I can get access to everything.
Oh, that's what she can say to her address.
Okay so mom what he said just said is that he needs your you to tell him your date of birth, and your address.
Okay. What was that first thing
your date of birth.
Yeah. Okay. Should I tell you now. Yeah,
Yeah. Oh, it's
September 21 1938.
And then, then the address ma
20 to show us straight apartment for short, 22, Denver, Colorado. Eight zero to zero.
Okay cool, that's all we needed for now Ma, I'll call you after we get done with the call because we're getting getting everything figured out here. Oh, thank you so much. Kevin is that his name. His name is Christopher.
Christopher.
Anyway, thank you so much for everything. I appreciate it.
Okay.
Okay, I'll talk to you a little later, Ma.
Okay, thank you.
Okay, okay,
bye bye. Okay.
We're all good to go. Then,
open cool. Do you have time to make sure
I've got all afternoon.
Okay, cool. Let's do one thing ever cops are looking. So I did find some places for the internet. Okay, I can email it to you right now he has an email,
yes, it's J en j is in Jack E M as in Nancy at Denver geeks that's D NV are like the city Denver GK s.com
Okay, so hang on for elephant Nancy are geeks, calm,
yes, je n at Denver geeks, Calm.
Pretty soon, okay. content.
Okay. All right,
yes.
First name,
Jennifer, Jen. Yeah. Yes, Latin, Wallace, same as my mother w a ll a fee. Address 2409 Newport Street, Denver, Colorado. 802073036471411.
Okay cool was that everything from more individuals that help with paying for Internet service.
Great.
First thing I'm going to get that sent out for you. Is there anything nose work, no.
I'm sorry.
If there's anything else we need to be working on or.
I think that's it for now. Okay, and I did let looks like I did receive
one of these.
Yes. Internet Essentials okay
PCs who people spectrum internet assist
or any other, especially during bank or financial.
I mean, I think. Not that I can
think of I mean, just any thing. That certainly anything that might be helped by food or helped by, you know, just anything she's just your, you know, lover.
Or somebody with the card you could use it at Walmart. You get it should take like four weeks of why picks that wrong. Okay. It's going to be mailed to mother's address. The next two weeks. Check our mail or tiller and look out for mail from Ghana healthcare, okay. It would be two debit cards two separate debit cards. Okay, once you get them, you do have to call and activate.
What are the amounts Do you didn't have the amounts there.
Oh, yeah, the full benefit card is $30 a month. The opening kind of medicine is 170 per quarter. Okay.
And all those automatically come to wherever, like the food one will come every month or
Yes, first of the month, yes. Okay, Well, the great benefit about that is that every week they do have a sale for food items, healthy food items is really healthy food items, okay, the opposite was supposed to buy fruits and vegetables. And like protein bars and stuff like the healthy diet.
Okay,
they will most definitely get through to their cart right, cool. So every week they have a sale, where you can save even more money on buying fruits and vegetables are any healthy foods that you would like to see cottonseed or other informations and as they come in available to look online, they can disappear. Okay. Because sometimes you automatically get those discounts, even if you don't look online, Or if your building is all about it. Ah, okay. So every Sunday, they put out a little more discount every Sunday. Okay,
okay, online, okay. Okay and that card is good at Walmart and where else cuz I know king. Oh King Soopers, okay.
So I think the over the counter card, I think I have to call them, what do you want to call them often way too likely because I know they want to check the account.
Okay.
But your calls out everything, so everything would you say,
Yeah, That would definitely be helpful to over the counter,
you know, because I'm sure that you have to. I know for a fact that I have to call the more to waste. professor. Okay.