Product Questions

Requirements

Questions asked because the member is buying this product. Some gate eligibility; some collect information the product needs.

9products using this

6questions

Question

Answer type

Source

Purpose

Requires

Applies to

Actions

Are you enrolled in Medicare Parts A & B?

Yes / No

Standard

Eligibility

Documents

Read-only

Do you reside in the plan's service area?

Yes / No

Standard

Eligibility

Documents

All lines

Read-only

Have you been diagnosed with End-Stage Renal Disease (ESRD)?

Yes / No

Standard

Eligibility

—

Read-only

Do you currently receive Medicaid assistance?

Select

Standard

Eligibility

Documents

Read-only

Are you a U.S. citizen or lawfully present resident?

Yes / No

Standard

Eligibility

Documents

Read-only

Do you have other creditable coverage?

Select

Standard

Informational

Documents

All lines

Read-only