Benefit Administration For Agent / Internal Training Only LD# L0511DW0Y(exp1207)MLIC-LD

1. Training Material Benefit AdministrationFor Agent / Internal Training OnlyLD# L0511DW0Y(exp1207)MLIC-LD

2. Benefit Administration Department • Benefit Determination • Care Management • Provider Verification • Claim Payment

3. Initiating A Claim • Call to toll free number • RN/Care Manager works directly with insured or caregiver

4. Benefit Determination • Based on ADLS/Cognitive • Certified as Chronically III • Development of a Plan of Care • Recertification

5. Care Management • Discuss Plan Benefits • Assist with Plan of Care • Understand Insured/Family Issues, Goals and Available Support System • Consider All Community Services

6. Claim Payment • One Claim Form • Bills as Proof of Loss • Provider Discounts • Claims Paid Within 10 Business Days