I have sold both Chronic Illness and Dual products and think they arent too bad,this being predicated on the extensiveness of the network in your area. Also remember this, when dealing with the elderly poor, you are looking at a group that is not so great at changing doctors or locating network doctors. " I want to see Dr Billsalot cos I been seein him for 20yrs, I don't want to change." There is a LOT of service work maintaining these customers, a LOT! Typically if a pharmacy declines a drug or their copays are not reflecting LIS or if the PBM and Insurance company have a disconnect you end up having to sort it for them.