H&W
How much is the benefit for a Mammogram in Plan 2?
$250 straight across
What are the deductibles for sickness?
$5k, $7500, $10,000
There are __ levels in the AIBC and ___ levels in the ABC.
6 and 3
What kind of dental services does PremierMed cover?
Accident only
What are the names of the Vision Networks?
Eyemed Insight and Spectera
PremierChoice Health & Wellness Plan covers prescription drugs..T or F?
false
What are the deductibles for accident?
$2,500, $3,750, $5k
How many accidents can you claim in the lifetime of this policy?
5
Name 5 things Emergency Room & Other Outpatient Benefits covers
Emergency Room Services, Emergency & Urgent Care Facility, Emergency Transportation to Hospital by Ambulance, Outpatient Surgery, Outpatient Provider Office Visits, Telemedicine ,Second Opinions Outpatient Prescriptions, Outpatient Laboratory & Diagnostic Tests, Medical Equipment & Supplies, Internal Prosthetic/Medical Appliances, Cancer Clinical Trials, Behavioral Services for Treatment of Autism Spectrum Disorder, Home Health Care, Outpatient Therapy, Outpatient habilitation Therapy, Dental Services – Accident Only, Skilled Nursing Home Limited, Supplies & Services Associated with the Treatment of Diabetes, Dental Confinements/Anesthesia
Your coverage includes the amount of Emergency Air Ambulance expense up to the maximum of ____ per Accident per Insured for Medically Necessary transportation by air within ____ from the date of Injury sustained in an Accident.
$4k, 90 days
° Colonoscopy - One Colonoscopy Wellness & Health Screening Benefit per Insured per Policy Year is available to Insureds at least __ years of age and asymptomatic, or at least ___ years of age with either a Family history of colon cancer or another colon cancer risk factor.
50, asymptomatic or 40
What are the 2 Networks we use?
United Healthcare choice Plus and Cigna
If you lose a thumb and index finger on different hands, what percent is the AD&D benefit received?
0%, must be the same hand!
How many categories are in PremierMed Overview of Benefits Sickness & Bodily Injury Benefits ?
11
The Life Protector is a ________ which increases by _____ increments.
10 year term, $5 increments
After Your plan has been in force for ______, You have access to the Wellness & Health Screening Benefits.
30 days
What are the Daily Max/Policy Year Max and for Plan2 PC and are they the same or different for accident and sickness?
$50, $150--same
What's the name of the website and phone number on the bottom of each page of the AIBC brochure?
www.aibcoalition.com, 1.800.992.8044
Outpatient Therapy is limited to ____ visits per Insured.
60
What are the elimination periods, monthly total benefits and maximum period for benefit payments for the Income Protector?
14 and 30 days
$500, $1000, $1500
3months, 6months,12months
Name each benefit.
Physical examination, EKG, Stress EKG, Osteoporosis Screening, Chest XRay, Diagnostic Labs, Colonoscopy, Mammogram, Pap Smear, Children Routine Immunizations, PSA test
How many surgeries can you get on PC2 and PC3? What are the maximum benefit ranges for each?
1, PC2 $40-4k, PC3 $80-$8k
Name the levels of the AIBC and ABC in order.
ex.diamond, diamond, emerald, sapphire, ruby, pearl----elite, executive, entrepreneur
Emergency Room & Other Outpatient Benefits in PremierMed covers TMJ which stands for what?
Temporomandibular Joint Disorder
The 3 names of the Dental Networks are______.
Careington, Dentemax, Dental Benefits Providers National Options PPO