Acronyms
Acronym for Prescription Drug Plan
What is PDP?
Claims for services, drugs, or supplies you have already received
What is a post service claim?
Express Scripts
Who is our pharmacy vendor?
My doctor sent me a link to use Skype, Facetime, and Google Duo. My insurance won't cover this why?
What are non HIPAA compliant tools?
I need to fill my high blood pressure medication in person. Where do I need to go?
What is a Smart 90 Pharmacy?
Acronym of Explanation of Benefits
What is an EOB?
Bodily injury that requires immediate medical attention and is sustained solely through violent, external, and accidental means, such as broken bones, animal bites, insect bites and stings, and poisonings
What is accidental injury?
A health questionnaire that evaluates your health and quality of life and is worth $75
What is an Health Risk Assesstment?
Vidyo, Bluejeans, Simple practice are video tools my provider uses for my visits.
What are HIPAA compliant tools?
I have hepatitis and I need to fill Adefovi. Who will I call?
What is Accredo?
Acronym for Electronic Funds Transfer
What is EFT?
Part A, B, C, and D
What are the 4 parts of Medicare?
Behavioral therapy that uses science to improve behavior
What is ABA (Applied Behavioral Therapy)?
Virtual healthcare company that provides remote medical care via phone, video, and mobile app. Can only be used in the US
What is Teladoc?
I am used to treat chronic and complex conditions.
What is a specialty Drug?
Acronym for Temporary Continuation of Coverage
What is TCC?
The sudden and unexpected onset of a condition or an injury that you believe endangers your life or could result in serious injury or disability and requires immediate medical or surgical care
What is an medical emergency?
I can't figure out how to manage all of my medications. I need some education and support on how to take my medicine properly. Where can I get assistance?
What is the Personal Medication Coach Program?
A digital mental health care platform that provides evidence-based treatment and support to individuals and organizations
What is Lyra Health?
Multi-source brand drugs and single source brand drugs. Multi-source brand name drugs are brand name drugs for which the patent protection has expired
What is Tier III?
Acronym for American Medical Association
What is AMA?
Part C", is a private health insurance plan offered by a Medicare-approved company that provides all the benefits of Original Medicare
What is the Medicare Advantage Plan>
This program uses interactive web and mobile applications that deliver evidence-based psychotherapy models like:
• Cognitive behavioral therapy (CBT)
• Acceptance and commitment therapy (ACT)
What is the My Strength On-Line Mental Health Support Program?
Telehealth consultations for general medicine are available to members outside the 50 United States only through our telehealth vendor. Access general medicine telehealth services 24/7/365 by web or phone. Treatment may include preventive care and treatment for acute and chronic illnesses. A provider may also give referrals and prescribe medications, when appropriate.
What is Vhealth?
Branded medications included on the Plan formulary, but require a higher copay than the Generic and Preferred Specialty medication
What is Tier VI?