It is an amount of money the member needs to pay out of pocket on a yearly basis for the benefits to kick in.
What is a deductible?
200
True.
The National medical excellence is an additional benefit.
True/false
200
a-member
Who is responsible for sending the claim when dr is nonparticipating on POSII Plan?
a- Member
b-Doctor
c-Aetna
d- member and doctor.
200
Family Practitioner
General Practitioner
Internist
Pediatrician
What are the types of PCP ?
200
asking for permission; providing the time frame and a business reason for it.
What is the hold procedure ?(roll play)
300
•Aetna Natural Products and Services Discount Program
•Aetna Fitness Discount Program
•Aetna Vision Discount Program
•National Medical Excellence
•Women’s Health
Mention 2 additional benefits.
300
No.
If a member calls in asking if she/he can go to a OBG/YN.
Does the member need a referral?
300
Is a doctor not contracted within the Aetna's network.
What is a Non-participating Provider?
400
no
Does POS II Plan cover in and out network providers with same benefits ?
400
Yes.
If a member call asking if they will need a Pre-Certification to visit an out of network provider, What'd be the right answer?
400
Adriano.
Whose voice was the one heard on the video?
500
Preferred and non preferred benefits.
What are the levels of benefits included on the plan?
500
Point of service.
What does POS stand for?
500
No. Each member may select the same or a different PCP.
Do all members under the plan must use the same PCP?
500
HIPAA (Health Insurance Portability and Accountability Act of 1996) is United States legislation that provides data privacy and security provisions for safeguarding medical information.