Metal Tiers
Bronze plan
What is Ambetter Essential Care plan.
What is a copay / copayment ?
Arizona
"I'd really like to let someone know about the great service I've received today."
What is the Compliments intent?
System used for documentation.
What is Omni?
Silver
What is Ambetter Balanced Care plan?
Cost sharing that is a percentage of the covered services.
What is Coinsurance?
Florida
What is Ambetter from Sunshine Health?
"I need to make a premium payment today."
What is the Billing Inquiry and Payments intent?
Source of Truth for Provider information.
What is Portico?
Gold
What is Ambetter Secure Care plan?
Amount an insured person must pay before insurance begins to pay.
What is Deductible?
Texas
What is Ambetter from Superior Health Plan?
"My husband and I just found out we are pregnant."
What is the Notification of Preg/Newborn intent?
Source of Truth for Claim information.
What is Amisys?
What plan is known for its extra savings.
What is Silver plan?
The most you have to pay for covered services within the plan year.
What is MOOP / Maximum Out Of Pocket?
Washington
What is Ambetter from Coordinated Care?
Member calling, his dog ate his ID card... HELP !
Source of truth for Authorization (medical) information.
What is TruCare Cloud?
Plan that offers highest OOP expense and lowest premium.
What is Bronze plan.
An out of pocket expense that is not considered share of cost.
What is Premium?
HealthNet
Member calling in to see if we received a claim from their pharmacy.
What is Pharmacy Claims Inquiry intent?
System used for evaluations and testing.
What is QMindshare?