Medical
When building an employer instance that includes Wellbeing, what carrier must be configured?
Prism
Do you need to build a carrier for Dental and Pharmacy vendors?
Yes, you must build a carrier for every single vendor!
What are the 3 types of Milestones we offer?
Standard, Conditional, Points as a Threshold (Paat)
What are the 3 types of Benefits we can create in UMC?
1. Informational (Benefit Card)
2. Educational (Q&A)
3. Incentive Program (Data driven activities)
These incremental changes encouraged through incentives help our members live happier, healthier lives.
Micro-behaviors
When should you configure an explanation for medical benefits?
1. If plan limitations are mentioned
2. If the information will be beneficial to the user
1. Pharmacy - Yes
2. Dental - No
What are at least 3 types of rewards that can be associated to a milestone?
Dollars, HSA Contribution, FSA Contribution, Medical Premium Reduction, Payroll Contribution, Medical Contribution, Surcharge Removal, Custom
What kind of benefits do we not require an end date?
Benefit Cards (Informational)
What are the 3 Consumer Programs we offer?
Eat Smart, Get Smart, Sleep Well
What is a Copay and what is a Coinsurance Rate?
1. A dollar amount ($) paid upfront for services
2. A percentage (%) the user is responsible for once they have met their deductible
What are the 3 standard types of prescriptions?
Retail, Mail-order, Specialty
After meeting the point requirement for each threshold.
What must be added to any benefit card in order to save the program?
What do we call Wellbeing Vendors that partner with Castlight?
Ecosystem Partners
What is an Embedded Accumulation Model?
An embedded deductible accumulates spend at both the individual and family level.
In order for an individual to move from the deductible to co-insurance phase, one of two things can happen:
1. An individual can hit the individual spend limit
2. The sum of all the family members can equal the family deductible limit
What is the key difference between Medical and Dental insurance coverage?
Dental has an Annual Coverage Limit, while Medical has an out-of-pocket maximum.
When creating a milestone, what must be exactly the same as the associated incentive program?
Segment (Audience)
What is a CTA?
Call to Action
(I will accept Click to Access since that is what I initially stated)
What is a tracker incentive?
A set amount of money provided by an employer for a user to purchase a step tracking device from Amazon.
What a Collective Accumulation Model?
The Collective Model accumulates spend at the family level.
In order for any individual to move from the deductible to co-insurance phase, the sum of all the family member spends must meet the family limit.
What kind of maximum does Orthodontia have?
A lifetime maximum
What is the feature called that allows points to be retroactively rewarded in a Standard Milestone?
Lookback Date
What is a program category?
Predetermined program types that help drive downstream functions for Benefit Programs, including search mappings and personalization, as well as analytics and reporting.
These program categories are important because they help characterize the benefit programs that are available in the application.
1. What is an EBR?
2. What are the 2 EBR Programs we offer (these are also considered Consumer Programs)?
3. What kind of experience must the user have in order to have these programs?
1. Engagement Based Rewards
2. Welcome Points + Explore and Earn
3. Care Navigation