COBRA
The amount of time members have to accept COBRA once the packet is created?
What is 60 days
The monthly or regular payment you make to keep your insurance active
What is a Premium.
A Federal law that lets you temporarily keep your employer-sponsored health insurance after a job loss or other qualifying life event
What is the Consolidated Omnibus Budget Reconciliation Act (COBRA)
CCAs use this for making inbound and outbound calls.
What is CXONE/AGENT
This is a holistic doctor.
What is a Naturopath.
The standard length of time COBRA is offered to a person who was laid off from their job?
What is 18 months.
Amount that has to be met before the plan begins paying benefits.
What is a Deductible.
It is a U.S. federal law that sets minimum standards for most voluntarily established retirement and health benefit plans in private industry
What is the Employee Retirement Income Security Act of 1974 or ERISA.
CCAs use this to log their cases for inbound calls and to see member profiles.
What is CRM.
This type of doctor specializes in surgeries in the mouth.
What is an oral and maxillofacial surgeon.
The length of time a member has to make a payment after COBRA has been elected?
What is 45 Days.
A flat, fixed fee you pay out-of-pocket each time you receive a medical service.
What is a copay.
A federal law that requires health plans to apply in-network cost-sharing terms and prohibits certain types of out-of-network providers, facilities, or providers of air ambulance services from billing individuals more than these in-network cost-sharing limits in three main scenarios: Emergency Services, Certain services at an in-network hospital or outpatient surgical facility and Air ambulances.
What is the No Suprises Act (NSA).
CCAs use this program to access copies of the EOB's, EPPs and see check and payment information.
What is Echo Health.
This type of doctor specializes in hormonal disorders and diseases.
What is an Endocrinologist.
The length of time member on COBRA has to notify us of a second qualifying event?
This person is the primary account holder who owns and manages the insurance policy
What is an Employee/Subscriber/Policy holder
Washington state law that protects consumers from surprise or balance billing if they receive emergency care at any medical facility or when you're treated at an in-network hospital or outpatient surgical facility by an out-of-network provider. Groups Must 'OPT IN"
What is WA 1065.
CCAs use this program to help members see a Fair Price comparison in their area for medical services.
What is the Valenz tool.
This type of doctor specializes in treatment and disorders of the kidneys
What is a nephrologist.
Length of COBRA when a dependent child ages out of the plan.
What is 36 months.
The highest amount you will pay for covered, in-network medical services in a plan year before your health insurance starts paying 100% of your costs
What is Maximum out of pocket.
The federal regulation requires health insurance companies to provide a patient-facing online tool (and phone support upon request) allowing members to get real-time estimates of their personal cost-sharing liability for medical items and services.
What is the Transparency in Coverage rule.
CCA use these portals to look at Claims that have went through our Fraud, Waste and Abuse partner vendor.
What is Optum Case tracker/Optum Insight and Review portals.
A type of therapist that focuses on behavioral issues of individuals who have autism.
What is an Applied Behavior Analysis (ABA) therapist or a Board Certified Behavior Analyst (BCBA)