Terms
The set amount the member is responsible for prior to services being rendered
What is the copay
One requirement for Qualified Health Plans
What are the 10 essential health benefits.
This determines your eligibility to receive subsidies
What is the Federal Poverty Level
These type of plans were known as_, Until the governor decided to make a change.
What is Private Option
Plans that were available prior to 3/23/2010
What are the grandfathered plans
The type of out of pocket that does not include the copay.
What is traditional
The outline of the plan's coverage.
What is the Benefit Certificate
This subsidy lowers the members out of pocket responsibility.
What is Cost Share Reduction
Age requirement for Arkansas Works
What is 19-64 year of age.
The three levels of plans offered in the exchange
What is gold, bronze, and silver
The amount the member is responsible for before the insurance company pitches in
What is the Deductible
Physical Therapy, Occupational Therapy, Speech Therapy, Chiropractic Services
What are rehabilitative services?
Plans that allow both subsidies
What are silver plans
Maintaining their id cards, monthly premiums, medical bills, personal health statements, understanding their benefits
What is the difference between AR Works and Medicaid.
This step of the call flow allows you to, make it simple, do it now and leave no doubt
What is step 6, respond to the question?
What is medicare.
Vasectomies and Tubal Ligations
What are voluntary sterilizations?
You are eligible for this subsidy if your income falls within 100%-400% of the FPL
What is APTC
The responsibility of the Arkansas works recipient ages 19-39
What is the work requirement?
This step of the call flow requires you to offer the reference number and survey
What is step 7, wrap up and close the call.
This happened with Arkansas and the Federal Government worked together to set up the exchange.
What is the hybrid approach
Written from the members perspective.
What is the Schedule of Benefits.
The requirement for plans to have both APTC and CSR.
What is an income of up to 250% of the FPL.
This program allowed traditional Medicaid recipients the option to have private insurance.
What is Medicaid expansion.
This step of the call flow allows you to ask probing questions
What is step 5 research the question.