Healthcare.gov
What is the standard SEP period?
60 days
Which plan creates the APTC thresholds for a given rating area?
The second low-cost silver plan.
Which of our California-based competitors recently re-entered our service area?
Molina
By law, HDHP's are forbidden from including what type of benefits?
First-dollar benefits or benefits that begin before cost-share.
How many insulin products will be moving to Tier 6 in 2021?
8
What is the name of FFM appointed representatives who assist members in answering general questions and also assist members in completing applications, all for free?
Navigator
What is the annual 'visit' limit that members have using our nurse line?
There is no limit.
Which of our competitors utilizes the same online quoting tool (JET) as Together?
Common Ground
What does HIPAA stand for?
Health Insurance Portability and Accountability Act
Together will be ending their existing vision relationship with what vendor at the end of the year?
Avesis
What is the name of the year-end tax form that is sent out by the FFM to our members?
1095A
Which of our plan offerings includes a lab copay benefit?
Standard Silver
Which of our competitors is now owned by Ascension?
Network Health
What is the Urgent Care place of service code?
POS 20
Name the 3 member incentives that we currently offer that allow members to receive cash rewards?
-Signing up for the portal
-HRA completion
-Annual preventive exam
100-300%
The silver 150 CSR plans correspond with a member's income level falling into what range of the FPL?
150-200%
Which is our only competitor who will include Pro-Health in their 2021 network?
WPS/Arise
What does 'NCQA' stand for?
National Committee for Quality Assurance
What is the name of our re-insurance carrier?
Odyssey
How many states (including DC) currently operate their own State-based exchange program?
-19 total
-13 SBE
-6 SBE on Federal Platform (independent websites but relying on feds for enrollment/eligibility)
What is the silver choice specialist copay amount? (2020)
$100
Name the 5 rating areas in which we will operate in 2021?
1,9,11,12,16
What is the maximum amount a single individual will be allowed to contribute to their HSA in 2021?
-$3,600
-$4,600 if over age 55
How many members received MLR rebate checks this year? (Round to nearest thousand)
-25,585 total
-26,000 accepted