Pink
88103
What is the Self-Funded Ext?
88105
What is the FEHB Ext?
88105
What is the Large Employer Ext?
88103
How long is Basic Training?
5 Weeks
A member wants to sign up with an individual plan. Should the member sign up through SelectHealth, their Employer, or FFM?
SelectHealth
True or False: Self-Funded employers can create their own benefits for their employees since the employer will pay the claims.
True
Name the 3 different government plans.
FEHB, Medicare, & Medicaid
When an employer has more than 50 employees, are they considered FEHB or Large Employer Plans?
Large Employer
How many minutes can you clock in before your shift starts?
5 minutes (7:55am)
For Small Employer plan, how many employees full-time employees must they have?
2 - 50 full-time employees
Who can qualify for a Medicare plan?
65 or older, in End Stage Renal Disease (ESRD), or on disability
SelectHealth's Medicare plan is called ....
Advantage
SelectHealth's Medicaid plan is called ....
True or False: It is an expectation to have your camera on while in training.
True!
What does CHIP stand for?
Children's Health Insurance Program
Name one of the dental plans Select Health offers
Classic
Prime
Fundamental
Advantage
Delta Dental
Is the Share network considered HMO, POS, or PPO?
HMO
Is the Care network considered HMO, POS, or PPO?
HMO, POS, & PPO
Explain how to log into EMC
Click "log in" and enter in your agent ID
What's the definition of a HMO plan?
HMO plans limit coverage to care for providers who are contracted on the member's network. If the provider is not contracted on their network the services will not be covered.
What is the definition of a POS plan?
POS plans allow the member to choose whether to receive services from an in-network or out-of-network provider. However, out-of-network services are usually at a higher cost to the member.
What's the definition of a PPO plan?
PPO plans allow members to see both in-network and out-of-network providers and coverage will remain the same.
A member has Delta Dental as their dental insurance. Can Advocates find Delta Dental providers?
No, Advocate needs to transfer the member to Delta Dental to find providers.
Name one of the Intermountain Values
Integrity, Trust, Excellence, Accountability, and Mutual Respect.