H Codes
The H-Code H3419
Perennial Colorado
“[Plan’s legal or marketing name] is a [plan type] with a Medicare contract. Enrollment in [Plan’s legal or marketing name] depends on__________ renewal.”
contract
Provider affiliation announcements made by plans that do not include marketing are considered communications. If the announcement contains marketing, the announcement must be submitted where?
HPMS: Health Plan Management System
The acronym LWA
LifeWorks
The H-Code 3274
ASC CA
True or False | The five star rating disclaimer is required for every plan that has a rating
False
Provides guidelines for every facet of a company who administers health plans to Medicare beneficiaries
Medicare Managed Care Manual
Length of time for approvals if enrollment forms are modified
45 days
The acronym PCA
ProCare Advantage
ASC MI
“The benefits mentioned are a part of _____ supplemental program for the chronically ill. Not all members qualify.”
special
This governing body notates that any superlatives may not be used in marketing or communications
Medicare Marketing Guidelines
Distributing a material prior to the approval date is only compliant during what time of the year
pre-AEP (Annual Enrollment Period), materials made for the following plan year
The acronym PER
Perennial Advantage
The H-Code 3291
PHP GA
“Other providers are_______ in our network.”
available
Enforces a 5:1 ratio of color contrast on all marketing collateral
Section 508c of the Rehabilitation Act
This disclaimer is required on a marketing piece when we've included another company logo
“Other providers are available in our network.”
The acronym HPMS
health plan management system
The H-Code 6959
Required for Point-of-Service plans or restricted network or service area descriptions
“Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.”
This governing body stated that the word "Health Plan" must be added to the end of every marketing name
Department of Insurance (Oregon)
Pharmacy and web team
The acronym LAG
Lagniappe Advantage