Pivot Health
What Pivot plan offers a $10 copay for generic Tier 1 drugs?
Pivot Deluxe
How many visits does the member have available for physician office visits on Plan 2?
7
Plan 500 office visit benefit amount and limit
$50/ 3 times per year
What does a person that is not the policy holder need in order to cancel a plan?
Power of Attorney
What is the copay for the General Practice office visit on the Pivot Choice?
$30
What is the annual physical daily benefit amount available on Plan 1?
$100
Plan 750 outpatient surgery benefit amount and limit
$750/1 time per year
What is the name of the new telemedicine program?
Assurance Telecare
What is the emergency room deductible for the Pivot Economy plan?
$450
What is the annual physical daily benefit amount available on Plan 2?
$100
Plan 250 Loss of Speech and Hearing benefit
$10,000
Who does the member submit for reimbursement for the hospital allowance benefit?
Alliance of Shared Health
When is the member entitled to receive benefits for sickness?
After 5 days following the effective date
What is the Private Duty Nursing/Home Health care benefit available on Plan 2?
$100/day with a max of 5 days/CY
Is substance abuse covered on the One Care plans?
No
What plan replaced MEC?
Assure
What 3 states has a look back period of 1 year for pre-existing conditions?
Indiana, Mississippi, and Texas
Who is the carrier?
What is the network for the Plan 500, 750, and 1000?
PHCS Limited Benefit Plan
What is the 5th item on the call flow for quality?
Knowledge