Medical Plans
What does HDHP stand for?
High Deductible Health Plan
Northeast Regional A&A Practice Leader
Mike Morfe
What does HCC stand for?
High Cost Claimant
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cut and paste
This is the minimum you need to spend before the plan starts paying
Deductible
What type of plan could have an HSA?
HDHP
Aon CEO
Greg Case
Stop loss trends at a higher rate than typical Medical and Rx trend. What is this type of trend called?
Leveraged trend
What tab is opened from the command: alt h
Home
Claim of $2500
Deductible is $500
Coinsurance is 20%
How much does a person pay from this claim?
$900
What is the 2026 minimum individual deductible for an HDHP?
$1700
Name an exam advisor
Any of these: CJ Wolfe, Dawn Powell, Carole Raffetto, Lu Yu, Sarah Snyder
You have 2 claims:
$100,000
$750,000
Your ISL deductible is $350,000
What is the total reimbursement
$400,000
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What type of care is always fully covered prior to the deductible (think about the rows on the AV model)
Preventative Care
What does PPO stand for?
Preferred provider organization
What city is the Aon Global Headquarters in?
London
The ASL is 120%
Expected claims are $1,000,000
Actual claims are $1,200,000
What is the reimbursement?
0
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What is the PCORI fee for 2024?
A. 2.30
B. 3.22
C. 3.40
D. 3.47
E. 3.85
3.47
What plan type does not have out of network coverage?
EPO/HMO
Northeast Region Leader
Christine Williams
Name one stop loss vendor
......
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There is a true family deductible of $4000
Coinsurance is 20%. OOP is $10,000.
Person #1 has a $5000 claim
Person #2 has a $1500 claim
Person #3 has a $2500 claim
What is the total this family pays?
$5000