What's the benefit?
The deductible for indemnity groups
What is $300?
An amount that must be satisfied before benefits apply
What is a deductible?
Overseas services under this plan require pre-authorization
What is a value plan?
Who is responsible for providing precertification for services?
Who is the clinical care department?
The out of pocket max for a member with a select 500 plan
What is 5000
The acronym EOB stands for
What is explanation of benefits?
Newly popularized drug traditionally used for regulating blood sugar levels.
What is a GLP-1 drug?
What is ozempic-mounjaro
laboratory services outside of annual labs are covered at
What is 80/20
Participating providers that have entered into a contractual agreement with the Company to provide medical services to members at pre-negotiated fees are considered this.
What is in-network?
What is veneers?
for indemnity groups, this is the maximum amount allowed for preventative care
What is a $500
Payments that must be paid by a member as a condition of receiving certain covered services.
What is copayment?
The typical annual dental benefit
What is a $1500
The limit of co-payments, deductible and co-insurance that must be paid by a member in a calendar year.
What is the out-of-pocket maximum?
Which department is responsible for handling coordination of benefits with other insurers?
What is claims