Show:
Acronyms
Member Services
Envolve
Benefits
Ambetter Potpourri
100
ACA
What is the Affordable Care Act?
100
First & Last Name DOB Member ID Number Phone Number & Address Last 4 of Social Security
What are valid HIPAA identifiers?
100
Provides behavioral health services.
What is Envolve People Care Behavioral health (formerly known as Cenpatico)?
100
A special program for pregnant members or women who have just had a baby.
What is Start Smart for Your Baby Program?
100
An insurance plan that is certified by the Health Insurance marketplace such as Ambetter, Aetna, BCBS, etc.
What is a QHP - Qualified Health Plan?
200
APTC
What is Advanced Premium Tax Credit?
200
Provides affordable insurance options for kids, individuals, families, and licensed professionals.
What is Health Insurance Marketplace?
200
Provides vision services.
What is Envolve People Care Vision (formerly known as Opticare)?
200
They will be available to help many individuals and families to help them understand their choices.
What are Assistors and Navigators?
200
Who handles interpreter services.
What is Voiance?
300
EHB
What is Essential Health Benefits?
300
Portion of health care costs not covered by insurance.
What is Cost Sharing?
300
Provides disease management services?
What is Envolve >>>care ____(formerly known as Nurtur)?
300
Summary of Benefit Coverage.
What is SBC?
300
Analyzes member data to ensure accurate transfer of information.
What is Enrollment Services?
400
FPL
What is FLP - Federal Poverty Level?
400
A third party mediator when members have grievances and appeals in AR, IL, IN, MS and WI.
What is an Ombudsman?
400
Administers pharmacy benefits to members.
What is CVS?
400
Preventative screening recommended for women over 30 to be completed every two (2) years.
What is a Mammogram?
400
A great resource providing contact phone numbers and websites for each state plan.
What is the Master Vendor List?
500
Servicing Members 8 am - 8 pm.
What is the Ambetter Member Services operating hours?
500
This will not be honored if termed or cancelled enrollment was not due to an Ambetter error.
What is Reinstatement?
500
24 / 7 nurse triage hotline.
What is Envolve ........(formerly known as Nurse Wise)?
500
Covered vaccine for adults 60 years of age or older.
What is Zoster or Shingles Vaccine?
500
A way to help a member navigate the Ambetter Secure Web portal.
What is Support - A - User?