Health Insurance Basics
What are Premium Payments?
COE administrator for cancer, heart surgery, doula, travel, kidney dialysis/ESRD, transplants. and coordinator for the non-COE travel benefit
Who is Consociate Health?
Program Support for Diabetes, pre-diabetes and weight management
What is Twin Health?
Where members should submit claims for services outside of the United States
What is Blue Cross Blue Shield Global® Core
Amount of money that must be paid at the time of medical services
What is a copayment?
Handles the Walmart COE programs for spine, joint, and weight loss surgery
Who is Carrum Health?
Walmart associate Employee Assistance Program
High Tech radiology services is handled by this company for the designated 17 states
What is HealthHelp?
A set, annual dollar amount that has to be met before insurance starts to pay
What is a deductible?
What is Covera?
Program to help improve gut health
What is Cylinder?
Care Management services is handled by this company for the designated 17 states
What is Included Health?
The percentage of costs for a covered healthcare service that you pay after you have met your insurance deductible.
What is coinsurance?
Participants, age 16+, recommended for this surgery due to a specific condition have the option to participate with a COE at a higher benefit level, or continue services under their regular medical benefit in their local market
What is spine surgery?
A proactive outreach program for stress and anxiety
What is Humankind?
Out-of-Network providers submit this form to request services be paid at an in-network benefit level.
What is a Network Exception?
Pays the claim out of its own funds instead of paying a premium to an insurance company.
What is a Self-Funded Plan?
Program administrator for Weight Loss Surgery
Who is Carrum Health?
An app specifically for weight loss
What is Fresh Tri?
An automated voice assistant capable of conversing with a caller on the phone on behalf of a provider to verify benefits, claim status, prior authorization status, etc. These may also be referred to as “digital assistants.”
What is a Provider BOT call?