Terminology
A managed care plan where services are covered only if you go to doctors, specialists, or hospitals in the plan’s network
What is an EPO
What is the name of our tech support person at Agency Smart
Who is Anthony Arbolino
The percentage of total average costs for covered benefits that a plan will cover.
What is Actuarial value
What is Ed MacConnell's middle name
What is Thomas
In a PPO you don't need one of these
What is a referral
What is Total Benefit Solutions main phone number?
What is 215-355-2121
A plan that provides exrtra services to those with a financial need or chronic medical condition
What is a special needs plan ( SNP)
What is Total Benefit Solutions Secure Fax Number?
what is (877) 464-0167
A tax credit you can take in advance to lower your monthly health insurance payment (or “premium”). When you apply for coverage in the Health Insurance Marketplace®.
What is the APTC
Another term for the Health Insurance Marketplace®, a service available in every state that helps individuals, families, and small businesses shop for and enroll in affordable medical insurance.
What is Exchange
Name the program that TBSI uses for sending secure emails
What is Trustifi
The law was amended by the Health Care and Education Reconciliation Act on March 30, 2010.
What is the
Patient Protection and Affordable Care Act ( ACA or Obamacare)
What is the name of the portal TBSI uses for tracking and quoting Medicare plans
What is the Ritter Platform
Health care that you get when you're admitted as an inpatient to a health care facility, like a hospital or skilled nursing facility.
What is Inpatient care
A federal law that may allow you to temporarily keep health coverage after your employment ends, you lose coverage as a dependent of the covered employee, or another qualifying event.
What is COBRA
A financial measurement used in the Affordable Care Act to encourage health plans to provide value to enrollees. If an insurer uses 80 cents out of every premium dollar to pay its customers' medical claims, the company has a medical loss ratio of 80%
What is Medical loss ratio (MLR)
The organization of your treatment across several health care providers. Medical homes and Accountable Care Organizations are two common ways to coordinate care.
Care coordination
With this health insurance plan, Medicare remains your primary payor of claims
What is a Medicare Supplement or Medigap
When does TBSI have a regularly scheduled Team meeting
What is Mondays at 2PM
The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible.
What is Coinsurance
Who handles the commission processing for TBSI
Who is Samantha
A time outside the yearly Open Enrollment Period when you can sign up for health insurance. You qualify for a Special Enrollment Period if you’ve had certain life events,
What is Special Enrollment Period (SEP)
Some varieties of this plan may require members to pay a premium similar to the Medicare Part B premium.
What is Medicare Part C
What does the title CHRS stand for in Ed MacConnells name
What is certified healthcare reform specialist
Name 3 national insurance carriers
United Healthcare, Aetna, Cigna
The name of the Annual Medicare manual all Medicare beneficiaries get and should have handy
Medicare and You
What is the actuarial value of a bronze plan?
What is 60%
A national provider network that Blue plans participate in
What is Blue Card PPO
A notice your Medicare Advantage or PDP plan sends beneficiaries each year
What is the ANOC
What is Ed's granddaughter's name?
Who is Chloe