PremierAdvantage/
PremierChoice
SecureAdvantage
HealthAccess III
Underwriting
Industry Knowledge
100

This state offers a $4k deductible for PremierMed and only allows Plan 2 or 3 under the Sickness & Accident portion of the plan

What is Maryland?

100

This state only offers underwritten coverage as SecureAdvantage and does NOT have wellness benefits

What is Colorado?

100

This is the annual coverage cap on benefits paid through this product

What is $300,000/yr

100

This condition must be controlled with medication for at least 12 months on PremierAdvantage, or 6 months on a SecureAdvantage

What is High Blood Pressure?

100

This company is a subsidiary of Aetna and offers limited benefit plans on multiple PPO networks

What is First Health?

200

This is the formal name for the portion of the policy that gives clients the right to access PremierMed

What is the Well-GIST rider

200

In South Dakota, how many networks are available to offer the plan on?

What is one?

200

This is how many days Severe Burns are covered with 1st dollar benefits through this plan

What is 30?

200

After what time period is a surgical removal for a noncancerous hysterectomy approvable on a Medically Underwritten policy?

What is 6 weeks?

200

Agents who offer Golden Rule insurance most often work for this company

What is First Family Life?

300

In Florida, this is the PremierAdvantage Fixed Indemnity ANNUAL Maximum for 1st dollar benefits

What is $150,000?

300

This state offers Doctor's visits through the Association, which has different benefit tiers than other states

What is Iowa?

300

This is the official term for the type of benefits paid through the HealthAccess III policy

What is Fixed Indemnity?

300

This type of common treatment is NOT sufficient for approval after a client has been diagnosed with a Fibroid Uterine Tumor

What is an ablation?

300

This company DOES NOT offer insurance, but instead sells the use of their network to small companies

What is Multiplan?

400

In Georgia, this potentially life threatening liver disease is NOT covered on PremierMed if due to alcohol abuse

What is cirrhosis of the liver?

400

In Illinois, what is the benefit offered on Plan 1 for a Colonoscopy?

What is $450?

400

What type of other coverage eligibility would make a client unable to receive benefits through the plan?

What is Medicare eligible?
400

This type of Diabetes is approvable on a medically underwritten policy

What is gestational diabetes?

400

This type of organization offers cost-sharing to its members and has to legally state on their websites that they are "not insurance, nor should they ever be considered a replacement for insurance"

What is a Health Share? (also Medishare)

500

This type of rider allows a PremierChoice policy holder to increase their 1st dollar benefits at any time without additional underwriting

What is a Step Rider?

500

In Florida, this is the out-of-network Out of Pocket Maximum when a client selects 80%-20% Coinsurance

What is $16,000?

500

This is the time period that must elapse PRIOR to the ISSUE date for an insured to be covered as non-preexisting for a previously treated condition

What is 12 months?
500

This term describes the surgical removal of a Kidney and is approvable standard after 3 years with no complicating factors

What is a Nephrectomy?

500

This company only offers ACA compliant coverage and is most commonly seen on the Texas Federal Marketplace

What is Baylor Scott & White