BENEFITS
Some plans offer a _____________ as part of discharge planning which would provide members one week of frozen foods, delivered to their door, upon their discharge from an inpatient stay.
What is meal program?
Tabs in HRP on which you can see the Dental Reimbursement Limit?
What is Accumulator Tab?
____________ is a is a health care professional who practices general medicine.
What's a Primary Care Physician (PCP)?
The Federal agency that administers Medicare.
What is CMS?
This is a facility that conducts same day services for outpatient surgery. This does not require inpatient admission.
What is Ambulatory Surgical Center?
In GPS, The tab where you can check other insurance of the member.
Where is Coordination of Benefits Tab?
______ is a healthcare profession that cares for your neuromusculoskeletal system—the bones, nerves, muscles, tendons, and ligaments.
Who is a Chiropractor?
It refers to amounts that a member has to pay when services or drugs are received.
What is Cost-Sharing?
It is the accumulation of all the cost share that the member has paid for their services for the plan year.
What is Maximum-out-of-Pocket?
In GPS, Here is where you can find the nearest doctor in Members area.
Where is Find Care?
A doctor who has special training in diagnosing and treating cancer
What is an Oncologist?
A geographic area where you must live to join a particular health plan.
What is Service Area?
The amount you must pay for health care or prescriptions before our plan pays.
What is Deductible?
In GPS, This is where you can see if Authorization is Required
Where is Benefit Tab?
They specialize in the prevention, diagnosis, and treatment of foot and ankle problems
What does a Podiatrist do?
A group of doctors, hospitals, pharmacies, and other health care experts contracted by our plan to provide covered services to its members
What is a Provider Network?
The following are under ________ services:
What services are under Diagnostic Radiology?
In Rumba, This tab is used as verification if the provider is INN or OON.
Where is EPDB?
What diseases do cardiologists treat?
The periodic payment to Medicare, an insurance company, or a health care plan for health or prescription drug coverage.
What is Premium?