UHC Benefits
Sent to an employee from another employee recognizing their efforts
What is a Bravo?
System used to enter PTO, update personal information, view your paycheck, etc.
What is Global Self Service (GSS)?
Sometimes called “Part C” or “MA Plans,” they are offered by private companies approved by Medicare
What is Medicare Advantage?
This brings personalized care into a member’s home to support both immediate and preventive medical care needs.
What are House Calls?
Number of days required to process a "clean" claim for non-participating providers
What is 30 days?
Number of hours the Bereavement Time Off Policy provides you when you experience the death of an immediate family member or a pregnancy loss.
What is up to a maximum of 40 hours for full time employees?
System used to schedule travel and enter expenses for reimbursement
What is Concur?
Plan which enrolls individuals who are entitled to both Medicare and medical assistance from a state plan under Medicaid
What is Dual Special Needs (DSNP)?
Members with an over-the-counter (OTC), healthy food and utilities combined benefit can spend the credit loaded onto this to purchase thousands of covered items at more than 35,000 retail locations nationwide – a first for most members in standard plans and Chronic Special Needs Plans.
What is the U-card?
This is required when a beneficiary appoints any individual to act as his/her representative in requesting a direct member reimbursements or an appeal
What is an Appointment of Representative (AOR) form?
A shared language of talent that clearly describes expectations of success
What is Common Language of Leadership (CLL)?
Application used to request system access
What is Secure?
An arrangement in which a company funds its own employee benefit plan
What is an Administrative Services Only (ASO) plan?
Vendors that are utilized to provide transportation to M&R members who have a transportation benefit for rides to doctor appointments, etc.
What is SafeRide and Modivcare?
An example of a violation to this statute would be a hospital providing rental rates below fair market value to a physician who refers business to the hospital
What is the Anti-Kickback Statute?
Pays out annual bonuses based on company and individual performance
What is the Rewarding Results Program (RRP)?
Policy administration system used for enrollment, billing, and fulfillment
What is Generation Policy System (GPS)?
Fully integrated D-SNPs (FIDE SNPs) and highly integrated D-SNPs (HIDE SNPs) with exclusively aligned enrollment with a Medicaid managed care organization (MCO)
What are Applicable Integrated Plans (AIP)?
Provides mental, behavioral, and/or psychological treatment services or therapy directly to patients utilizing a variety of treatment methodologies.
What are Behavioral Health Benefits?
Established quality standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results, regardless of where the test is performed
What is Clinical Laboratory Improvement (CLIA)?
Amount a person can receive each year for tuition reimbursement
What is $5,250?
Three claim platforms where Medicare and Retirement claims are processed
What is NICE, COSMOS, and CSP Facets?
Health insurance plans that employers and plan sponsors can customize for retirees
What are Group Medicare Advantage or Group Retiree plans?
This helps to close gaps in care by caring for members in the comfort of their homes. The integrated care delivery program provides, arranges and coordinates medical care, behavioral health care and social services for Medicare Advantage members.
What is Optum at Home?
Statute which protects and guarantees health insurance coverage when an employee changes jobs and protects health data integrity, confidentiality, and availability
What is the Health Insurance Portability and Accountability (HIPPA) Act?