Hipaa
How long after a mbr dies that a desi is good for.
What is 50 years
Copayment for Inpatient hospitalization on Value plan?
What is $350 per day for 1-5 ?
Benefit that can give members gift cards for completely routine screens
The form used for Medicare members to authorize someone to file a complaint / appeal
What is a AOR form.
Copayment for MRI on Extra plan.
What is $100 (needs PA if not ordered by PCP)
Flex card
What it card that holds OTC and additional Dental/ Hearing benefit for mbr (amounts vary by plan )
Members responsibility for a service in a percentage
What is coinsurance?
Form that allows members to authorize another individual on their account
What is designee form?
Copayment for outpatient surgery at ASC on Enhanced plan
What is $0-250?
Benefit that brings members back and forth from medical appointments.
What is transportation benefit? (Only available for Access and Duals mbrs )
Set amount member needs to pay first before insurance will pay anything on applicable services.
What is deductible?
Legal document that can be used to give another individual access to mbrs medical/ Finacial (or both) information
What is POA?
Copayment for physical therapy on Access plan with LIS and HVP.
What is $0
Benefit for members to get vision hardware.
What is Eye med? Amounts vary between plans and mbr can go in and out of network on glasses and contact lenses.
Safety net or stopping point for when member cost sharing for services will end.