A physician that generally provides first-contact and continued care, and does not practice in any particular specialty.
What is a primary care physician?
100
The private insurance company TSHIP uses to sponsor customer-owners.
What is Premera Blue Cross Blue Shield?
100
Medicaid for children is often referred to as this.
What is Denali KidCare?
100
The current CEO of Southcentral Foundation.
Who is Katherine Gottlieb?
100
The website set up as a result of the Affordable Care Act of 2010 where health insurance plans from various insurers can be compared and purchased according to the consumer’s budget.
The amount insurance companies charge each month for coverage. The amount must be paid every month regardless of whether you use health care services.
What is a premium?
200
A tool used to check affordability of premiums from employer offered insurance. Set by federal guidelines.
What is an employee coverage tool?
200
The household size (per medicaid guidelines) of a married couple with 2 kids and twins on the way when filing for the pregnant woman.
What is a household of 6?
200
This award was received by Southcentral Foundation in 2011. Recognizing U.S. companies that have implemented successful quality management systems.
What is the Malcolm Baldrige National Quality Award?
200
The age at which an individual can no longer be covered under their parents’ insurance plan.
What is 26 years old?
300
A form of cost sharing in a percent form. For example, if you pay 20% of service and your insurance company pays for 80% of service costs.
What is coinsurance?
300
The amount a customer-owner must pay for their insurance coverage to start with TSHIP.
What is zero?!
300
This is the highest Federal Poverty Level % allowed by an expansion group enrollee.
What is 133%?
300
"Working together with the Native Community to achieve wellness through health and related services."
What is the SCF mission statement?
300
The set time period each year when consumers can purchase or renew qualified health plans offered through the marketplace or exchange?
What is open enrollment?
400
If your health insurance or health plan refuses to pay for a service that you think is covered and your doctor says you need, this is what you can send to the insurance company to try to get coverage.
What is an appeal?
400
The time period in 2017 that is known as "Open Enrollment".
What is November 1st - December 15th?
400
These two types of benefits are included in Medicaid, but not in TSHIP.
What is vision and dental benefits?
400
A relationship-based, customer-owned approach to transforming health care, improving outcomes and reducing costs.
What is the SCF NUKA System of Care?
400
The provision under the Affordable Care Act that requires most individuals to obtain a minimum level of insurance coverage or pay a penalty.
What is the individual mandate?
500
A plan that allows the patient to choose in-network or out-of-network physicians to provide health care services.
What is a Preferred Provider Organization (PPO) Plan?
500
The number of chiropractic visits (yearly) allowed by a zero cost sharing plan through TSHIP.
What is 12 visits per year?
500
On this day medicaid expansion became effective in Alaska.
What is September 1st, 2015?
500
Southcentral Foundation was founded in this year.
When is 1982?
500
Health insurance that covers basic health care needs that everyone was required to have under the Affordable Care Act beginning in 2014.