MEDICAL TERMINOLOGIES
Set dollar amount required to pay for medical services (ex: office visit, urgent care, emergency room)
Copay
A change in your situation, such as getting married, having a baby, new employment, or losing health coverage, can make you eligible for a special enrollment period.
Qualifying Life Event (QLE)
What are some common conditions that can be treated with virtual care?
Allergies, Cough
Fever, Headaches/Migraines
Sinus Problems
Skin Rashes
Pink Eye
Bladder Infections
Sore Throat
Bronchitis
Stomachaches
Minor Dermatology
Who do you contact for Benefits bank drafts?
Participate Learning Finance Department
What is the benefit plan year for your medical insurance?
July 1st to June 30th the following year
Hospitals, doctor’s offices, and clinics that are part of an insurance network. In-network providers have lower costs than those out-of-network.
In-network (INN)
What are the healthcare coverages that must be included in the J-1 and J-2 dependents insurance plan?
Medical Insurance
Emergency Medical Evacuation
Repatriation Coverage
What is one of the services that the Employee Assistance Program (EAP) offers?
Referrals for wellness and well-being programs
Legal and financial consultation
Who do you contact for the birth of a child and addition to benefits?
Participate Learning Human Resources
When is virtual care availble?
24/7!
Percentage of hospital bills shared between the insured person and the insurance company
Coinsurance
What are the two optional insurance available to you?
Dental Insurance
Vision Insurance
Who is your pharmacy carrier?
RxBenefits
Who do you contact for address updates?
Participate Learning Teacher Resources
This vendor/program can help with finding network providers and answering questions about claims.
Health Advocate
The amount required to pay out of pocket before the plan begins paying co-insurance
Deductible
True or False:
Travel Assistance provides medical transportation for emergency evacuation and repatriation.
TRUE
Where should I go for immediate medical attention that isn’t severe enough for the ER if my primary care doctor is not available?
Urgent Care
Who do you contact for SSN updates?
Participate Learning Teacher Resources
Who do I contact for time off or leave of absence
School district's Human Resources
The most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copayments, and coinsurance for in-network care and services, your health plan pays 100% of the costs of covered benefits.
Maximum-Out-of-Pocket
True or False
I can change my medical plan at any time
False
All J-1 Exchange Visitor Program participants and their J-2 dependents must maintain health insurance throughout their stay in the U.S., including any time outside the U.S. during the program.
Who should I contact for routine check-ups and ongoing health management?
Primary Care Physician
Who do you contact for benefit-related questions?
Participate Learning Human Resources