MEDICAL TERMINOLOGIES
What is a copay?
Set dollar amount required to pay for medical services (ex: office visits, urgent care, emergency room)
What is a Qualifying Life Event (QLE)?
A change in your situation, such as getting married, having a baby, a spouse's new employment, or losing dental/vision coverage, can make you eligible for a special enrollment period.
What is a common MINOR health condition 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 bank drafts?
Participate Learning Finance Department
What is the benefit plan year for your medical insurance?
July 1st 2024 to June 30th 2025
What is in-network or network provider?
Hospitals, doctor’s offices, and clinics that are part of the UHC providers' network. In-network providers have lower costs than those out-of-network.
What are the two types of coverage that must be included in the J-1 and J-2 dependents insurance plan?
Emergency medical evacuation
Repatriation for remains
What is one service that the Employee Assistance Program (EAP) offers?
Confidential Counseling.
EAP helps with a variety of personal issues, including stress, anxiety, depression, family problems, and substance abuse.
Who do you contact for the birth of a child to add your newborn to your medical plan?
Participate Learning Human Resources
When is virtual care available?
24/7!
What is a coinsurance?
Percentage of hospital bills shared between the insured person and the insurance company
What are the two optional insurance available to you at Participate Learning?
Dental Insurance
Vision Insurance
Who is your pharmacy provider?
RxBenefits
Who do you contact for address updates?
Teacher Resources/Participate Learning Human Resources
What does Health Advocate offer?
Health Advocate offers a wide range of programs to help navigate healthcare in the US.
What is a deductible?
The amount required to pay out of pocket before the insurance/plan begins paying co-insurance
True or False:
Travel Assistance provides medical transportation for emergency evacuation and repatriation.
TRUE
Mary has a high fever and it is Saturday. She needs to be seen right away, but her regular Doctor’s office is not open on weekends.
Where do you think Mary should go to seek treatment?
Urgent Care
Who do you contact for social security/SSN updates?
Teacher Resources
When can I make changes to my benefits elections after summer orientation?
Experience of a life event (birth, marriage, J-2 addition) or the next open enrollment period
The amount you pay for your health insurance every month (AKA Bank drafts)
Premium
Who do you go to inorder to request a leave of absence or time off?
School district
True or False
A US pharmacist CAN fill a prescription/script from a non-US country/non-US doctor?
False
Who do you contact for benefit-related questions?
Participate Learning Human Resources