WorksheetsQuizzizz
Total questions: 16
Worksheet time: 8mins
What does CDHP stand for?
Consumer Driven Health Plan
Consumer Driven Heckling Plan
Customer Driving Health Plan
Costing Driving Health Posting
This type of CDH plan is a Tax- Advantaged savings account specifically used for medical expenses and has a triple tax advantage.
HRA
HIA
HSA
DCA
Who can contribute to your HSA account? Select the best answer
You
Your Mother
Employer
All the above
This type of CDH policy only allows your employer to fund your Health account
HSSA
HSA
HRA
HIA plus
This program is used for rewards given to the group for extra benefits and incentives
My Healthy Rewards
Health Coins
Chips Rewards
One Health Rewards
You are able to access CHIP rewards via Solution Central.
True
False
CDH policies have Medical and ____ accumulated together.
Pharmacy
Dental
Vision
Life
What are two task will bring up accumulators? Select all that apply.
Accumulators
Provider
Benefit and Cost
Member Maintenance
When you are in Benefit Browse you will have to also select Accumulator task to get the members deductible and oop amounts.
True
False
When you are in Benefit Overview you will have to also select Accumulator task to get the members deductible and oop amounts.
True
False
An _____ only has a $500 limit and will not rollover.
FSA
HSA
HRA
HIA
When a Member calls in stating they are going to have a medical procedure done, why is it important to ask the Member where the procedure will be performed?
To determine if the provider is In-Network
To determine which benefit to quote
To determine if the services may need a referral
All the above
What does COB stand for when referring to benefits?
Certificate of Birth
Coordination of Benefits
Confirmation of Benefits
Change of Beneficiary
What are accumulators used for ?
Calculate the amount of money a Member has paid in premiums for the year.
To track the amount of money or limits a Member has applied to deductibles, coinsurance and Out-of-Pocket amounts for all claims on file
Track the history of the number and types of plans the Member has had with Anthem
Justin calls and wants to check his acupuncture benefits. After verifying his full name and ID number, you ask for his DOB. He says, “09-01-1985,” but the system shows a DOB of 09-11-1985.
Which of the following action should you take?
Quote the benefit because it is obvious the Member simply transposed the numbers
Ask the caller to repeat his DOB or use the HIPAA Verification & Disclosure Guide to determine another form of verification.
Route the call to your OE/Lead
IM Vincent
What is Out-Of-Pocket?
An amount of money that a Member must meet before Anthem will pay/share costs with the Member
A set dollar amount for a specific service
A percentage paid for a specific service
The Member’s maximum financial responsibility before Anthem benefits are paid in full.
