WorksheetsDental (vision)
Total questions: 11
Worksheet time: 11mins
What options do consumers have for dental and vision plans? (select all that apply)
marketplace vision
direct dental
direct vision
Paired Vision/Dental
marketplace dental
_______ plans can be purchased at any time, whereas ______ plans can only be purchased during OEP (or if the consumer qualifies for an SEP).
direct; marketplace
marketplace; direct
direct; marketplace
dental; vision
_______ plans can be cancelled at any time, whereas most ______ plans have 12-month contracts.
direct dental; marketplace dental
on-exchange; off-exchange
off-exchange; on-exchange
dental; vision
We can enroll consumers in Marketplace dental plans.
True
False
What is the difference between an out-of-pocket maximum and an annual benefit limit?
Most direct (off-exchange) dental plans have waiting periods, whereas on-exchange plans do not.
True
False
During OEP, our number one priority is enrolling consumers in health plans.
True
False
Dental plans typically have waiting periods for ______ services. (select all that apply)
Preventive
Basic
Major
Out-of-network
Waiting periods may be waived if...
it's an emergency
you had previous dental coverage
you go to an in-network dentist
you get prior authorization
For medical plans that include dental benefits, the dental benefits are primarily for _____ services.
pediatric
emergency
in-network
preventive
A consumer wants more information on dental plans, how would you proceed based on current processes?
