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Dial Quiz I

Total questions: 15

Worksheet time: 1hrs 15mins

Name
Class
Date
1.

Which of the following is not an option for enrolling in one of our Blue Essentials or Narrow Network plans?

a)

Agent

b)

Federal Facilitated Marketplace (FFM)

c)

Retail Center

d)

southcarolinablues.com

e)

The Employer

2.

There are 4 BLUE Retail Centers throughout South Carolina. Name one of the locations (city name)?

(a)  

3.

What is the alpha prefix for Private Blue Essentials policies?

a)

MBY

b)

ZCU

c)

RBN

d)

BXZ

4.

What is the alpha prefix for the Federal BlueExclusive Cooper plans?

a)

MBY

b)

MBX

c)

RBN

d)

RBX

5.

What is the alpha prefix for a Federal Blue Essentials plan?

(a)  

6.

True or False: Short Term plans are available to those who have lost coverage.

a)

True

b)

False

7.

A fixed amount the member pays for a covered health care service called a ____________.

a)

Deductible

b)

Coinsurance

c)

Allowed Amount

d)

Copayment

8.

The amount a member pays the provider based on the agreed amount between BlueCross BlueShield and the provider for the services rendered is called the ________________.

a)

Allowed Amount

b)

Deductible

c)

Maximum Out of Pocket

d)

Premium Payment

9.

The (a)   is the amount of covered services the member is responsible for before the plan begins to pay.

10.

The (a)   is the percentage of covered health care services the member pays after the deductible is met.

11.

The total dollar limit the member will pay out of pocket each benefit period for any covered service contribute to the _____________________.

a)

Deductible

b)

Premium Payment

c)

Maximum Out of Pocket

d)

Coinsurance

12.

What is the alpha prefix for the Short Term health plans?

a)

ZCX

b)

ZCF

c)

ZCU

13.

True or False: The Catastrophic plan is available to people under age 30, or people 30 and older who qualify for a hardship exemption.

a)

True

b)

False

14.

What does EPO stand for?

a)

Exclusive Provider Organization

b)

Executive Provider Organization

c)

Exclusive Patient Organization

d)

Executive Patient Organization

15.

Members have access to the Blue Essentials network in South Carolina and the BlueCard network outside of South Carolina with which plan?

a)

BlueExtend

b)

Blue Essentials

c)

Blue Exclusive Cooper

d)

Blue Exclusive Reedy