Medical Benefits

4. TeamCare's voluntary imaging benefit vendor
7. The portion a member would pay an in network provider for a sick office visit
9. TeamCare's voluntary Telemedicine vendor
10. what a provider can submit prior to services being rendered to see if the procedures would be approved by insurance for coverage
11. if a member spends longer than 24 hours in a hospital or facility the patient is considered to be
14. the term when a member authorizes TeamCare to pay their claim directly to their provider
16. if the member's services require less than 24 hours in a hospital, office, or facility the services are considered to be
17. a medical billing code that can be used in CSI to look up specific medical procedures
19. the medical network for all of our members outside of Ohio
20. the amount of covered expenses that an individual must satisfy before being eligible for payment of any benefit
21. this benefit would cover mental health and drug rehab visits both inpatient and outpatient
22. the portion that the member must pay prior to the insurance covering all covered services at 100%

1. the medical network for members living in the state of Ohio
2. TeamCare's pharmacy vendor
3. covered at 100% with no copay through an in network provider this benefit can include coverage for routine check ups, physicals, immunizations, and breast pumps
5. generally seen on retiree plans, this refers to the amount of payments that can be made in a calendar year towards a member's medical benefits
6. this benefit would cover a member's inpatient hospital stay
8. this benefit can cover a member who has been in an accident for the first date of treatment, and must be within 5 days of the accident
12. the percentage that a member has to pay after meeting their deductible
13. TeamCare's voluntary lab benefit vendor
15. the benefit that would cover such things as durable medical equipment, and physical therapy
18. the benefit that would cover a member's surgery