Planstin

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Across
  1. 4. Under preventive Advanced, members have a limit of 5 _______ care visits, per plan year.
  2. 5. Which tier under the Standard Dental plan pays 50% for in-network covered services?
  3. 7. In the first year of membership, ___-_________ conditions are not shareable with the Zion Health community yet.
  4. 8. For the Planstin dental plans, we utilize the ____________ Dental network.
  5. 9. Our dental plans have an __________ limit of $1,500 or $2,000 per plan year, per member.
  6. 11. This plan has a $3,000 individual deductible before in-network PCP visits, in-network specialist visits, and in-network labs are covered with a copay.
  7. 12. Optum Bank allows me to use ___-______ dollars towards qualifying HSA expenses.
  8. 15. This is the clearinghouse that we have our EDI through.
  9. 17. Planstin base health plans are considered __________ ____________ __________ (MEC) plans.
  10. 18. Which tier under the Standard Dental plan pays 80% for in-network covered services?
  11. 19. If a member has an eye exam at a Costco, Sam's Club, or Walmart vision center their _________will be waived.
  12. 22. I have a Zion Health group health share and went to the ER yesterday. What should I submit to Zion to initiate the process of using my GHS benefits?
  13. 23. Our vision plan does not have a _________, so you can go to any provider you would like.
  14. 25. Our vision plan has a $150 __________ for contacts, lenses, and/or frames.
  15. 26. If I am looking for coverage for larger medical needs, such as ER visits, surgery, or cancer, what company has plans that would compliment by base health plan?
  16. 27. What should a member give the receptionist at their doctor visit?
Down
  1. 1. If a member/client needed to check plan details, or specific exclusions, they would refer to the SBC, or Summary of Benefits and _________________.
  2. 2. Who manages and processes our prescription plans?
  3. 3. This is referring to the member responsibility amount, per need, for the Zion Health group health share.
  4. 6. A visit to a dermatologist is considered what type of visit?
  5. 10. What is the broker, or sales specialist, that sells Planstin and Zion plans referred to as?
  6. 13. I can consult with a doctor 24/7 for non-emergent care and a $0 copay using what service?
  7. 14. This type of visit is covered 100% as long as within the PHCS network (with the exception of RBP plans).
  8. 16. Under the Preventive Advanced plan, a member has a limit of 5 ____________ x-rays per plan year.
  9. 20. The Standard dental plan has a $50 member/$150 family _____________.
  10. 21. To see the most current list of covered medications through Optum Rx, you can check the 2021 _________.
  11. 24. Preventive services as outlined by the ____ can be viewed on healthcare.gov