FEP Queens

1. Under basic option you must use a ____ provider to receive benefits?
3. Contractual requirement of the member to contact the local plan where the services will be preformed?
7. Also known as anti-neoplastics?
11. When formally admitted into hospital with drs orders?
12. A fixed amount paid to the provider for office visit?
14. Used to serve a specific therapeutic purpose in the treatment of illness or injury?
15. Overview of benefits covered for Reproductive Services?
17. Tier 1 includes ____ drugs?
19. ______ Management provides members who have acute or chronic healthcare needs.
20. The percentage of the Plan allowance that you must pay for your care?

2. ______ Management supports members who have diabetes, asthma COPD etc.
4. To file an appeal you reach out to?
5. Members with a terminal medical condition may have this care?
6. Our Centers of Excellence Program, focuses on effective treatment for specialty procedures?
8. An institution that provides 24hr a day professional services?
9. Program FEP offers for expecting mothers?
10. Online questionnaire that creates a unique health action plan?
13. Broken bones, deep cuts, rape/sexual assault?
16. When giving out PHI what disclosure guide do you use?
18. ______ Representative that stands in the shoes of the member?