IngenioRX Accumulators

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Across
  1. 5. Some plans do not list the total Deductible, MAB or MOOP amounts to be met within the Account Balance screen. Besides Plan Summary where else can you check for this information?
  2. 6. If member is certain that their accumulated amount is incorrect refer to
  3. 7. Provides the entire list of claims for an Accumulation Period.
  4. 9. this screen allows you to customize the Account Balance inquiries.
  5. 10. Refers to the maximum amount that will be covered, during a specified time frame, under a member’s benefit. Once the dollar limit has been reached, the member must pay all prescription costs.
  6. 11. box allows to specify the combination of balance information for Deductible, MAB and/or MOOP.
  7. 14. Generally a fixed percentage amount required to be paid by the member before or after meeting an established policy deductible.
  8. 15. The amount the member (or family) has paid towards that accumulation.
  9. 16. The amount of money the member is required to pay out of pocket before the insurance benefits go into effect.
  10. 17. Members typically pay less for coverage, but will have higher deductibles and out-of-pocket maximums as compared to traditional plans. This means the member must pay more out-of-pocket before the co-insurance or copayments come into effect.
  11. 18. Some plans do not list the total Deductible, MAB or MOOP amounts to be met, where would you look?
  12. 20. Annual maximum a person can expect to pay for covered services.
  13. 21. An amount of money paid by the member or amount not covered by the insurance, which is considered the member’s responsibility
Down
  1. 1. box allows to display either family or individual-specific balance information.
  2. 2. This is the tab in PeopleSafe to see accumulator information.
  3. 3. They are plan features which are based on dollars spent, either by the member or the client.
  4. 4. is a great source of information regarding what is happening within a plan member’s MAB, MOOP, or Deductible.
  5. 8. Always make sure you have selected the correct member.
  6. 12. The amount the member (or family) has to meet or the limit the member (or family) has for that accumulation.
  7. 13. If the Integrated Benefit Column is Met or Not Met.
  8. 19. Plan member’s share of the prescription drug cost.