Wonder Group

2. What is not covered under durable medical equipment?
3. Injury caused by an external force or element such as a blow or fall
4. Who you call if you need assistance locating providers overseas.
5. What is a preventative cleaning called?
8. this plan can help you meet your health and fitness goals.
12. How many Mental Health visits are covered under the Standard Option and Basic Option plans?
15. When you receive home nursing care in your home, you are able to have it performed by which type of provider?
16. Standard Option plan utilizes this formulary
17. Administrator for the mail service prescription drug program
18. For both Standard Option and Basic Option what is required for Hospice Care from the members Local Plan?
20. What is the abbreviation of coordination of benefits?

1. A licensed 24 hour facility which offers mental health treatment
6. Up to what age do we cover inpatient and outpatient hospital care and anesthesia administered at the facility for severe dental caries?
7. 76706 is the procedure code that can be covered under what?
9. Under the Standard Option for accidental injury is the time frame the member has to be seen in order to be covered at 100%?
10. When a sleep study is performed, prior auth is not required in the following place of service?
11. No calendar year deductible
13. What is the first bar in Member360 to search a benefit?
14. Which provider type is required to file claims on your behalf, as part of their contract?
19. Member is liable for applicable copayments, coinsurance, and deductible, __ the difference between the allowance and the billed amount