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Hooray Healthcare > SelectCare Basic, Plus and Premium Plans > Flashcards

SelectCare Basic, Plus and Premium Plans Flashcards

To learn HH SelectCare Basic, Plus, and Premium Plans

1
Q

Who is the Carrier for SelectCare Basic, Plus, and Premium Plans?

A

Axis

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2
Q

Who is the MGU for SelectCare Basic, Plus, and Premium Plans?

A

Ternian

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3
Q

Who is the Third Party Administration for Admin for SelectCare?

A

MBA

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4
Q

Which TPA handles claims for SelectCare?

A

ACI

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5
Q

For SelectCare plans, who provides Member Support?

A

Westpark Communications

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6
Q

For SelectCare plans, who provides Medical Concierge?

A

Nav Central

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7
Q

For SelectCare plans, who provides Telemedicine Service?

A

My Telemedicine

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8
Q

For SelectCare plans, who provide Discount RX?

A

Genius RX/Scriptsave

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9
Q

Does SelectCare plans include discount Dental?

A

Yes

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10
Q

Does SelectCare plans include discount Vision?

A

Yes

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11
Q

Under SelectCare plans, who provides the discount dental product?

A

Careington POS Dental Network

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12
Q

Under SelectCare plans, who provided the discount vision product?

A

Careington VSP Vision Savings Pass

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13
Q

If Minimum Eligibles are under 50, what is minimum enrollment?

A

5

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14
Q

If Minimum Eligibles are over 50, what is the minimum enrollment?

A

20

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15
Q

How many states is the SelectCare plan for Small groups available?

A

38

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16
Q

How many states is the SelectCare plans for Large groups available?

A

41

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17
Q

What is the wellness financial benefit in the SelectCare plan?

A

$125 x 1 day

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18
Q

How many routine immunization benefits do you have with SelectCare plans?

A

none

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19
Q

Under SelectCare, how many outpatient office visits do you have?

A

$125 for Level 1 visit, $175 for Level 2 visit

20
Q

How many Critical Illness conditions are covered under SelectCare plans?

A

10

21
Q

Under SelectCare, what are the 10 conditions that are payable for Critical Illness?

A

Cancer, Heart attack, renal failure, stroke, major organ transplant, MS, Coronary artery bypass surgery, Alzheimer’s, ALC, terminal illness

22
Q

Under SelectCare, what is the Accidental Death & Dismembership payable amount for Individual/Spouse/Child?

A

$20,000 for Individual
$10,000 for Spouse
$5,000 for Child

23
Q

Under SelectCare, what is the percentage is the benefit payable?

A

100% Usual and Customary

24
Q

What are inpatient hospital benefits are included in SelectCare Basic plan?

A

none

25
Q

What is the Hospital Admin Benefit for SelectCare Plus?

A

$2,000 for 1 day

26
Q

What is the Hospital Admin Benefit for SelectCare Premium?

A

$2,500 for 1 day

27
Q

What is the Hospital Non-critical care benefit for SelectCare Plus?

A

$1,000 for 4 days

28
Q

What is the Hosptial Non-critical care benefit for SelectCare Premium?

A

$1,500 for 4 days

29
Q

What is the ICU Benefit for SelectCare Plus?

A

$1,000 for 5 days

30
Q

What is the ICU Benefit for SelectCare Premium?

A

$2,500 for 1 days

31
Q

What is the Surgery benefit for SelectCare Plus?

A

$1,500 for 1 day

32
Q

What is the Surgery benefit for SelectCare Premium?

A

$2,500 for 1 day

33
Q

What is the Anesthesia benefit for SelectCare Plus?

A

$375

34
Q

What is the Anesthesia benefit for SelectCare Premium?

A

$625

35
Q

Accident Benefit for SelectCare and SelectCare Premium?

A

$10,000 Usual & Customary

36
Q

What is the look back treatment period for pre-existing conditions for SelectCare Plus and Premium Inpatient hospital benefits?

A

6 month treatment period

37
Q

What is the limitation period on hospital confinement and surgery benefits on pre-existing conditions on SelectCare Plus and Premium Plan?

A

12 month limitation on hospital confinement and surgery benefits only

38
Q

What is the lookback period for Critical illness pre-existing conditions for the SelectCare plans?

A

24 months treatment period

39
Q

What is the benefit waiting period for the Critical Illness on all SelectCare Plans?

A

90 days

40
Q

What is the survival period for Critical Illness benefit on the SelectCare plans?

A

30 days

41
Q

Does continuation of coverage continue when employment ends on the SelectCard plans?

A

yes

42
Q

Can someone over the age of 65 have a critical illness benefit?

A

No. Covered person must be under the age of 65

43
Q

Are there coordination of benefits with the SelectCare Plans?

A

No, we are EXEMPT. We can be used as a supplement, we are NOT a Gap plan. We do not coordinate benefits.

44
Q

How long are rates guaranteed with the SelectCare plans?

A

1 year

45
Q

What state is the policy issued in ?

A

The situs state

Hooray Healthcare (2 decks)

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