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OEP TRIVA

Trivia Tuesday At OPTUM
Across
Another Name for OLE
The amount of covered expenses which must be incurred by the insured before benefits become payable by the insurer
A person’s prior medical coverage as defined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Such coverage includes: •Health coverage issued on a group or individual basis •Medicare •Medicaid •Health care for members of the uniformed services •A program of the Indian Health Service •A state health benefits risk pool •The Federal Employees’ Health Benefit Plan (FEHBP) •A public health plan (any plan established by a State, the government of the United States, or any subdivision of a State or of the government of the United States, or a foreign country) •Any health benefit plan under Section 5(e) of the Peace Corps Act, and •The State Children’s Health Insurance Program (S-Chip).
term used in health insurance to describe a situation where a policy is offered to any eligible applicant without regard to health status.
a nonprofit, nonpartisan association with a membership of over 40 million
the Medicare prescription drug benefit, is an optional United States federal-government program to help Medicare beneficiaries pay for self-administered prescription drugs through prescription drug insurance premiums
A health insurance policy provision which requires that the insured pay a specified percentage of all the eligible medical expenses in excess of the deductible, which the insured incurs as a result of a sickness or injury.
card giving identifying data about a person
A federally sponsored program of insurance which provides medical care services in the United States to those age 65 or over, and to certain other eligible individuals.
Down
an acronym for Differentiated Member Experience
Community Rated Expanded Early Enrollment Discount.
A time period during which a member of a group may obtain insurance under an existing group plan.
A specific dollar amount or percentage, that the insured is required to pay, in connection with expenses toward which his/her coverage also pays.
A period of time, determined by Medicare, that begins on the first day of a covered hospital stay. It ends when the insured has been out of the hospital or skilled nursing facility for 60 consecutive days, including the day of discharge
sometimes called "Part C" are offered by private companies approved by Medicare.
an official list giving details of medicines that may be prescribed.
an amount to be paid for an insurance policy.
an amount to be paid for an insurance policy.