Health Insurance Flashcards

1
Q

Gold plan deductable?

A

500 and 5k out of network

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2
Q

Platinum plan deductible?

A

500 and 3k out of network

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3
Q

Silver 2000 deductible?

A

2000 and 5k out of network

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4
Q

Silver 4250 deductible?

A

4250 and 5k out of network

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5
Q

Cost of primary care office visit-Platinum

A

$20

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6
Q

Cost of primary care office visit -Gold

A

$30

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7
Q

Cost of primary care office visit -Silver 2000

A

$40

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8
Q

Cost of primary care office visit-Silver 4250

A

0% coinsurance

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9
Q

Platinum plan out of pocket max?

A

4k in network 10k out

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10
Q

Gold plan of of pocket max?

A

$8,550k in network or 10 k out

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11
Q

Silver 2000 out of pocket max?

A

$6,759 in network and 10k out

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12
Q

Silver 4250 out of pocket max?

A

$4,250 in network and 10k out

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13
Q

Platinum plan coinsurance?

A

20% in network 50% out

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14
Q

Gold plan coinsurance?

A

30% in network 50% out

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15
Q

Silver 2000 coinsurance?

A

30% in network 50% out

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16
Q

Silver 4250 coinsurance?

A

0% in-network and 50% out

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17
Q

Platinum emergency room copay?

A

$300

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18
Q

Gold emergency room copay?

A

$350

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19
Q

Silver 2000 generic prescriptions coverage?

A

10% or 25% depending on tier number

20
Q

Silver 4250 generic prescription coverage?

A

0%

21
Q

Silver 2000 specialty prescription coverage?

A

20% or 50% depending on the tier

22
Q

Silver 4250 speciality prescription coverage?

A

0%

23
Q

Silver 2000 emergency room cost?

A

30% coinsurance in or out of network

24
Q

Silver 4250 emergency room cost?

A

0% coinsurance in or out of network

25
Q

Silver 4250 inpatient surgery cost?

A

0% coinsurance

26
Q

Silver 2000 inpatient surgery cost?

A

30% coinsurance in network 50% coinsurance out of network

27
Q

Gold plan inpatient surgery costs?

A

30% coinsurance in network 50% coinsurance out of network

28
Q

Platinum plan inpatient surgery costs?

A

20% coinsurance in network 50% coinsurance out of network

29
Q

HSA INDIVIDUAL annual contribution limits?

A

$3,600

30
Q

HSA FAMILY annual contribution limits?

A

$7,200

31
Q

HSA annual 55+ contribution limits?

A

$4,600/INDIVIDUAL and $8,200 for FAMILY

32
Q

Platinum Specialty Office Visit?

A

$30

33
Q

Gold Specialty Office Visit?

A

$50

34
Q

SIlver 2000 Specialty Office Visit?

A

$60

35
Q

Silver 4250 Specialty Office Visit?

A

0%

36
Q

Platinum diagnostic and labs?

A

20% coinsurance

37
Q

Gold diagnostic and labs?

A

30% coinsurance

38
Q

Silver 4250 diagnostic and labs?

A

0% in network 50% out

39
Q

Silver 2000 diagnostic and labs

A

30% and 50%

40
Q

Employer HSA contribution for INDIVIDUAL?

A

$500 on 1/31 plus $0.50 for every $1 of employee contribution up to $500

41
Q

Months to turn in gym benefit?

A

March, June, September, December

42
Q

Who sends Annual Notice?

A

Regence

43
Q

When is Open Enrollment?

A

December 1st-January 31st

44
Q

When do you offer COBRA

A

When someone quits or is fired

45
Q

Is there a cap on the total amount you can have in HSA?

A

No. There is no cap.

46
Q

How many free counseling sessions can you get through Regence IAP/year?

A

4 free sessions

47
Q

What is the RBH employee access code?

A

goappliedes