Podcast
Questions and Answers
Who is the third-party administrator (TPA) for health plans and employers?
Who is the third-party administrator (TPA) for health plans and employers?
- Trident
- Clearwater Benefits Administrators (correct)
- ClearShare health
- Boomy Health
Which company sells Major Medical and supplemental insurance plans and healthshare memberships?
Which company sells Major Medical and supplemental insurance plans and healthshare memberships?
- Clearsharehealth
- Boomy Health (correct)
- Clearwater Benefits Holdings, LLC
- Trident
Which of the following is NOT a characteristic of Healthshare?
Which of the following is NOT a characteristic of Healthshare?
- Used to pay medical expenses
- Not bound by laws & regulations
- Providers submit claims (correct)
- Members submit needs
Which type of plan offers more comprehensive coverage for everyday care like doctor visits, prescriptions, and diagnostics including out-of-network?
Which type of plan offers more comprehensive coverage for everyday care like doctor visits, prescriptions, and diagnostics including out-of-network?
What is the age cap for primary members in ClearShare?
What is the age cap for primary members in ClearShare?
What is the monthly tobacco surcharge for ClearShare?
What is the monthly tobacco surcharge for ClearShare?
Which membership type offers the most comprehensive coverage for day-to-day care, including out-of-network services?
Which membership type offers the most comprehensive coverage for day-to-day care, including out-of-network services?
What is the maximum benefit per pre-membership medical condition in Year Two?
What is the maximum benefit per pre-membership medical condition in Year Two?
Which type of ClearShare membership is often paired with a Trident MEC plan?
Which type of ClearShare membership is often paired with a Trident MEC plan?
For maternity needs, what is the maximum benefit limit?
For maternity needs, what is the maximum benefit limit?
Which service does Care Coordination for ClearShare provide?
Which service does Care Coordination for ClearShare provide?
What is the main purpose of Care Coordination?
What is the main purpose of Care Coordination?
Who can access their own unique Lyric accounts through their own Health Wallet account?
Who can access their own unique Lyric accounts through their own Health Wallet account?
Which of the following ClearShare Membership types offers a more comprehensive plan with set amounts for everyday care including out-of-network services?
Which of the following ClearShare Membership types offers a more comprehensive plan with set amounts for everyday care including out-of-network services?
Which ClearShare Membership type offers set amounts for doctor visits and prescriptions in network?
Which ClearShare Membership type offers set amounts for doctor visits and prescriptions in network?
Which type of plan allows you to pay for day-to-day needs with a tax deductible Health Savings Account (HSA)?
Which type of plan allows you to pay for day-to-day needs with a tax deductible Health Savings Account (HSA)?
Which ClearShare Membership type offers more comprehensive coverage for major health incidents and allows you to choose the amount you want to pay for dental, accident, vision, and critical illness?
Which ClearShare Membership type offers more comprehensive coverage for major health incidents and allows you to choose the amount you want to pay for dental, accident, vision, and critical illness?
Which of the following best describes a healthshare?
Which of the following best describes a healthshare?
What is the purpose of ClearShare?
What is the purpose of ClearShare?
What role does Clearwater Benefits Administrators play in the healthshare plans?
What role does Clearwater Benefits Administrators play in the healthshare plans?
How are healthshares different from insurance?
How are healthshares different from insurance?
Which of the following is NOT included in the ClearShare community's annual maximum?
Which of the following is NOT included in the ClearShare community's annual maximum?
If a family has a ClearShare 1000 Annual Max and a Family Annual Max of $3,000, how much does the primary member have to pay before the ClearShare community shares in eligible medical expenses?
If a family has a ClearShare 1000 Annual Max and a Family Annual Max of $3,000, how much does the primary member have to pay before the ClearShare community shares in eligible medical expenses?
If a family of four has a ClearShare 1000 Annual Max and a Family Annual Max of $3,000, how much does the household have to pay before the ClearShare community shares in eligible medical expenses at 100%?
If a family of four has a ClearShare 1000 Annual Max and a Family Annual Max of $3,000, how much does the household have to pay before the ClearShare community shares in eligible medical expenses at 100%?
Which of the following conditions would NOT be considered a pre-membership medical condition?
Which of the following conditions would NOT be considered a pre-membership medical condition?
Which entity owns the agency and TPA, and houses shared services such as finance, technology, and marketing?
Which entity owns the agency and TPA, and houses shared services such as finance, technology, and marketing?
Which company provides virtual assistant services?
Which company provides virtual assistant services?
Which company sells Major Medical and supplemental insurance plans and healthshare memberships?
Which company sells Major Medical and supplemental insurance plans and healthshare memberships?
What is the previous name of the third-party administrator (TPA) for health plans and employers?
What is the previous name of the third-party administrator (TPA) for health plans and employers?
Which of the following is NOT a major incident covered by ClearShare Membership Options?
Which of the following is NOT a major incident covered by ClearShare Membership Options?
What is the monthly cost or monthly contribution for an Advanced ClearShare Membership?
What is the monthly cost or monthly contribution for an Advanced ClearShare Membership?
Which of the following is NOT a supplemental insurance offered by ClearShare?
Which of the following is NOT a supplemental insurance offered by ClearShare?
What is the maximum benefit per pre-membership medical condition in Year Two for ClearShare Memberships?
What is the maximum benefit per pre-membership medical condition in Year Two for ClearShare Memberships?
Which ClearShare Membership type offers set amounts for doctor visits and prescriptions in network?
Which ClearShare Membership type offers set amounts for doctor visits and prescriptions in network?
What is the maximum benefit per pre-membership medical condition in Year Two?
What is the maximum benefit per pre-membership medical condition in Year Two?
Which of the following is NOT a role played by Clearwater in the healthshare plans?
Which of the following is NOT a role played by Clearwater in the healthshare plans?
Which type of ClearShare membership is often paired with a Trident MEC plan?
Which type of ClearShare membership is often paired with a Trident MEC plan?
Which of the following is a characteristic of healthshares?
Which of the following is a characteristic of healthshares?
Which type of plan offers more comprehensive coverage for everyday care like doctor visits, prescriptions, and diagnostics including out-of-network?
Which type of plan offers more comprehensive coverage for everyday care like doctor visits, prescriptions, and diagnostics including out-of-network?
Which ClearShare Membership type offers more comprehensive coverage for major health incidents and allows you to choose the amount you want to pay for dental, accident, vision, and critical illness?
Which ClearShare Membership type offers more comprehensive coverage for major health incidents and allows you to choose the amount you want to pay for dental, accident, vision, and critical illness?
Which of the following is included in the ClearShare community's annual maximum?
Which of the following is included in the ClearShare community's annual maximum?
Which of the following is NOT a primary level of personal responsibility in ClearShare?
Which of the following is NOT a primary level of personal responsibility in ClearShare?
If a family of four has a ClearShare 1000 Annual Max and a Family Annual Max of $3,000, how much does the household have to pay before the ClearShare community shares in eligible medical expenses at 100%?
If a family of four has a ClearShare 1000 Annual Max and a Family Annual Max of $3,000, how much does the household have to pay before the ClearShare community shares in eligible medical expenses at 100%?
Which of the following conditions would be considered a pre-membership medical condition in ClearShare?
Which of the following conditions would be considered a pre-membership medical condition in ClearShare?
What is the maximum benefit limit for maternity needs in ClearShare?
What is the maximum benefit limit for maternity needs in ClearShare?
Which ClearShare Membership type offers set amounts for doctor visits and prescriptions in network?
Which ClearShare Membership type offers set amounts for doctor visits and prescriptions in network?
What is the purpose of ClearShare?
What is the purpose of ClearShare?
Which ClearShare Membership type offers more comprehensive coverage for major health incidents and allows you to choose the amount you want to pay for dental, accident, vision, and critical illness?
Which ClearShare Membership type offers more comprehensive coverage for major health incidents and allows you to choose the amount you want to pay for dental, accident, vision, and critical illness?
Which type of ClearShare membership is often paired with a Trident MEC plan?
Which type of ClearShare membership is often paired with a Trident MEC plan?
Which service does Care Coordination for ClearShare provide?
Which service does Care Coordination for ClearShare provide?
What is the main purpose of Care Coordination?
What is the main purpose of Care Coordination?
Who can access their own unique Lyric accounts through their own Health Wallet account?
Who can access their own unique Lyric accounts through their own Health Wallet account?
What is the maximum benefit per pre-membership medical condition in Year Two?
What is the maximum benefit per pre-membership medical condition in Year Two?
Which ClearShare Membership type offers more comprehensive coverage for major health incidents and allows you to choose the amount you want to pay for dental, accident, vision, and critical illness?
Which ClearShare Membership type offers more comprehensive coverage for major health incidents and allows you to choose the amount you want to pay for dental, accident, vision, and critical illness?
What role does Clearwater Benefits Administrators play in the healthshare plans?
What role does Clearwater Benefits Administrators play in the healthshare plans?
Trident sponsors several insurance plans for Limited Partners.
Trident sponsors several insurance plans for Limited Partners.
The agency or healthcare brokerage that does the selling is Clearwater Benefits Holdings, LLC.
The agency or healthcare brokerage that does the selling is Clearwater Benefits Holdings, LLC.
ClearShare Merge Memberships offer more comprehensive coverage for major health incidents and allow you to choose the amount you want to pay for dental, accident, vision, and critical illness.
ClearShare Merge Memberships offer more comprehensive coverage for major health incidents and allow you to choose the amount you want to pay for dental, accident, vision, and critical illness.
A healthshare is a type of insurance that is bound by state and federal government laws and regulations.
A healthshare is a type of insurance that is bound by state and federal government laws and regulations.
ClearShare-only memberships are often paired with a Trident MEC plan.
ClearShare-only memberships are often paired with a Trident MEC plan.
Clearwater Benefits Administrators handles billing for ClearShare plans.
Clearwater Benefits Administrators handles billing for ClearShare plans.
Healthshares are not-for-profit organizations that provide an organized structure for members to contribute towards each other's medical costs.
Healthshares are not-for-profit organizations that provide an organized structure for members to contribute towards each other's medical costs.
ClearShare-only memberships are often paired with a Trident MEC plan.
ClearShare-only memberships are often paired with a Trident MEC plan.
ClearShare Membership types offer set amounts for doctor visits and prescriptions in network.
ClearShare Membership types offer set amounts for doctor visits and prescriptions in network.
The ClearShare community's annual maximum includes dental, accident, vision, and critical illness coverage.
The ClearShare community's annual maximum includes dental, accident, vision, and critical illness coverage.
Clearwater is the third-party administrator (TPA) for health plans and employers.
Clearwater is the third-party administrator (TPA) for health plans and employers.
Care Coordination can help you find local providers if the primary and secondary network doesn’t provide the coverage you need in your area.
Care Coordination can help you find local providers if the primary and secondary network doesn’t provide the coverage you need in your area.
Care Coordination works to find and recommend you a fair-priced, high quality provider.
Care Coordination works to find and recommend you a fair-priced, high quality provider.
Primary members, spouses, and dependents aged 18-26 can access their own unique Lyric accounts through their own Health Wallet account.
Primary members, spouses, and dependents aged 18-26 can access their own unique Lyric accounts through their own Health Wallet account.
True or false: Pre-membership medical conditions are not shareable in the first year of membership?
True or false: Pre-membership medical conditions are not shareable in the first year of membership?
True or false: Expenses related to pre-membership medical conditions can be shareable at a maximum of $125,000 after year four of membership?
True or false: Expenses related to pre-membership medical conditions can be shareable at a maximum of $125,000 after year four of membership?
True or false: Maternity needs are treated differently and are not shareable like any other medical need?
True or false: Maternity needs are treated differently and are not shareable like any other medical need?
True or false: Conception that occurs prior to membership or within the first 60 days of membership is eligible for sharing with a $50,000 limit?
True or false: Conception that occurs prior to membership or within the first 60 days of membership is eligible for sharing with a $50,000 limit?
True or false: The annual maximum is the amount that a member will pay before the ClearShare community shares in medical expenses.
True or false: The annual maximum is the amount that a member will pay before the ClearShare community shares in medical expenses.
True or false: Service copays or service costs that apply to a member’s deductible are included in the annual maximum.
True or false: Service copays or service costs that apply to a member’s deductible are included in the annual maximum.
True or false: If a family has a ClearShare 1000 Annual Max and a Family Annual Max of $3,000, the primary member has to pay $1,000 before the ClearShare community shares in eligible medical expenses.
True or false: If a family has a ClearShare 1000 Annual Max and a Family Annual Max of $3,000, the primary member has to pay $1,000 before the ClearShare community shares in eligible medical expenses.
True or false: High blood pressure, high cholesterol, and diabetes (types 1 and 2) will be considered pre-membership medical conditions even if the member has not been hospitalized for the condition in the 12 months prior to the effective date.
True or false: High blood pressure, high cholesterol, and diabetes (types 1 and 2) will be considered pre-membership medical conditions even if the member has not been hospitalized for the condition in the 12 months prior to the effective date.
True or false: ClearShare-only membership offers more comprehensive coverage for major health incidents compared to Basic membership?
True or false: ClearShare-only membership offers more comprehensive coverage for major health incidents compared to Basic membership?
True or false: The HSA portion of the plan is a Trident Minimum Essential Coverage (MEC) plan?
True or false: The HSA portion of the plan is a Trident Minimum Essential Coverage (MEC) plan?
True or false: ClearShare membership options include Advanced, Basic, and HSA?
True or false: ClearShare membership options include Advanced, Basic, and HSA?
True or false: Care Coordination for ClearShare helps members lower their healthcare costs by connecting them with lower cost, high quality providers for labs, imaging, and major procedures?
True or false: Care Coordination for ClearShare helps members lower their healthcare costs by connecting them with lower cost, high quality providers for labs, imaging, and major procedures?
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