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Find Your Perfect Health Insurance Plan
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Find Your Perfect Health Insurance Plan

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Questions and Answers

Who owns Clearwater Benefits Holdings, LLC?

  • Clearsharehealth
  • Boomy Health
  • Trident (correct)
  • Limited Partners
  • What is the role of Clearsharehealth?

  • Selling Major Medical and supplemental insurance plans
  • Administering health plans and employers
  • Offering healthshare memberships (correct)
  • Providing virtual assistant services
  • What services does the third-party administrator (TPA) provide?

  • Selling Major Medical and supplemental insurance plans
  • Offering healthshare memberships
  • Administering health plans and employers (correct)
  • Providing virtual assistant services
  • Which type of plan offers more comprehensive coverage, including out-of-network care?

    <p>Advanced</p> Signup and view all the answers

    Which type of surgery did the member receive for free?

    <p>Knee replacement surgery</p> Signup and view all the answers

    Which type of plan is suitable for individuals who rarely visit the doctor and prefer to pay for day-to-day needs with a tax deductible Health Savings Account (HSA)?

    <p>HSA</p> Signup and view all the answers

    What does Care Coordination do on ClearShare?

    <p>Finds and recommends fair-priced providers</p> Signup and view all the answers

    Which type of plan allows members to set amounts for doctor visits and prescriptions in network?

    <p>Basic</p> Signup and view all the answers

    Who can access their own unique Lyric accounts through their own Health Wallet account?

    <p>All of the above</p> Signup and view all the answers

    Which type of plan is often paired with a Trident MEC plan?

    <p>ClearShare-only</p> Signup and view all the answers

    Which of the following is NOT a ClearShare Membership type?

    <p>HSA</p> Signup and view all the answers

    What is the maximum benefit for pre-membership medical conditions in Year Two?

    <p>$25,000</p> Signup and view all the answers

    What is the maximum benefit for pre-membership medical conditions after year four of membership?

    <p>$125,000</p> Signup and view all the answers

    Are maternity needs shareable?

    <p>Yes</p> Signup and view all the answers

    Which of the following best describes a healthshare?

    <p>A not-for-profit organization where members contribute towards each other's medical costs</p> Signup and view all the answers

    What is the purpose of ClearShare?

    <p>To fund the organization</p> Signup and view all the answers

    Which role does Clearwater Benefits Administrators (TPA) play in the healthshare organization?

    <p>Handling billing and claims for self-funded plans</p> Signup and view all the answers

    What distinguishes a healthshare from insurance?

    <p>Healthshares have lower overall care costs</p> Signup and view all the answers

    Which ClearShare Membership type offers a more comprehensive plan with set amounts for everyday care including out-of-network services?

    <p>Advanced</p> Signup and view all the answers

    What is the purpose of an HSA (Health Savings Account) in the ClearShare Membership plans?

    <p>To pay for day-to-day needs with a tax deductible HSA Supplemental Insurance</p> Signup and view all the answers

    Which membership type is suitable for individuals who rarely visit the doctor and want to pay for day-to-day needs with a tax deductible HSA?

    <p>HSA</p> Signup and view all the answers

    Which network restrictions apply to expensive and emergency services in the Basic ClearShare Membership?

    <p>No Provider Restrictions</p> Signup and view all the answers

    Which term is used to describe the amount that a member will pay before the ClearShare community shares in medical expenses?

    <p>Personal Responsibility</p> Signup and view all the answers

    If a family has a Family Annual Max of $3,000 and the primary member has already paid $1,000, how much does the household still need to pay before the ClearShare community shares in eligible medical expenses at 100%?

    <p>$2,000</p> Signup and view all the answers

    Which of the following conditions are considered pre-membership medical conditions?

    <p>All of the above</p> Signup and view all the answers

    For how long must a condition be regarded as cured and not require treatment in order for it to be shareable for conditions like Cancer, Heart Disease, Stroke, and COPD?

    <p>5 years</p> Signup and view all the answers

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