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 (C)</p> Signup and view all the answers

Which type of surgery did the member receive for free?

<p>Knee replacement surgery (B)</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 (C)</p> Signup and view all the answers

What does Care Coordination do on ClearShare?

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

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

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

Which of the following is NOT a ClearShare Membership type?

<p>HSA (A)</p> Signup and view all the answers

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

<p>$25,000 (D)</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 (B)</p> Signup and view all the answers

Are maternity needs shareable?

<p>Yes (B)</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 (C)</p> Signup and view all the answers

What is the purpose of ClearShare?

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

What distinguishes a healthshare from insurance?

<p>Healthshares have lower overall care costs (D)</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 (B)</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 (A)</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 (A)</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 (A)</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 (B)</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 (D)</p> Signup and view all the answers

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

<p>All of the above (D)</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 (A)</p> Signup and view all the answers

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