75 Questions
Which term is not listed in the guidelines?
Bariatric surgery
What should you do if you have questions about specific conditions?
Use control F or command app
How are maternity needs treated?
They are treated like any other medical need
Which term is NOT used in health share?
Premiums
What is the term used in health share instead of 'Copay'?
All of the above
What is the term used in health share for the amount a member pays before the community shares in medical expenses?
Annual Max
How often does a member need to pay the Annual Max in health share?
Once per calendar year
Which expenses are eligible for sharing by clear share community?
Expenses after meeting the family annual Max
Who needs to meet their own annual Max before the family annual Max is met?
All family members
What is the family annual Max for a family of 4 on the clear share 1,000 plan?
$3,000
When does clearshare start sharing in eligible expenses at 100%?
After meeting the family annual Max
Which of the following best describes a health share?
A nonprofit organization that helps members pay for medical costs
What is the role of Clearwater Benefits Administrators?
To administer healthcare plans
How are health shares different from insurance?
Health shares require members to contribute towards each other's medical costs
What is the role of Trident in the healthcare plans?
To offer employer-sponsored benefits
Which documents must members attach when submitting a need request on the Clear Share website?
Super bill and medical records
Under what circumstances will the bills not be shared with the community?
If the membership deactivates before the determination of sharing is made
What is the waiting period for sharing of medical conditions that exist prior to enrollment in a Clear Share membership?
12 months
Which conditions have a look back period of 5 years?
Heart disease, stroke, and COPD
Which of the following is a key difference between health shares and health insurance?
Health shares are required by law to cover certain things, while health insurance is not
What happens in scenario one of the produce stand story?
The stand sells painted apples that look like oranges
What is the result of scenario two of the produce stand story?
The customer enjoys the apples and becomes a loyal customer
What happens in scenario one of the hospital story?
The member thinks they have insurance but are told they don't
True or false: The training consists of three parts.
True
True or false: The test will be released on October 30th.
True
True or false: Clearwater benefits holdings houses shared services like finance, technology, and marketing.
True
True or false: Clearwater sells only healthcare plans.
False
True or false: Trident is a healthcare sharing ministry.
False
True or false: Health shares are bound by State and Federal government laws and regulations around insurance.
False
True or false: Health shares and health insurance have similar nutritional content.
True
Health shares and health insurance are the same thing.
False
Health shares and health insurance both cover the same medical expenses.
False
Health shares and health insurance have different rules and regulations.
True
Selling a health share as insurance will lead to customer satisfaction.
False
Is it possible to use control+F or command+app to quickly search the guidelines for specific conditions?
True
Is bariatric surgery listed in the guidelines?
False
Are maternity needs treated like any other medical need?
True
True or false: Clear share only memberships do not have day-to-day coverage?
True
True or false: Clear share has a tobacco surcharge of $50 per member?
False
True or false: Medical needs are submitted on a per member per need basis in clear share?
True
True or false: Clear share has an annual Max of $10,000?
False
True or false: In order for a need to be shared, the member must be up to date on their monthly contributions.
True
True or false: Health shares cannot refuse to cover pre-existing conditions.
False
True or false: Clear Share has a 12-month look back period for pre-membership conditions.
True
True or false: High blood pressure, high cholesterol, and diabetes are considered pre-membership conditions.
False
True or false: Deductible expenses accumulate towards the annual Max in Clear Share?
False
True or false: Family members on the plan need to meet their own annual Max before the family annual Max is met?
True
True or false: Clear Share will share in eligible medical expenses at 100% once the household has paid up to its family annual Max?
True
True or false: The family annual Max is generally calculated by multiplying the number of people on the plan by 2?
True
Clearwater benefits holdings is the ______ company that holds together our brokerage arm and our administrative arm.
Holdings
Clearwater. The agency does the ______. It's the broker for clear share memberships and insurance plans. Through trident.
selling
The test will be released on ______ thirtieth.
October
Health shares are not bound by State or Federal government, laws and regulations around ______.
insurance
Health shares provide an organized structure for a community of like-minded members to contribute towards each other's ______ costs.
medical
Health shares are not ______, health shares are not bound by State or Federal government, laws and regulations around insurance.
insurance
Health shares are not ______ by State or Federal government, laws and regulations around insurance.
bound
Clear share memberships are sold in 4 types: advanced, basic, Hsa, and ______
clear share only
To join clear share, members must adhere to the clear share statement of ______
beliefs
Clear share memberships have 4 membership tiers: member only, member plus spouse, member plus child, and member plus ______
family
In order to have a need shared, members must first meet their ______
annual Max
Health shares and health insurance are similar, but not the same. Health share and insurance are both solutions to the same problem, paying for ______ expenses.
medical
In scenario one, they've actually painted their ______ to look like oranges because they heard that oranges sell better.
apples
You actually do like ______, and would enjoy this fruit under other circumstances.
apples
Groceries are expensive these days, so you say, wow. That is great. I do love ______.
apples
Weight loss, surgery is so you might want to try searching for ______, and you know, weight or weight, loss, weight, reduction to help end up on that line.
bariatric
As a general rule, ______ needs are shareable, and are treated like any other medical need.
maternity
You should definitely use variations of the word that you're looking for to help make sure that you find it so. For example, a common question is, is ______ surgery shareable.
bariatric
Clear Share implements a waiting period of sharing for sharing of _______ conditions that exist prior to enrollment in a Clear Share membership.
medical
If the _______ does not appear on a person's medical record, it would be considered charitable.
condition
High blood pressure, high cholesterol, and diabetes are not considered pre-membership conditions as long as the member has not been _______ in 12 months and can control the conditions through medication or diet.
hospitalized
Premembership medical conditions have a phase in period where sharing is limited. So, starting from the initial effective date, members have a one year waiting period before pre-membership medical _______ become shareable.
conditions
Clear share costs don't accumulate towards ______ costs
Mech plan
Family members on the plan have to meet their own ______ until the Overall Family annual Max has been met
annual Max
The family annual Max is generally the number of people on the plan times ______
2
A family of 4 on the clear share 1,000 plan is going to have a family annual Max of ______
$3,000
Learn how to submit need requests on the Clear Share website with this informative quiz. Discover the necessary form to fill out, attach a super bill, and provide medical records for a comprehensive evaluation.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
