Newborn Enrollment and Medical Conditions Quiz
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Questions and Answers

According to the text, when did ClearShare update their Member Guidelines?

  • 2/1/2023 (correct)
  • 2/1/2022
  • 2/1/2020
  • 2/1/2021

    • Based on the text, what is the main purpose of ClearShare?

  • To make a profit
  • To invest in other things
  • To form religious communities
  • To provide affordable healthcare (correct)

    • According to the text, how long have modern healthshares been meeting member's healthcare needs?

  • 10 years
  • 5 years
  • 20 years
  • 30 years (correct)

    • Which of the following is a requirement for participating in the member-to-member medical cost sharing community?

    <p>Submitting a monthly contribution</p> Signup and view all the answers

    What happens if a monthly contribution is not received by the last day of the billing month?

    <p>The membership becomes inactive</p> Signup and view all the answers

    What happens to member needs occurring after the membership is inactivated and before reinstatement?

    <p>They are ineligible for cost sharing</p> Signup and view all the answers

    What is the maximum number of times a member can have their membership inactivated?

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

    Which of the following is considered a pre-membership medical condition for newborns who are not born as part of a shareable maternity need?

    <p>Conditions that occur before enrollment</p> Signup and view all the answers

    What is the monthly tobacco surcharge for ClearShare households with one or more tobacco users?

    <p>$50</p> Signup and view all the answers

    When can members change to or from an Advanced or Basic add-on to their membership?

    <p>Only at their membership renewal</p> Signup and view all the answers

    What is the time limit for submitting a completed and correct need request form for ClearShare to share in a member's medical expenses?

    <p>6 months</p> Signup and view all the answers

    According to ClearShare, what are their three primary goals?

    <p>Offering members the lowest fixed amount each month and lowest out-of-pocket costs when using the membership</p> Signup and view all the answers

    What is ClearShare's mission?

    <p>To bring like-minded individuals together to lower healthcare costs for all</p> Signup and view all the answers

    What is the purpose of ClearShare's Statement of Beliefs?

    <p>To ensure all members are treated fairly and with the highest ethical conduct</p> Signup and view all the answers

    What happens if a member violates ClearShare's Statement of Beliefs?

    <p>All cost sharing for their needs will be put on hold</p> Signup and view all the answers

    According to ClearShare's policy, what is the waiting period for sharing of medical conditions that exist prior to enrollment in a ClearShare membership?

    <p>1 year</p> Signup and view all the answers

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

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

    What is the maximum benefit per pre-membership medical condition in Year Two of membership?

    <p>$50,000</p> Signup and view all the answers

    What is needed for ClearShare to consider an alternative medical need?

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

    Which of the following is true about the Annual Maximum in ClearShare?

    <p>The Annual Maximum is the total amount that a member will pay before the ClearShare community shares in medical expenses.</p> Signup and view all the answers

    What happens to the Annual Maximum after it is met?

    <p>The Annual Maximum is reset to zero and the member will not need to pay it again until the new calendar year begins.</p> Signup and view all the answers

    What is the purpose of the Family Annual Maximum in ClearShare?

    <p>Each family member must meet their own Annual Max before the overall Family Annual Max is met.</p> Signup and view all the answers

    When can members change their Annual Maximum in ClearShare?

    <p>Members can change their Annual Maximum at their membership renewal or during annual Open Enrollment.</p> Signup and view all the answers

    According to the text, how many people currently participate in a healthshare?

    <p>More than two million</p> Signup and view all the answers

    What is the purpose of ClearShare's Statement of Beliefs?

    <p>To express the organization's values and principles</p> Signup and view all the answers

    According to the text, when was ClearShare formed?

    <p>In April 2022</p> Signup and view all the answers

    Which of the following is NOT a household membership type in ClearShare?

    <p>Member + Parents</p> Signup and view all the answers

    At what age are dependents no longer eligible to participate under a combined membership?

    <p>25</p> Signup and view all the answers

    What is the time limit for enrolling newborns whose birth is part of a shareable maternity need?

    <p>30 days</p> Signup and view all the answers

    What happens to medical needs that occur between the time when a child leaves their parent's membership and enrolls in their own membership?

    <p>They are not shareable</p> Signup and view all the answers

    According to ClearShare, what is the maximum annual personal responsibility for members?

    <p>$5000</p> Signup and view all the answers

    What is the purpose of the Family Annual Maximum in ClearShare?

    <p>To ensure that each family member meets their own Annual Max before the overall Family Annual Max is met</p> Signup and view all the answers

    When can members change their Annual Maximum in ClearShare?

    <p>During the annual Open Enrollment period</p> Signup and view all the answers

    What is the maximum benefit per pre-membership medical condition in Year Two of membership?

    <p>$7500</p> Signup and view all the answers

    Which of the following is considered a pre-membership medical condition for newborns who are not born as part of a shareable maternity need?

    <p>Genetic conditions</p> Signup and view all the answers

    What is the monthly tobacco surcharge for ClearShare households with one or more tobacco users?

    <p>$50</p> Signup and view all the answers

    When can members change to or from an Advanced or Basic add-on to their membership?

    <p>Only during membership renewal</p> Signup and view all the answers

    What is the time limit for submitting a completed and correct need request form for ClearShare to share in a member's medical expenses?

    <p>6 months</p> Signup and view all the answers

    According to ClearShare's policy, what is the maximum benefit per pre-membership medical condition in Year Three of membership?

    <p>$50,000</p> Signup and view all the answers

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

    <p>Both A and B</p> Signup and view all the answers

    What is the phase-in period for pre-membership medical conditions in ClearShare?

    <p>1 year</p> Signup and view all the answers

    What is the purpose of the ClearShare committee that reviews appeals?

    <p>To determine if a limitation was placed unfairly</p> Signup and view all the answers

    According to the text, what is the primary factor for membership eligibility in ClearShare?

    <p>Agreement to the ClearShare Statement of Beliefs</p> Signup and view all the answers

    What happens if a member violates ClearShare's Statement of Beliefs?

    <p>All cost sharing for the needs of that member will be put on hold</p> Signup and view all the answers

    What is the purpose of the Family Annual Maximum in ClearShare?

    <p>To limit the total amount of cost sharing for a family in a calendar year</p> Signup and view all the answers

    What is needed for ClearShare to consider an alternative medical need?

    <p>A written request from the member's healthcare provider</p> Signup and view all the answers

    Healthcare today generally hasn’t been organized around the best ______ experience.

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

    It’s often complex, confusing, and ______.

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

    Like-minded people who care about their health join a ______ to share in medical needs without a profit motive.

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

    Healthcare today generally hasn’t been organized around the best ______ experience.

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

    It’s often complex, confusing, and ______.

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

    Like-minded people who care about their health join a ______ to share in medical needs without a profit motive.

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

    Which one of these is NOT a characteristic of healthcare today?

    <p>Organized around the best member experience</p> Signup and view all the answers

    What is the main reason for like-minded people to join a healthcare community like ClearShare?

    <p>To share in medical needs without a profit motive</p> Signup and view all the answers

    What is one of the main problems with healthcare today according to the text?

    <p>It's often complex, confusing, and clumsy</p> Signup and view all the answers

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