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

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

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

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

<p>$50 (B)</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 (D)</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 (A)</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 (A)</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 (C)</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 (A)</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 (D)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

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

According to the text, when was ClearShare formed?

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

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

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

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

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

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

<p>$5000 (C)</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 (A)</p> Signup and view all the answers

When can members change their Annual Maximum in ClearShare?

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

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

<p>$7500 (A)</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 (D)</p> Signup and view all the answers

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

<p>$50 (C)</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 (D)</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 (C)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>1 year (A)</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 (A)</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 (C)</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 (B)</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 (B)</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 (C)</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 (C)</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 (A)</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 (D)</p> Signup and view all the answers

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