Podcast
Questions and Answers
Which of the following services is NOT covered by the plan?
Which of the following services is NOT covered by the plan?
- Childbirth/delivery professional services (correct)
- Home health care
- Habilitation services
- Rehabilitation services
What is the out-of-pocket cost for children's glasses?
What is the out-of-pocket cost for children's glasses?
- Varies depending on the network provider
- No charge
- Not covered (correct)
- Varies depending on the out-of-network provider
Which of the following services is generally NOT covered by the plan?
Which of the following services is generally NOT covered by the plan?
- Routine eye care for adults (correct)
- Mental health services
- Skilled nursing care
- Emergency room services
Does this plan provide Minimum Essential Coverage?
Does this plan provide Minimum Essential Coverage?
Which of the following is included in the out-of-pocket limit for this plan?
Which of the following is included in the out-of-pocket limit for this plan?
If you use an out-of-network provider, what might happen?
If you use an out-of-network provider, what might happen?
Do you need a referral to see a specialist in this plan?
Do you need a referral to see a specialist in this plan?
What is the cost for a specialist visit with a network provider?
What is the cost for a specialist visit with a network provider?
According to the Summary of Benefits and Coverage, what is the overall deductible for the Advanced MEC plan?
According to the Summary of Benefits and Coverage, what is the overall deductible for the Advanced MEC plan?
Are there services covered before you meet your deductible for the Advanced MEC plan?
Are there services covered before you meet your deductible for the Advanced MEC plan?
Are there any other deductibles for specific services under the Advanced MEC plan?
Are there any other deductibles for specific services under the Advanced MEC plan?
Which of the following types of coverage is generally considered Minimum Essential Coverage?
Which of the following types of coverage is generally considered Minimum Essential Coverage?
If a plan does not meet the Minimum Value Standards, what may an individual be eligible for?
If a plan does not meet the Minimum Value Standards, what may an individual be eligible for?
What is the overall deductible for Peg's pregnancy and delivery example event?
What is the overall deductible for Peg's pregnancy and delivery example event?
What is the total amount Joe would pay for cost sharing in his example event of managing Type 2 Diabetes?
What is the total amount Joe would pay for cost sharing in his example event of managing Type 2 Diabetes?
