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Insurance 101, Types of HC Plans, Sharepoint

QuestionAnswer
Name of the system that stores all of the client documents and processes. SharePoint
Name of client document that is not plan specific but will provide information on the benefit packages, tiers, riders and plan structure. Group Reference Sheet
Entire family must collectively meet the full family deductible amount before the insurance starts covering costs. Non-Embedded Family Deductible
Each family member has an individual deductible they must meet within the family plan. Embedded Family Deductible
Plan type specifically excludes OON providers. EPO
Healthcare plan with "No Network" and only 1 tier. Indemnity
This is considered a calendar year. January-December
Portion in the SPD I will find the list of benefits. Schedule of Benefits
Name of the resource that stores all of Luminare Health processes and procedures. LRS: Luminare Resource Site
The maximum dollar amount a member will pay each benefits period for eligible medical expenses. Typically made up of deductible, copays and coinsurance. Out of Pocket Maximum
Created by: cmart97
 



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