High Plains Health Plan: Knowing Your Benefits

HPHP has an actuarial value score of 92%, which makes it a _________ Plan:
Bronze
Platinum
Silver
Gold
What "copay" will you have for generic medication if you are on a copay plan?
$0
$1
$5
$10
High Plains Health Plan is a "Reference Based Pricing" plan:
True
False
HPHP works with more than one Third-Party Administrator (TPA). How do you find out which one handles your claims?
Ask your doctor's office
Check your ID card, or call HPHP at 806-510-HPHP (4747)
It's always Aetna
You don't need to know, it never matters
Who is the Pharmacy Benefit Manager for High Plains Health Plan?
Optum RX
Express Scripts
Prime
TrueScripts
High Plains Health Plan has a searchable provider directory where you can see if a facility/doctor is in the Tier 1 or Tier 2 Networks:
Check your ID card, or call HPHP at 806-510-HPHP (4747)
False
It's always Aetna
Northwest Texas Healthcare System
Texas Oncology
Baptist St. Anthony
Labcorp
MD Anderson
Mayo Clinic
Amarillo Urology
Amarillo Family Physicians
What company is partnered with High Plains Health Plan to bring $0 diagnostic imaging services (MRIs, CT Scans, Sonograms, etc)?
Blue Ridge Radiology
MRI Now
Green Imaging
Imaging Center of Texas
High Plains Health Plan can help members source high-cost medications from international pharmacies in countries such as Canada, New Zealand, England, and India:
True
False
On average, High Plains Health Plan is reducing organizational healthcare costs by _____%:
5
12
22
99
0
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