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
Who is the Third-Party Administrator for High Plains Health Plan?
IMS
Lucent Health
Benefit Management LLC
Aetna
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:
True
False
Select each Tier 1 Provider within High Plains Health Plan:
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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