Par stat and accumulators

Are records within in a member's account that tracks limits and maximums listed in their plans benefit.

• Accumulators

• Deductibles

• Coinsurance

• Copay

Anthem and the member both pay a percentage  until Out of Pocket is met.

• Coinsurance

• Deductible

• Accumulators

• Copay

Set amount of money you pay at first for covered health care services, before your health plan begins paying.

• Coinsurance

• Copay

• Accumulators

• Deductible

Maximum dollar amount you’ll pay for covered services during the year. After that, your plan will pay for 100% of covered services.

• Copay

• Coinsurance

• Deductible

• Out of pocket maximum

What information to give out if the provider states that they are participating with members network or local?

• In-network benefits

• Accumulators

• Out-of-network benefits

• Eligibility

What information to give out if the provider states that they are NOT participating with members network or local?

• Accumulators

• Out-of-network Benefits

• Eligbility

• In-network benefits

The family amount can be satisfied by any combination of family members.

• Non-Embedded

• Embedded