GNF Finance Quiz
GNF Finance Quiz: Test Your Knowledge on Insurance Coverage
Welcome to the GNF Finance Quiz! This quiz is designed to challenge your understanding of insurance policies related to infertility treatments. Dive in and discover how well you know the critical details that can impact patient care and treatment options.
In this quiz, you will learn about:
- Prior Authorizations
- Insurance coverage for fertility treatments
- Definitions of infertility and associated terms
Aetna, Oxford, and United Healthcare allow Embryo Banking?
True
False
Which Insurance requires Unmedicated Day 3 bloodwork for treatment authorization?
GHI
Cigna
Progyny
Aetna
What is a Prior Authorization, Pre-certification, or Pre-Approval?
A decision by a health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary.
A verification of infertility coverage
A decision by a provider to recommend services
Which clinical information should you submit to insurance for prior authorization? Select all that apply
Day 3 labs
SIS/SHG
HSG
Semen Analysis
New Patient Consult Note
Follow Up Consult Note
A FSH of 19 will void coverage for which insurance?
Oxford
Progyny
Cigna
United Healthcare
Aetna
Magnacare
If under the age of 35, patients must try for at least __ year(s) to meet the definition of infertility.
2
1
3
4
If above the age of 35, patients must try for at least __ months to meet the definition of infertility
4 Months
12 Months
9 Months
6 Months
What is the estimated turnaround time for a response from the insurance once a prior authorization is submitted?
1-3 Business Days
3-4 Business Days
4-7 Business Days
7-15 Business Days
20 Business Days
30 Business Days
What is a Lifetime Maximum?
The maximum dollar amount a health plan will pay in benefits to an insured individual during that individual's lifetime.
The amount you pay for covered health care services before your insurance plan starts to pay
He percentage of costs of a covered health care service you pay after you've paid your deductible.
The most you have to pay for covered services in a plan year.
What is Medical Necessity?
An indication created by health insurance companies to determine “medically necessary” procedures and interventions.
Legal entitlement to payment or reimbursement for your health care costs, generally under a contract with a health insurance company, a group health plan
The process your health insurance company uses to review how necessary a medical treatment or medication may be in treating your condition.
What is the standard timeframe for approved treatment authorizations?
3 Months
2 Months
6 Months
12 Months
Which cycles are considered fertility preservation? Select all that apply:
Embryo Freeze All
Egg Freezing
Fresh IVF
IUI
When is PGT-A covered by insurance? Select all that apply:
3 Failed IVF cycles
History of Trisomy
Pt/Part are both carriers for the same genetic disease
A deductible is the amount you pay for covered health care services before your insurance plan starts to pay
True
False
A coinsurance is the percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible.
True
False
An out of pocket maximum is the most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copayments, and coinsurance for in-network care and services, your health plan pays 100% of the costs of covered benefits
True
False
Sally has Aetna insurance with 3 frozen embryos in storage. Sally wishes to complete another IVF cycle. Will her insurance cover her next cycle?
No, Aetna will require her to transfer all frozen embryos in storage before authorizing another IVF cycle.
Yes, Sally has coverage for IVF and her insurance will cover another IVF cycle.
Yes, Aetna allows Embryo Banking
No, the patient will have to pay out of pocket for her next IVF cycle. Aetna will not cover.
Egg Freezing is considered an elective procedure unless the following criteria is met. Select all that apply:
Cancer Diagnosis
Medical treatment would directly or indirectly cause iatrogenic infertility
Preventative measure for specific medical conditions
Family Balancing
How many Semen Analysis' are required for ICSI coverage?
1
2
3
4
Semen Analysis must be completed how many weeks apart for prior authorization review?
1 Week
2 Weeks
3 Weeks
4 Weeks
{"name":"GNF Finance Quiz", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Welcome to the GNF Finance Quiz! This quiz is designed to challenge your understanding of insurance policies related to infertility treatments. Dive in and discover how well you know the critical details that can impact patient care and treatment options.In this quiz, you will learn about:Prior AuthorizationsInsurance coverage for fertility treatmentsDefinitions of infertility and associated terms","img":"https:/images/course3.png"}
More Quizzes
TRADITIONAL PRODUCTS
1167
Know Your AXA Products Quiz
14771
Aaron Lore Test
14716
Do you know Keith?
1588
Hollywood Trivia: How Well Do You Know Film Icons?
201044776
Free New France Government Structure
201026215
Free Linear Pairs: Check All That Apply
201021883
Free ABA Potty Training Knowledge Test
201021727
Crush Except Questions: Fun Accept vs Except
201028399
How Well Do You Know Frederick Douglass? Take the!
201050785
Advanced Digital Projects Lab
15823999
Convolutional Neural Networks: Test Your CNN Skills!
201046596