Health Care Reform Part 1

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Across
  1. 1. abbreviation for Summary of Benefits and Coverage
  2. 3. exchange participants can choose plans in _____ categories
  3. 4. covered at 100% (in-network) for women’s preventative care; brand names if no generics available
  4. 5. will be used to determine what individuals may be eligible for premium tax credits
  5. 6. the Affordable Care Act expands this to up to 30% of total coverage costs (previously 20%)
  6. 7. abbreviation for the Department of Health and Human Services, which may designate independent, outside entities to certify and/or audit health plan compliance
  7. 8. also known as premium tax credits
  8. 9. abbreviation for the Affordable Care Act
  9. 11. health insurers will be required to utilize this so that the community pays the same regardless of health status
  10. 12. routine care costs resulting from participation in these approved phase I-IV must now be covered for qualified individuals
  11. 13. signed into law on March 23, 2010; Humana implemented the elimination of pre-ex for children (ages 18 and younger) due to this
  12. 15. addresses lowering administrative costs in health care system by simplifying, standardizing, and progressing towards real-time electronic transactions
Down
  1. 1. four page double-sided document provided to applicants and enrollees with info on details and coverage examples
  2. 2. these are issued as blanket accident and sickness policies, which are available to undergraduates, graduates, foreign students, and teaching assistants
  3. 10. exchange plan tiers are categorized by this value
  4. 14. limits portion of premium dollars health insurers may spend on administration, marketing, and profits