Health Insurance Terms

6. a plan compliant with Affordable Care Act regulations.
7. the amount an insured individual must pay toward the cost of a particular benefit.
8. a licensed insurance professional who obtains multiple quotes and plan information in the interest of their client.
11. perscription drug which is marketed with a specific brand name by the company that manufactures it.
14. a health insurance program created in 1965 that provides health benefits to low-income individuals who cannot afford Medicare or other commercial plans.
16. standardized document detailing plan coverage.
17. payments to an insurance company providing coverage.

1. a list of prescription medications covered by your plan.
2. Usually the spouse and unmarried children (adopted, step or natural) of a policy holder.
3. the total of an insured individual's co-insurance payments and co-payments.
4. a healthcare organization that ties payments to quality metrics and the cost of care.
5. A group of doctors, hospitals and other providers contracted to provide services to insured individuals for less than their usual fees.
9. the percentage of covered expenses an insurance individual shares with the carrier.
10. the chemical equivalent to a "brand name drug".
12. the federal health insurance program that provides health benefits to Americans age 65 and older.
13. plans offered by private insurance companies to help fill the "gaps" in Medicare coverage.
15. a personal savings account that allows participants to pay for medical expenses with pre-tax dollars.