Insurance Vocabulary

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Across
  1. 1. a type of insurance in which the insured pays a share of the payment made against a claim.
  2. 4. an amount to be paid for an insurance policy, a sum added to an ordinary price or charge.
  3. 8. is any health condition that a person has prior to enrolling in health coverage, or it could be more serious or require more costly treatment – such as diabetes, heart disease, or cancer.
  4. 10. insurance program that provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid but not enough to buy private insurance. In some states, it covers pregnant women.
  5. 13. an agreement that transfers the insurance claims rights or benefits of the policy to a third-party. It gives the third-party authority to file a claim, make repair decisions, and collect insurance payments without the involvement of the homeowner.
  6. 14. a statement from your health insurance plan describing what costs it will cover for medical care or products you've received. It is generated when your provider submits a claim for the services you received.
  7. 17. a medical care arrangement in which medical professionals and facilities provide services to subscribed clients at reduced rates. This is when medical and healthcare providers are called preferred providers.
  8. 18. a health insurance organization to which subscribers pay a predetermined fee in return for a range of medical services from physicians and healthcare workers registered with the organization.
Down
  1. 2. the payment of a fee or grant to a doctor, school, or other person or body providing services to a number of people, such that the amount paid is determined by the number of patients, students, or customers.
  2. 3. The Civilian Health and Medical Program of the Department of Veterans Affairs is a health benefits program in which the Department of Veterans Affairs (VA) shares the cost of certain health care services and supplies with eligible beneficiaries.
  3. 5. A decision by your health insurer or plan that a health care service, treatment plan, prescription drug, or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval, or precertification.
  4. 6. a U.S. government program providing healthcare insurance to individuals 65 and older or those under 65 who meet eligibility requirements.
  5. 7. insurance is a type of business insurance that provides benefits to employees who suffer work-related injuries or illnesses. Specifically, this insurance helps pay for medical care, wages from lost work time, and more.
  6. 9. able to be deducted, especially from taxable income or tax to be paid, a specified amount of money that the insured must pay before an insurance company will pay a claim.
  7. 11. a public health insurance program that provides health care coverage to low-income families and individuals in the United States.
  8. 12. a payment made by a beneficiary (especially for health services) in addition to that made by an insurer.
  9. 15. This is a method used to determine when a plan is primary or secondary for a dependent child when covered by both parents' benefit plan. The parent whose birthday (month and day only) falls first in a calendar year is the parent with the primary coverage for the dependent.
  10. 16. is the health care program for uniformed service members, retirees, and their families around the world. It provides comprehensive coverage to all beneficiaries, including Health plans, special programs, and prescriptions.