Insurance Vocabulary Terms

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Across
  1. 3. A health insurance plan in which providers agree to deliver services for discount fees; patients can go to any provider, but using nonparticipating providers results in higher costs to the patient.
  2. 5. The specified amount of payment required periodically by an insurer to provide coverage under a plan for a defined period of time
  3. 6. Flexible Spending Account. An account set up through an employer to cover health costs with pretax dollars that has very little or no rollover from year to year.
  4. 7. Health maintenance organization. A health insurance plan in which patients receive health care from designated providers.
  5. 10. Page The page of a car insurance policy which includes a summary description of the insurance coverage provided and gives the maximum dollar limit the insurer will pay for a claim under each coverage
  6. 15. Health savings account. An account where you contribute pre-tax dollars for expected medical expenses
  7. 16. A health insurance plan where you need a referral from your primary care provider to see a specialist and you will pay less by staying in-network.
  8. 19. Injury Protection Auto insurance that protects you against cost of your own medical bills if you are involved in a car accident
  9. 20. A fixed dollar amount that you agree to pay each time you receive medical treatment, such as a doctor's visit or prescription
  10. 21. A percentage you pay each time you receive medical treatment, after you’ve paid your deductible
  11. 23. The amount of money you agree to pay towards your losses before your insurance coverage will begin paying
  12. 24. Auto insurance that protects you against medical costs for the bodily injury of others and damages to the property of others if you are at fault in an accident
  13. 25. A federal health insurance for people 65 or older, and some people under 65 with certain disabilities or conditions.
  14. 26. Auto insurance that protects you against another driver not having enough coverage to pay the entirety of your losses
Down
  1. 1. A formal request from the customer to an insurance company asking for a payment based on the terms of the insurance policy
  2. 2. Limit The maximum amount an insurance company will pay if you file a claim
  3. 4. A situation involving exposure to danger, harm, or loss
  4. 8. of Pocket Maximum The maximum amount of money you will have to spend on health care in a year, after which the insurance company agrees to cover all costs
  5. 9. A contract in which an individual or entity receives financial protection or reimbursement against losses
  6. 11. Auto insurance that protects you against costs to repair your own vehicle after a crash
  7. 12. Pooling The spreading of financial risk evenly among a large number of contributors to the program
  8. 13. An agreement where you make regular payments to a company and the company promises to pay you money if you suffer a specified injury, illness, loss, etc.
  9. 14. Auto insurance that protects you against costs to repair or replace your vehicle after events out of your control such as weather, vandalism, theft, etc.
  10. 17. Children's Health Insurance Program. A program that provides low-cost health coverage to children in families who earn too much money to qualify for Medicaid
  11. 18. Exclusive provider organization. A health insurance plan where you do not need a referral to see a specialist and your care is only covered in-network.
  12. 22. A federal and state assistance program that helps cover medical costs for some people with limited income and resources
  13. 25. Liability Limit The lowest amount of auto insurance coverage one can have to be legally allowed to drive in each state