Lantern Festival Challenge Crossword

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Across
  1. 3. Doctors, hospitals, clinics, nurses, dentists, pharmacies, vision care professionals and other health care professionals and institutions that offer health care services.
  2. 6. A judgment, decree, or order issued by the court through administrative processes to force and effect of state law to provide child support or health care benefit.
  3. 8. A percentage of the total cost the plan pays for eligible medical and prescription drug expenses.
  4. 9. A group of health care providers (like doctors, hospitals, dentists, vision care professionals and pharmacies) who have contracted with a carrier to offer services at discounted rates to network members. Your costs will be lower if you go to providers who are in your carrier’s network.
  5. 10. The person named as the recipient of insurance money in the event of the policyholder's (employee’s) death.
  6. 13. A tax-advantaged account available if you enroll in the Silver or Bronze plan. Your employer contributes money when you participate in activities to understand and improve your health. You can contribute pre-tax money too.
  7. 14. A wide range of services designed to help you stay healthy, like annual checkups, immunizations and routine screenings. Covered services depend on your age, gender and family history.
  8. 15. An overall deductible that can be met by any member of the family that is covered. Once met, all family members move to coinsurance.
  9. 18. An individual who meets all of the requirements necessary to be able to enroll or participate as a dependent in the “standard” One Exchange benefits being administered by Towers Watson.
  10. 19. This deductible is for the family and the individual. Once a member of the family meets their individual deductible, coinsurance will begin for that individual. If the family deductible is met, coinsurance will begin for the entire family.
  11. 20. A fixed dollar amount you pay before the plan begins paying for most medical services and most prescription drugs.
Down
  1. 1. The amount an enrollee must pay for his/her health insurance or plan. Employee premiums for health plans may be paid through pre-tax payroll deductions.
  2. 2. Activities (such as biometric screenings, health risk assessments, educational activities, condition/case management, and consumer tools) that you can take part in and use to earn wellbeing dollars.
  3. 4. The normal processing that occurs throughout the year (differentiated from processing related specifically to Annual Enrollment).
  4. 5. A person who is eligible and enrolled in a benefit plan. This term may refer to the employee, spouse or other dependents.
  5. 7. A term for companies that build networks of health care providers, pay claims, provide customer service and offer wellbeing programs and other services.
  6. 11. A taxable amount an employee will be responsible for in regard to their employer- paid health and welfare benefits is (or was) provided on a taxable basis.
  7. 12. Providers whose practices are limited to treating a specific disease (e.g.: oncologists), specific parts of the body (e.g.: ear, nose and throat), or specific procedures (e.g.: oral surgery).
  8. 16. Has declined to enroll in a benefit.
  9. 17. A covered person who relies on another for support or is eligible to obtains health coverage through a spouse, parent, or legal guardian who is a covered person under the plan.