Medicare

3. coverage gap in drug plan up to $7440
7. percentage of cost that determines insurance and insurer responsibility
8. doctor that focuses on a specific area of medicine or health care
10. medicare coverage for only prescription drugs
13. state program that assists low income situations
16. dollar amount that must be reached before insurance begins coverage
17. most you pay during a policy period before health insurance begins to pay 100%
20. health care services that insurance does Not vover
21. federal program based on credit hours worked
23. also known as an MAPD, must be combined with only original medicare and includes coverage for prescriptions, dental, vision,etc.

1. surgery or care not covered by medicare or medicare plans because it is usually elective and not mandatory
2. fixed amount you pay for covered health services
4. "gatekeeper" doctor system that helps keep costs low for insurer in network
5. coverage gap in drug plan up to $4660
6. person needing insurance and paying premium
9. max amount on which payment is based for covered health care services also called "negotiated rate"
10. costly insurance choice with choice to go out of network
11. equipment and supplies ordered by provider for everyday and extended use
12. "primary care physician" doctor who directly provides or coordinates your health care
14. prior approval for necessary drugs, dme,surgery, or service
15. amount paid monthly to keep insurance plan going
18. also known as a supplement plan and can be combined with original medicare and part D
19. hospital and skilled nursing care
22. doctors visits,routine labs, PCP care