PAS Insurance Terminology

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Across
  1. 3. A fixed amount required by health insurer to be paid by the insured for each outpatient visit or prescription
  2. 5. Person purchasing insurance
  3. 6. a managed care plan that requires you to select a PCP and receive your health care from a network provider or a referral to choose a provider outside the network
  4. 9. Pre-approval that health plan members, primarily those with HMOs must obtain from their primary care physician before consulting a medical specialist
  5. 10. enrollment insurance enrollment, Medicare enrollment and physician credentialing for fee for service health care service providers
  6. 11. person who guarantees to make a payment on a debt or loan
  7. 13. Managed care health insurance combining characteristics of an HMO and PPO. Lower medical costs in exchange for more limited choices, a PCP is required
Down
  1. 1. Amount of expenses that must be paid out of pocket before an insurer will pay any expenses
  2. 2. Social healthcare program for those with low income and resources
  3. 4. Provider that has not contracted with your insurance company for reimbursement at a negotiated rate
  4. 7. Person who relies on another as a primary source of income
  5. 8. Health insurance program for people age 65 or older or those with certain disabilities or permanent kidney failure
  6. 10. a health plan that has contracts with a network of preferred providers from which you can choose. you do not need to select a PCP and you do not need referrals to see other providers in the network
  7. 12. A provider who has not signed a contract with a health plan