Across
- 1. a specific amount of money a patient must pay out of pocket before the insurance carrier begins paying
- 5. covers surviving spouses and dependent children of veterans who died as a result of service-related disabilities
- 9. provides health insurance to the medically indigent population through a cost-sharing program between federal and state government for those who meet specific eligibility
- 11. a form provided to the patient when the provider believes Medicare will probably not pay for the services receives
- 12. protects wage earners against the loss of wages and the cost of medical care resulting from occupational accident or disease as long as the employee is not proven negligent
- 13. the maximum amount a third-party payer will pay for a particular procedure or service
Down
- 2. a statement from the insurance carrier detailing what was paid, denied, or reduced in payment; also contains info about amounts applied to the deductible, coinsurance, and allowed amounts
- 3. is an umbrella term for plans that provide health care in return for preset scheduled payments and coordinated care through a defined network of providers and hospitals
- 4. providers who agree to write off the difference between the amount charged by the provider and the approved fee established by the insurer
- 6. an amount of money that is paid at the time of medical service
- 7. generally covers patients age 65 and older by Part A (hospitalization) or Part B (routine medical office visits) benefits
- 8. authorizes dependents of military personnel to receive treatment from civilian providers at the expense of the federal government
- 10. a policy provision frequently found in medical insurance whereby the policyholder and the insurance company share the cost of covered losses in a specified ratio, such as 80:20