Across
- 2. A formal request to your insurer to reconsider a previous decision or grievance
- 7. A licensed healthcare professional or facility delivering medical services
- 8. The process of signing up for a health insurance plan or program
- 10. A significant change that allows you to enroll in or modify your health insurance plan
- 12. The regular payment made for health insurance coverage, often monthly
- 15. Approval from your insurer that a service is medically necessary before it’s provided
Down
- 1. The percentage of costs you share for services from contracted providers, typically lower than out-of-network
- 3. A health coverage option provided by an employer or group to assist with medical expenses
- 4. A complaint that you communicate to your health insurer or plan.
- 5. A fixed fee paid at the time of service, often varying by type of care
- 6. A healthcare provider with advanced training in a specific area of medicine
- 9. The group of facilities and providers contracted by your insurer to deliver healthcare services
- 11. The amount you must pay out-of-pocket for services before your insurance starts covering costs
- 13. Immediate treatment for non-emergency illnesses or injuries requiring prompt attention
- 14. Your share of health care costs expressed as a percentage of the allowed amount