Accumulators

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Across
  1. 3. Plan member’s share of the prescription drug cost.
  2. 4. If the integrated Benefit column shows Met or Not Met
  3. 6. Generally a fixed percentage amount required to be paid by the member before or after meeting an established policy deductible.
  4. 8. Members typically pay less for coverage but will have higher deductibles and out-of-pocket maximums as compared to traditional plans. This means the member must pay more out-of-pocket before the co-insurance or copayments come into effect.
  5. 9. Once this has been reached, the member must pay all prescription costs.
  6. 11. An amount of money paid by the member or amount not covered by the insurance, which is considered the member’s responsibility
Down
  1. 1. Where can I find the entire list of claims for an accumulated period?
  2. 2. The amount of money the member is required to pay out of pocket before the insurance benefits go into effect. It is a specific amount of money determined by the client as a cost containment measure.
  3. 5. Where can I find accumulators?
  4. 6. Where else can you find the Plan design other then PeopleSafe?
  5. 7. What can you use to possibly correct accumulations?
  6. 10. Annual maximum a person can expect to pay for covered services.