Across
- 2. Annual amount required by medical plans to be paid by the EE before benefits become payable by then
- 4. A person such as spouse or child who is eligible for coverage under the health plan
- 8. Bill or invoice health providers send to the carrier
- 10. Type of spending account that requires HDHP, both EE & ER can contribute
- 11. Fully funded by ER and can be used to reimburse eligible out of pocket expenses
- 12. Set amount EE pays for office visits or services
- 13. EE using in-network providers will receive highest level of benefits
- 14. Person to whom the proceeds of life or accident policy are payable when the insured dies.
- 15. List of prescription drugs preferred by your health plan
Down
- 1. This Plan typically requires the EE to pay for medical services rendered then file a claim for reimbursement
- 3. EEs portion of shared cost after deductible is met
- 5. Statement sent to customers that explains services rendered, cost and amount covered by insurance and EE owed amount
- 6. EE must receive care from PCP or PCP referral
- 7. The insurance company or health plan that directly provides the insurance coverage
- 8. Flat dollar amount paid to provider's office for treatment
- 9. Responsible for coordinating care for person with HMO plan