Across
- 5. A group of doctors and hospitals that agree to provide health care at rates approved by the insurer. (abbreviation)
- 7. Insurance that provides day-in, day-out care for long-term illness or disability. (abbreviation)
- 8. A health insurance plan that directly employs or contracts with selected physicians, surgeons, dentists, and optometrists to provide a wide range of health care services for a fixed, prepaid monthly premium. (abbreviation)
- 9. Insurance that pays part or all of the surgeon's fees for an operation
- 11. An independent, nonprofit membership corporation that provides protection against the cost of hospital care.
- 13. Prepaid health plans that provide comprehensive health care to members.
- 14. An independent, nonprofit membership corporation that provides protection against the cost of surgical and medical care.
- 15. Coverage that includes hospital expense insurance, surgical expense insurance, and physician expense insurance.
- 16. Insurance that provides payments to replace income when an insured person is unable to work.
Down
- 1. A network of selected contracted, participating providers; also called an "HMO-PPO hybrid" or "open-ended HMO."
- 2. Insurance that pays part or all of hospital bills for room, board, and other charges
- 3. A provision under which an insured pays a certain amount, after which the insurance company pays 100 percent of the remaining covered expenses
- 4. A provision under which the insured pays a flat dollar amount each time a covered medical service is received after the deductible has been met.
- 5. Insurance that provides benefits for doctors' fees for nonsurgical care, X rays, and lab tests.
- 6. A provision under which both the insured and the insurer share the covered losses.
- 10. Insurance that suppliments Medicare by filling the gap between Medicare payments and medical costs not covered by Medicare. (Also called "MedSup.")
- 12. An amount the insured must pay before benefits become payable by the insurance company.