Entyvio and You

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Across
  1. 1. low income children health coverage offered by the government
  2. 4. a list of drugs approved by the FDA
  3. 5. insurance company
  4. 7. dollar amount the patient must spend for the insurance begins to pay
  5. 8. Monthly cost to keep plan active
  6. 11. Codes used to route the prescription to the correct payer
  7. 12. Covers medications that are prescribed by a Healthcare professional and self-administered
  8. 14. any use of the medication that is on the PI sheet
  9. 16. this sheet is approved FDA information that describes what indication (diagnosis) a medication can be used for and in what doses
  10. 22. NDC
  11. 25. patient pays dollar amount for the cost of medication
  12. 26. procedure code used by insurance companies for billing (administration)
  13. 28. a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf
  14. 29. Doctors provider number
  15. 32. patient
  16. 34. The total an insurance company will pay out during your lifetime
  17. 35. used when coverage delay threatens start of therapy
  18. 37. covers services and/or medications that are administered by a HCP
Down
  1. 2. prescription drug coverage offered by a commercial payer
  2. 3. private plan, i.e. Aetna, Cigna
  3. 6. A year of benefits coverage under an individual health insurance plan (calendar or fiscal)
  4. 9. process to verify that a certain drug, procedure, or service is medically necessary BEFORE it is done (or Rx filled)
  5. 10. patient has no insurance
  6. 12. Patient Assistance Program
  7. 13. patient has restrictions that prevents coverage
  8. 15. patient pays the percentage amount for the cost of medication
  9. 17. Where the patient will receive the medications (Home, Hospital)
  10. 18. Government Insurance coverage
  11. 19. drug code used by insurance companies for billing
  12. 20. Patient cannot afford the cost of the drug or co-pay
  13. 21. Medicare parts A & B,usually D covered by a commercial plan, Medicare Advantage plan
  14. 23. policy for Medicare Parts A & B, sold by private companies, can help pay some of the healthcare costs that original medicare
  15. 24. After you spend this amount on deductibles, copayments, and coinsurance, your health plan pays 100% of the costs of covered benefits
  16. 27. provide uninsured and underinsured patients with copay support
  17. 30. Outpatient service, exams, lab test and medication administered by a HCP
  18. 31. Hospital, inpatient services, hospice
  19. 33. diagnosis code
  20. 36. any use of the medication that is not on the PI sheet
  21. 38. part of the U.S. Department of Health and Human Services. CMS oversees many federal healthcare programs