Across
- 3. abbreviation for the Department of Health and Human Services, which may designate independent, outside entities to certify and/or audit health plan compliance
- 6. four page double-sided document provided to applicants and enrollees with info on details and coverage examples
- 12. signed into law on March 23, 2010; Humana implemented the elimination of pre-ex for children (ages 18 and younger) due to this
- 13. abbreviation for Summary of Benefits and Coverage
- 14. covered at 100% (in-network) for women’s preventative care; brand names if no generics available
- 15. routine care costs resulting from participation in these approved phase I-IV must now be covered for qualified individuals
Down
- 1. the Affordable Care Act expands this to up to 30% of total coverage costs (previously 20%)
- 2. also known as premium tax credits
- 4. addresses lowering administrative costs in health care system by simplifying, standardizing, and progressing towards real-time electronic transactions
- 5. will be used to determine what individuals may be eligible for premium tax credits
- 6. these are issued as blanket accident and sickness policies, which are available to undergraduates, graduates, foreign students, and teaching assistants
- 7. exchange participants can choose plans in _____ categories
- 8. health insurers will be required to utilize this so that the community pays the same regardless of health status
- 9. abbreviation for the Affordable Care Act
- 10. exchange plan tiers are categorized by this value
- 11. limits portion of premium dollars health insurers may spend on administration, marketing, and profits