Across
- 5. / The amount you pay to the insurance company each month to buy health coverage.
- 8. provider / Any doctor, hospital, or other provider of medical services that has agreed to be in your insurance company's network and to offer their services at discounted rates.
- 12. / The portion of the bill you are responsible for each time you receive a service.
- 13. / When you need to let your insurance company know in advance about any medical tests or procedures the doctor has ordered.
- 14. Insurance Marketplace / This option for buying health insurance allows people in the USA who need to buy insurance on their own to compare their options and choose the best insurance to meet their needs.
- 15. / When your insurance company requires your primary care doctor to authorize any visits to other doctors or specialists.
- 16. / The amount you must pay out of your own pocket before your insurance company will start paying for services.
Down
- 1. provider / Any doctor, hospital, or other provider of medical services that has not set up special rates with your insurance company.
- 2. / Similar to a co-payment except that instead of paying a fixed amount, you pay a percentage of the total cost.
- 3. services / Services that are not covered under your insurance policy, which means you will be responsible for all charges if you choose to get them.
- 4. maximum / This is the dollar amount that your portion of health care costs cannot exceed each year.
- 6. condition / Any injury or illness that existed before the date when your current policy started.
- 7. limits / This means a maximum amount that an insurance policy will pay over the course of a year or a lifetime.
- 9. / Term that refers to the amount typically charged by health care providers for similar services in the area you live in.
- 10. care doctor / A doctor who coordinates all of your medical care, from annual physicals to referring you to specialists.
- 11. / A detailed explanation of medical services that you or your doctor must submit to the insurance company in order to be reimbursed.
- 13. / A contract between an insurance company and an individual that provides coverage for health costs in exchange for a set payment.