Health Insurance CrossWord Puzzle

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Across
  1. 2. A written order from your primary care doctor for you to see a specialist or get certain medical services.
  2. 3. The maximum dollar amount that a health insurance company will pay for a particular benefit over the course of a plan year.
  3. 8. A dollar amount that a patient must pay for healthcare services each plan year before the insurance company will begin paying claims.
  4. 9. Insurance coverage for family members of the policyholder, such as spouses, children, or partners.
  5. 10. The total dollar amount of cost-sharing that a patient is responsible for paying under a health insurance plan.
  6. 13. To ask that a health plan reconsider its decision to deny payment for a treatment or service.
  7. 15. The portion of charges for a healthcare service that a patient is responsible to pay. Common forms of cost-sharing include deductibles, co-insurance and co-payments.
  8. 16. The list of prescription drugs covered in full or in part by a health plan.
  9. 17. A recurring fee a health insurance company charges for your health insurance coverage, typically charged on a monthly basis.
  10. 18. A plan’s decision to deny a claim, in whole or in part, based on medical judgment or recession.
Down
  1. 1. A requirement that health insurance companies sell a health insurance plan to any person who requests coverage.
  2. 4. The market for health insurance coverage offered to individuals not in a group health plan.
  3. 5. A prescription drug that has the same active-ingredient formula as a brand-name drug.
  4. 6. A request for payment that you or your health care provider submits to your health insurer when you get items or services you think are covered.
  5. 7. The ability to switch coverage
  6. 11. Under the individual mandate, most people who do not have health insurance have to pay a penalty each year.
  7. 12. The maximum dollar amount that your health insurance company will pay a health care provider for a benefit healthcare service covered by your health insurance plan.
  8. 14. The flat-dollar amount a patient must pay when visiting a doctor or other healthcare provider.