Health Insurance Vocab

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Across
  1. 3. insurance coverage for family members of the policyholder such as spouses, children, or partners(2 words separated by -)
  2. 5. health insurance portability and accountability act is a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed.
  3. 6. federal program of health insurance for persons 65 years of age and older
  4. 8. List of prescription drugs covered in full or in part by a health insurance plan
  5. 10. children’s health insurance program - covers children and teens up to age 19.
  6. 11. payments made to obtain insurance
  7. 13. a request to an insurance company for payment relating to an accident, illness, damage to property, etc. (2 words separated by -)
  8. 14. a fixed fee that an individual pays for specific medical services, like a visit to the doctor’s office
  9. 15. point-of-service plans are managed care plan that give beneficiaries the option to see various providers. If the beneficiary sees provider in network they will receive benefits similar to HMO. If they choose to see a provider out of the network, the POS will pay for the services but at a lower rate.
Down
  1. 1. health maintenance organization They have their own network of doctors, hospitals and other healthcare providers who have agreed to accept payment at a certain level for any services they provide.
  2. 2. involving or causing sudden great damage or suffering
  3. 3. dollar amount the patient must pay each plan-year before the insurance company will begin paying claims
  4. 4. prior approval for treatment and procedures
  5. 7. preferred provider organization is a prepaid health insurance plan in which providers agree to deliver services for discount fees; patients can go to any provider, but using nonparticipating providers results in higher costs to the patient.
  6. 9. government insurance program for low-income individuals & families that is funded both by the federal government & each individual state
  7. 12. health savings accounts allow you to contribute pre-tax dollars to the account for expected medical expenses for the coming year. They are often set up through your employer.