Healthcare 101 Vocab

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Across
  1. 6. Approval from a health plan that may be required before you receive a service for it to be covered by your plan.
  2. 11. The amount you pay for your health insurance every month.
  3. 12. Health insurance plan that limits coverage of care from doctors are part of the network. Generally, won't cover out-of-network care, except in an emergency.
  4. 14. A fixed amount you pay for covered healthcare services BEFORE your insurance starts to pay.
  5. 15. A fixed amount you pay for a covered health care service AFTER you’ve paid your deductible. These do NOT contribute towards your deductible.
Down
  1. 1. Employer-funded group health plans from which employees are reimbursed, tax-free, for qualified medical expenses up to a fixed dollar amount per year. Unused amounts may be rolled over to be used later.
  2. 2. The most you will have to pay for covered medical services in a year. Once you’ve spent this amount on deductibles, copays, and coinsurance, your health plan will then pay 100% of the costs of covered benefits.
  3. 3. A type of health spending account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses. Employer and employee contributions.
  4. 4. Type of health plan that contracts with medical providers, such as hospitals and doctors, to create a large network of participating providers. You pay less if you use providers that belong to the plan’s network.
  5. 5. A percentage of cost(s) of a covered health care service you pay AFTER you’ve paid and met your deductible.
  6. 7. A contract that requires your health insurer to pay some or all your healthcare costs in exchange for a premium.
  7. 8. An arrangement through your employer that lets you pay for many out-of-pocket medical expenses with tax-free dollars. Employee contribution only.
  8. 9. Either the individual, or family, deductible must be met before insurance begins to pay. 2 Limits.
  9. 10. The entire family deductible must be met before insurance begins to pay. 1 Limit.
  10. 13. A plan with a higher deductible than a regular medical insurance plan. The monthly premium is usually lower, but you pay a larger deductible amount yourself before the insurance company starts to pay.