Insurance 101

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Across
  1. 1. The health professional who provides basic healthcare services and issues referrals. (Abbr)
  2. 6. A specified period of time during which people are allowed to change health plans. (2 words)
  3. 9. Fixed fee that a patient pays for each doctor visit, prescription, or certain services.
  4. 11. A type of insurance in which the managed care company pays a higher percentage of the costs when a preferred in-network provider is used. (Abbr)
  5. 13. The US healthcare reform law that expands and improves access to care. (Abbr)
  6. 14. When a primary care provider authorizes a patient to see a specialist to receive additional care.
  7. 16. The amount of money you'll have to pay for covered services, up until a maximum is reached in a policy year, before your health insurance starts to pay 100%. (3 words)
Down
  1. 2. A cost-sharing requirement under some health insurance plans in which the patient pays some of the costs of covered services, usually a percentage.
  2. 3. A type of insurance that typically requires you to select a PCP and you may need a referral to be covered when you see a specialist. (Abbr)
  3. 4. Financial protection against the healthcare costs caused by treating disease or accidental injury. (2 words)
  4. 5. A set amount of money a patient must pay for medical costs before their health insurance company begins to pay, usually per policy year.
  5. 7. Doctors and health care facilities who are not contracted with your insurance plan, and who your insurance costs would be higher if seen at. (3 words)
  6. 8. Types of health plans, such as HMOs and PPOs, where the patient must receive care from a defined group of network providers to control use, contain costs, and improve care. (2 words)
  7. 10. The name of the person at the UML Wellness Center who can assist you with your insurance questions.
  8. 12. A group of affiliated contracted healthcare providers for an insurance plan.
  9. 15. A statement sent by a health insurance company to patients explaining what medical treatments and services were paid for on their behalf. (Abbr)
  10. 17. Amount to be paid for an insurance policy.