Insurance 101

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Across
  1. 2. 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)
  2. 4. 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)
  3. 7. 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)
  4. 9. The name of the person at the UML Wellness Center who can assist you with your insurance questions.
  5. 10. When a primary care provider authorizes a patient to see a specialist to receive additional care.
  6. 11. A specified period of time during which people are allowed to change health plans.(2 words)
  7. 14. The amount of money a patient must pay before costs are covered by the health insurance, usually per year.
Down
  1. 1. Fixed fee that a patient pays for each doctor visit, prescription, or certain services.
  2. 3. Financial protection against the healthcare costs caused by treating disease or accidental injury.(2 words)
  3. 5. The US healthcare reform law that expands and improves access to care.(Abbr)
  4. 6. A cost-sharing requirement under some health insurance policies in which the patient pays some of the costs of covered services, usually a percentage.
  5. 8. A group of affiliated contracted healthcare providers for an insurance plan.
  6. 12. Amount to be paid for an insurance policy.
  7. 13. The health professional who provides basic healthcare services and issues referrals.(Abbr)