Insurance Terminology

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Across
  1. 4. Drug Code used by insurance companies for billing
  2. 6. Patient Assistance Programs provider free medication to eligible patients
  3. 8. Prescription drug coverage offered by a commercial payer.
  4. 9. Insurance Company
  5. 12. Patient pays a percentage (%) of the cost of the medication after deductible is met.
  6. 13. National Drug Code
  7. 14. The approved FDA information that describes what indication (diagnosis) a medication can be used for and in what doses.
  8. 16. National Provider Identifier
  9. 19. Private plan, i.e Aetna Cigna
  10. 21. Covers services and /or medications that are administered by a healthcare professional.
  11. 22. Where the patient will receive the medications (Home, Hospital)
  12. 24. A year of benefits coverage under an individual health insurance plan
  13. 28. Patient
Down
  1. 1. provide uninsured or underinsured patients co-pay support
  2. 2. Covered by a commercial payer (insurance), most often works like a Managed Care (HMO, PPO)
  3. 3. The most you have to pay for covered services in a plan year.
  4. 5. Patient pays a dollar amount for the cost of the medication
  5. 6. Covers medications that are prescribed by a Healthcare professional and self-administered
  6. 7. A statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. The EOB is commonly attached to a check or statement of electronic payment.
  7. 10. Any treatment of the medication that is on the Prescribing Information
  8. 11. Outpatient Services, examinations, lab test, and medication administered by a Health Care Professional
  9. 15. The total an insurance company will pay out during your lifetime
  10. 17. Diagnosis Code
  11. 18. Dollar Amount that the patients must spend before benefits begin
  12. 20. Any treatment of the medication that is not on the Prescribing Information (PI Sheet)
  13. 21. Hospital Inpatient Services-Hospice, hospital stay
  14. 23. Procedure Code used by insurance companies for billing
  15. 25. Monthly cost to keep plan active
  16. 26. Low income children health coverage offered by the government
  17. 27. This is a list of drugs approved by the FDA