Across
- 1. a type of insurance in which the insured pays a share of the payment made against a claim.
- 4. an amount to be paid for an insurance policy, a sum added to an ordinary price or charge.
- 8. is any health condition that a person has prior to enrolling in health coverage, or it could be more serious or require more costly treatment – such as diabetes, heart disease, or cancer.
- 10. insurance program that provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid but not enough to buy private insurance. In some states, it covers pregnant women.
- 13. an agreement that transfers the insurance claims rights or benefits of the policy to a third-party. It gives the third-party authority to file a claim, make repair decisions, and collect insurance payments without the involvement of the homeowner.
- 14. a statement from your health insurance plan describing what costs it will cover for medical care or products you've received. It is generated when your provider submits a claim for the services you received.
- 17. a medical care arrangement in which medical professionals and facilities provide services to subscribed clients at reduced rates. This is when medical and healthcare providers are called preferred providers.
- 18. a health insurance organization to which subscribers pay a predetermined fee in return for a range of medical services from physicians and healthcare workers registered with the organization.
Down
- 2. the payment of a fee or grant to a doctor, school, or other person or body providing services to a number of people, such that the amount paid is determined by the number of patients, students, or customers.
- 3. The Civilian Health and Medical Program of the Department of Veterans Affairs is a health benefits program in which the Department of Veterans Affairs (VA) shares the cost of certain health care services and supplies with eligible beneficiaries.
- 5. A decision by your health insurer or plan that a health care service, treatment plan, prescription drug, or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval, or precertification.
- 6. a U.S. government program providing healthcare insurance to individuals 65 and older or those under 65 who meet eligibility requirements.
- 7. insurance is a type of business insurance that provides benefits to employees who suffer work-related injuries or illnesses. Specifically, this insurance helps pay for medical care, wages from lost work time, and more.
- 9. able to be deducted, especially from taxable income or tax to be paid, a specified amount of money that the insured must pay before an insurance company will pay a claim.
- 11. a public health insurance program that provides health care coverage to low-income families and individuals in the United States.
- 12. a payment made by a beneficiary (especially for health services) in addition to that made by an insurer.
- 15. This is a method used to determine when a plan is primary or secondary for a dependent child when covered by both parents' benefit plan. The parent whose birthday (month and day only) falls first in a calendar year is the parent with the primary coverage for the dependent.
- 16. is the health care program for uniformed service members, retirees, and their families around the world. It provides comprehensive coverage to all beneficiaries, including Health plans, special programs, and prescriptions.