Insurance Vocabulary

5. PPO (you pay less if you visit an in-network physician or provider)
6. subscribers pay a predetermined fee in return for a range of medical services from physicians and healthcare workers registered with the organization.
8. A medical illness or injury that you have before you start a new health care plan.
12. an agreement that transfers the insurance claims rights or benefits of the policy to a third-party.
14. A method used to determine when a plan is primary or secondary for a dependent child when covered by both parent's benefit plan.
15. Health benefits program in which the department of veterans affairs shares the cost of certain health care services and supplies with eligible beneficiaries.
17. Provides benefits to employees who have had a work-related injury or illness.

1. A decision by your health insurer or plan that a health care service, treatment plan, prescription drug, or durable medical equipment is medically necessary.
2. A payment made by a beneficiary in addition to that made by an insurer.
3. A statement from your health insurance plan describing what costs it will cover for medical care or products you've received.
4. A type of insurance in which the insured pays a share of the payment made against a claim.
7. Children's health insurance program for individuals under 19 whose parents earn too much income to qualify for Medicaid but not enough to pay for private coverage
9. A fixed amount of money per patient per unit of time paid in advance to the physician for the delivery of health care services.
10. A specified amount of money that the insured must pay before an insurance company will pay a claim
11. federal health insurance program for people who are 65 or older.
13. Health care program for uniformed service members, retirees, and their families around the world.
16. public health insurance program that provides health care coverage for low-income families
18. an amount to be paid for an insurance policy