Across
- 3. A certificate of ____ is a document that provides more in depth detail for a specific plan outside of the summary.
- 6. An awesome resource that houses COCs, summaries and additional carrier information that is organized by files.
- 9. Fee-for-service plan not part of a managed care contract.
- 10. A hybrid HMO & PPO plan
- 11. Carrier-contracted network that is PCP driven and can require a gatekeeper.
- 12. Life and LTD ___ means a full-time employee will automatically be enrolled in Employee Life and Long Term Disability benefits.
- 13. A deductible that includes both individual and family deductible amounts for enrolled members.
- 15. A fixed rate that must be paid for a service or product after the deductible is met.
Down
- 1. A deductible where all members contribute to the overall family plan.
- 2. A fixed amount that a member must pay each year before the health provider begins to pay for coverage.
- 4. A form of network that changes industry focus from Volume to Value.
- 5. Groups of health care providers that give coordinated high-quality care to their patients.
- 6. Every medical plan has a medical ____ assigned and can be found in Work Force Now.
- 7. Freedom to choose providers, typically in a nationwide network.
- 8. A document, ____ CBE that is produced during Open Enrollment and list the employer and employee contribution for all benefits.
- 14. A PPO style plan with no out-of-network coverage