Across
- 3. A fixed amount required by health insurer to be paid by the insured for each outpatient visit or prescription
- 5. Person purchasing insurance
- 6. a managed care plan that requires you to select a PCP and receive your health care from a network provider or a referral to choose a provider outside the network
- 9. Pre-approval that health plan members, primarily those with HMOs must obtain from their primary care physician before consulting a medical specialist
- 10. enrollment insurance enrollment, Medicare enrollment and physician credentialing for fee for service health care service providers
- 11. person who guarantees to make a payment on a debt or loan
- 13. Managed care health insurance combining characteristics of an HMO and PPO. Lower medical costs in exchange for more limited choices, a PCP is required
Down
- 1. Amount of expenses that must be paid out of pocket before an insurer will pay any expenses
- 2. Social healthcare program for those with low income and resources
- 4. Provider that has not contracted with your insurance company for reimbursement at a negotiated rate
- 7. Person who relies on another as a primary source of income
- 8. Health insurance program for people age 65 or older or those with certain disabilities or permanent kidney failure
- 10. a health plan that has contracts with a network of preferred providers from which you can choose. you do not need to select a PCP and you do not need referrals to see other providers in the network
- 12. A provider who has not signed a contract with a health plan