Social Insurance & Other Health Concepts

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Across
  1. 2. Insured must pay a specified amount for services "up front", provider pays remainder of cost.
  2. 5. Any group or individual who provides health care services.
  3. 8. Business Overhead Expense Policy
  4. 9. _______Period is the time period in which benefits are paid under the policy.
  5. 11. A request for payment of the benefits provided by an insurance contract.
  6. 15. Legal process for insurers seeking recovery for loss from a 3rd parties.
  7. 16. A medical benefits program administered by states & the federal government.
  8. 17. _______Disability Policy. Provides income for persons returning to work after a total disability.
  9. 18. The insured’s PCP for medical care and for referrals in HMO's & PPO's.
  10. 21. ________Period Time between beginning of a disability & the start of benefits.
  11. 23. _______Disability from which the insured does not recover.
  12. 24. An excess amount of insurance resulting in overpayment in the event of a loss.
  13. 25. ______Disability. Provision stating the conditions that auto-qualify insured for full benefits.
  14. 28. A claim to a provider for payments from Medicare.
  15. 30. A periodic payment to the insurance company to keep the policy in force.
Down
  1. 1. _______Disabilty. 2+ yrs of coverage for illness up to age 65, or life in case of an accident.
  2. 3. Organizations that process claims and pay benefits in an insurance policy.
  3. 4. _______Care. An plan seeking contain cost by controlling behavior of patients.
  4. 6. A facility for the terminally ill that provides supportive care.
  5. 7. ________Period is the annual time to enroll in a Medicare plan.
  6. 10. Organizations that process inpatient and outpatient claims.
  7. 12. The Federal program that pays hospital & medical expenses.
  8. 13. ________Disability. A condition which does not allow the perform of duties of any occupation.
  9. 14. The portion of a loss that is paid by the insured before insurer pays claim.
  10. 19. An agreement where both parties pay a portion of loss or expenses.
  11. 20. ________Disability. Policy that covers disabilities of 13 to 26 weeks, sometimes up to 2 yrs.
  12. 22. _______Period. Premium due date during which premiums may still be paid.
  13. 26. A person's net worth.
  14. 27. A temporary health or medical care provided to give a caregiver a short rest.
  15. 29. Medicare supplement plans issued by private insurance companies.