Insurance Vocabulary Crossword

Determining factor for deciding which plan to charge first, when a dependent is covered by multiple plans
Authorization required before services are rendered/given, to prove they are medically necessary.
the amount paid to an insurance company
Fixed amount you pay for a service or medication
Percentage of the cost you pay for a covered service
Required out of pocket payment before insurance kicks in
Form provided by the insurance company to the patient explaining what has been paid
Agreement that transfers the insurance claims right or benefits of the policy to a third-party; gives third-party permission to file claims
Plan with two subgroups, PCP required, in-network, and is typically the cheapest plan option
plan with no PCP requirement, out-network, and typically the most expensive plan option
Federal insurance for qualifying patients above 65 years of age
Federal grant insurance to qualifying patients with low income
insurances pay a fixed amount per patient
Insurance plan for active military personnel
Insurance plan for veterans or family members of veterans
insurance for employees injured on the job or at the work-place
Children in families who don’t qualify for medicaid and can't afford PHI; age limit 18 yrs.
medical condition present prior to signing on to a health insurance plan.