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DEFINITION OF TERMS PUZZLE
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aggregate:Once one or any combination of covered members meet the family deductible, all covered members pay coinsurance – the same methodology applies to the Out-Of-Pocket (OOP) max.
BHN:Health care providers who are part of Beaumont Health or who have entered into an agreement with Beaumont Health to provide services for our health plans.
benefitconnect:The same system that all Beaumont employees will be using for enrolling in benefits for January 2017.
coinsurance:A member’s share of the cost of services, after the deductible has been met.
copay:A fixed amount paid by a member for a particular service, usually at the time the service is received.
deductible:An amount paid by a member before the plan pays for services (may not apply to all services).
embedded:Once one covered member meets the deductible, he/she pays coinsurance while other covered family members continue to pay full cost until his/her individual deductible or the family deductible is met – same methodology applies to the Out-Of-Pocket (OOP) max.
executive:Director level and above.
extended:A health care provider who participates in the United Healthcare Options PPO network or a secondary network available through Beaumont Health’s medical plan administrator.
HSA:An account included with BH Savings Account Plan. Use it to pay for current or future health care costs. Claims for adult children are not eligible for reimbursement under an HSA unless the child qualifies as a tax dependent of the employee.
outofnetwork:A health care provider who participates in neither the Beaumont Health Network nor the United Healthcare Options PPO network.
spousalsurcharge:An employee must pay an additional cost to cover a working spouse who has the option to elect health coverage from his or her employer and has declined the coverage. Surcharge of $125 per month or $1,500 annually.
DEFINITION OF TERMS PUZZLE
Across:2. | Health care providers who are part of Beaumont Health or who have entered into an agreement with Beaumont Health to provide services for our health plans. | 3. | Director level and above. | 4. | A member’s share of the cost of services, after the deductible has been met. | 6. | An employee must pay an additional cost to cover a working spouse who has the option to elect health coverage from his or her employer and has declined the coverage. Surcharge of $125 per month or $1,500 annually. |
| 8. | A health care provider who participates in the United Healthcare Options PPO network or a secondary network available through Beaumont Health’s medical plan administrator. | 9. | A fixed amount paid by a member for a particular service, usually at the time the service is received. | 11. | Once one covered member meets the deductible, he/she pays coinsurance while other covered family members continue to pay full cost until his/her individual deductible or the family deductible is met – same methodology applies to the Out-Of-Pocket (OOP) max. |
| | Down:1. | An amount paid by a member before the plan pays for services (may not apply to all services). | 2. | The same system that all Beaumont employees will be using for enrolling in benefits for January 2017. | 5. | An account included with BH Savings Account Plan. Use it to pay for current or future health care costs. Claims for adult children are not eligible for reimbursement under an HSA unless the child qualifies as a tax dependent of the employee. |
| 7. | A health care provider who participates in neither the Beaumont Health Network nor the United Healthcare Options PPO network. | 10. | Once one or any combination of covered members meet the family deductible, all covered members pay coinsurance – the same methodology applies to the Out-Of-Pocket (OOP) max. |
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© 2016
PuzzleFast.com, Noncommercial Use Only
DEFINITION OF TERMS PUZZLE
Across:2. | Health care providers who are part of Beaumont Health or who have entered into an agreement with Beaumont Health to provide services for our health plans. | 3. | Director level and above. | 4. | A member’s share of the cost of services, after the deductible has been met. | 6. | An employee must pay an additional cost to cover a working spouse who has the option to elect health coverage from his or her employer and has declined the coverage. Surcharge of $125 per month or $1,500 annually. |
| 8. | A health care provider who participates in the United Healthcare Options PPO network or a secondary network available through Beaumont Health’s medical plan administrator. | 9. | A fixed amount paid by a member for a particular service, usually at the time the service is received. | 11. | Once one covered member meets the deductible, he/she pays coinsurance while other covered family members continue to pay full cost until his/her individual deductible or the family deductible is met – same methodology applies to the Out-Of-Pocket (OOP) max. |
| | Down:1. | An amount paid by a member before the plan pays for services (may not apply to all services). | 2. | The same system that all Beaumont employees will be using for enrolling in benefits for January 2017. | 5. | An account included with BH Savings Account Plan. Use it to pay for current or future health care costs. Claims for adult children are not eligible for reimbursement under an HSA unless the child qualifies as a tax dependent of the employee. |
| 7. | A health care provider who participates in neither the Beaumont Health Network nor the United Healthcare Options PPO network. | 10. | Once one or any combination of covered members meet the family deductible, all covered members pay coinsurance – the same methodology applies to the Out-Of-Pocket (OOP) max. |
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© 2016
PuzzleFast.com, Noncommercial Use Only