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Have some fun with common health insurance terms. Fill in the blanks with the correct term from the word bank below and you can win a prize.

Word bank:

broker

exclusion

copay

deductible

premiums

benefits

prior authorization

formulary

FSA (flexible spending account)

HMO (health maintenance organization)

  1. Tessa needs health insurance, so she researches several plans to find the best fit for her. She wants a(n) _______ plan, which features a primary care physician and a large network of participating providers. And she’d really like a(n) ______, because she can set aside pre-tax money for medical expenses. Tessa’s _________ looks for insurance plans on her behalf and finds a couple of great options that fit the bill.

  2. Brian has an appointment with his orthopaedist for a recheck following his knee surgery. He pays his ____________, a set amount for covered services, when he checks in. He’s close to meeting his ____________, the amount of money he pays before the insurance kicks in.

  3. Shantal’s doctor prescribes a new medication to treat her psoriasis. She checks the _________ to make sure the drug isn’t a(n) __________, which wouldn’t be covered under her plan. The new prescription is covered — hooray! But her doctor must submit a(n) ________________________, which her insurance plan requires before they’ll pay for it.

  4. Hiroshi’s new insurance plan has affordable ____________, deducted from his weekly paycheck to pay for his coverage. Before his next doctor’s appointment, he reviews his __________ document to make sure he understands what services his plan covers.

How did you do? Share your completed game with us and we’ll send you a small prize! Email it to pahealth@geisinger.edu or mail to PA Health, M.C. 40-20, 100 N. Academy Ave., Danville, PA 17822. 

1. HMO, FSA, broker; 2. copay, deductible; 3. formulary, exclusion, prior authorization; 4. premiums, benefits

This story originally appeared in the fall issue of PA Health, our quarterly full-color magazine filled with wellness tips, inspiring stories and more.

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Questions about your Geisinger Health Plan benefits and what’s covered? You’re not alone, says Jessica Persing, supervisor of GHP’s customer care team. "This is one of the most common questions members ask," she says. The GHP customer care team can give you this information — or you can easily find it online, she says.

Here’s how: Go to geisinger.org and log into the member portal or create an account. Scroll down and select “View your medical benefits.”

You can find information such as:

  • Your benefits and out-of-pocket costs
  • A glossary of insurance and medical terms
  • A cost estimate for a procedure
  • Your insurance ID card to view or print
  • Forms
  • Your authorizations
  • FAQs

Still have questions? Your friendly GHP customer service team is always happy to answer them. Call the number on the back of your insurance ID card.


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