Medical Insurance Terminology Guide
For example if your coinsurance is 20 the.
Medical insurance terminology guide. A request by a plan member or a plan member s health care provider for the insurance company to pay for medical services. Benefit the amount payable by the insurance company to a plan member for medical costs. Our glossary was designed to demystify the jargon so consumers can understand their plans its benefits limitations costs and coverage options. The financial risks associated with providing comprehensive medical services insurance and service risk and the responsibility for health care delivery in a particular geographic area to hmo members usually in return for a fixed prepaid fee.
Users are presented with medical terms in a variety of ways. Short term insurance a type of health insurance that covers certain services for a set time period 6 months or less. Health insurance is a product that covers your medical expenses. Urgent care provider a provider of services for health problems that need medical help right away but are not emergency medical conditions.
A spaced repetition algorithm is used to make learning medical terms efficient by managing how frequently each term is presented to the user. From deductibles to premiums to copays goodrx s health insurance glossary of terminology aims to define and explain these common health insurance terms and phrases in simple and easy to understand ways. Common health insurance terminology 101. Financial risk may be shared with the providers participating in the hmo.
June 14 2016 by ascension physical therapy. Being a viable guide it assists an individual to navigate through terms and definitions related to an otherwise dry boring and confusing world of insurance industry. Benefit level the maximum amount that a health insurance company has agreed to pay for a covered benefit. User selection of medical areas for study by body system.
The percentage amount you pay after your deductible has been paid. While these terms can be confusing the better you understand them the better you will be prepared to successfully gain coverage and access to the treatments that are right for you. Like auto insurance covers your car if you get into an accident health insurance covers you if you get sick or injured. Health insurance terminology guide.
Benefit year the 12 month period for which health insurance benefits are calculated not necessarily coinciding with the calendar year. Health insurance also covers preventive care i e doctors visits and tests before you get sick. Learn more about short term insurance.
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