Navigating the Health Insurance Landscape by Robert Adziashvili - HTML preview

Navigating the Health Insurance Landscape

Glossary of Terms and Acronyms

Heal t h In suran c e: An agreemen t bet ween yo u an d an i n suran c e c o mpan y t hat pro v i des fi n an c i al c o v erage fo r medi c al expen ses.

Premi um: The amo un t o f mo n ey yo u pay t o t he i n suran c e c o mpan y fo r yo ur heal t h i n suran c e c o v erage.

D educ t i bl e: The amo un t o f mo n ey yo u must pay o ut o f po c k et befo re yo ur i n suran c e st art s c o v eri n g yo ur medi c al expen ses.

Co paymen t : A fi xed amo un t o f mo n ey yo u pay fo r a spec i fi c medi c al serv i c e o r presc ri pt i o n drug.

Co i n suran c e: The perc en t age o f c o st s yo u share wi t h t he i n suran c e c o mpan y aft er yo u'v e met yo ur deduc t i bl e.

O ut -o f-Po c k et Maxi mum: The maxi mum amo un t o f mo n ey yo u hav e t o pay fo r c o v ered medi c al serv i c es duri n g a spec i fi c peri o d.

Net wo rk : A gro up o f do c t o rs, ho spi t al s, an d o t her heal t hc are pro v i ders t hat hav e agreed t o pro v i de serv i c es t o members o f a spec i fi c heal t h i n suran c e pl an .

Pro v i der: A heal t hc are pro fessi o n al o r fac i l i t y t hat pro v i des medi c al serv i c es.