Health Insurance Quotes for Individual, Family, & Self Employed Health Medical Plans
Health insurance shopping made easy!
| Glossary |
| Coinsurance The amount you are required by your insurance company to pay after you have met your deductible. The coinsurance rate is generally expressed as a percentage. Example: If the insurance company pays 75% of the claim. You pay 15%. |
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| Co-payment
or Co-pay Refers to the payment that the insured must pay at the time of an office visit.. |
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| Deductible Is a predetermined dollar amount which the covered individual must pay in each deductible accumulation period (generally 1 year) before any payment of benefits will be made by the insurance company. |
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| Emergency
Services Any services provided within 48 hours of either an injury or a medical emergency. |
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| Medical
Emergency The sudden onset of a medical condition with acute symptoms of severity such that the absence of immediate medical treatment could result in: A) permanently placing in jeopardy, the health of the patient; |
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| Medical
Necessary Describes health care services, treatments or supplies which are appropriate and consistent with the diagnosis and treatment of a medical condition according to generally accepted medical standards. |
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| Out-of-pocket
expenses Refers to the amount a covered person will have to pay “Out of their own pocket” in a calendar year. |
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| Pre-existing
condition Condition for which a person received medical services, treatment, care, medication, diagnosis, or consultation 12 months prior to the covered person’s effective date of coverage or a condition that produced symptoms that are significant and distinct enough to establish the onset of a condition or that the condition manifested itself, where a person practiced in medicine would be able to diagnose the condition with reasonable certainty because of those symptoms. |
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| Premium The total amount you pay in exchange for insurance coverage. |
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| Provider Any person (Doctor, Nurse, Dentist) or institution (hospital or clinic) that provides medical care. |
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