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DEFINITIONS A-Z

A consumer’s guide to definitions of the most common health insurance terms related to individual health insurance plans.

When you’re researching the best individual or self-employed health care plan, it’s critical that you’re prepared to ask informed questions of the health care providers, insurance agents and insurance companies you’ll be dealing with.

 
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Admitting Privileges
Advocacy
Association

Benefit

Capitation
Case Management
Claim
Co-Insurance
Co-Payment

Deductible
Denial of Claim

Employee Assistance Programs (EAPs)
Exclusions

Health Care Decisions Counseling
Health Maintenance Organizations (HMOs)

Indemnity Health Plan
Independent Practice Associations

Long-Term Care Plans
Length of Stay (LOS)

Managed Care
Maximum Dollar Limit
Medigap Insurance Policies

Open-ended HMOs
Out-Of-Plan
Out-Of-Pocket Maximum
Outpatient

Pre-admission Certification
Pre-existing Conditions
Preferred Provider Organizations (PPOs)
Preventive Care
Primary Care Provider (PCP)
Provider

Reasonable and Customary Fees

Secondary Care
Second Opinion
Second Surgical Opinion
Short-Term Disability

Ten Day Free Look
Triple-Option

Waiting Period

 

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© Copyright insurancevalues.com is a source of free information and resources intended to help consumers make informed choices about their health insurance options. In that spirit, we encourage our site visitors to use this information as a starting point for a more comprehensive research that involves multiple sources of information. The publisher of this information is not an insurer. Send any questions to editor@insurancevalues.com. Affordable Health Insurance.