Coinsurance
Preexisting condition
Long-term care insurance
Managed Care
Benefit Triggers
Affordable Care Act (ACA)
Health Savings Account (HSA)
Individual medical expense insurance
Co-payment
Preferred provider organization (PPO)
protects an individual or family for covered medical expenses because of sickness or injury.
coverage that pays a daily or monthly benefit for medical or custodial care received in a nursing facility, in a hospital, or at home.
generic term for medical expense plans that provide covered medical services to the members in a cost-effective manner.
a plan that contracts with physicians, hospitals, and other healthcare providers to provide covered medical services to policyholders at discounted fees.
has made health insurance available to millions of uninsured Americans. It provides substantial subsides to uninsured individuals and to small business firms and contains numerous provisions to lower healthcare costs in the long run.
is a flat amount that the insured must pay for certain benefits, such as $40 for a visit to a primary care physician, or a $10 co-payment for a generic drug.
provisions in long-term care insurance that make an insured eligible for benefits, such as being unable to perform a certain number of activities of daily living, or an insured who has a sever cognitive impairment.
a physical or mental condition that existed during some specified time period prior to the effective date of the policy.
is a tax-exempt or custodial account established exclusively for the purpose of paying qualified medical expenses of the account beneficiary who is covered under a high-deductible health insurance plan.
percentage of the bill in excess of the deductible, which the insured,must pay out-of-pocket up to some maximum annual dollar limit.
