Medical Plan Definitions
Cost of Care
Dental or Medical Coverage
Dental Plan Definitions
100
The set amount you pay when seeing your doctor in a clinic or urgent care
What is a copay
100
The cost you when you go to a retail clinic for an ear infection
What is $0
100
Braces
What is dental insurance
100
The amount the carrier pays per calendar year toward all dental services
What is the maximum ($1,500 dental per person and does include amounts paid for preventive care)
200
They amount you pay before the insurance company pays their share of your major medical services
What is a deductible
200
If you went to the ER, what would your initial out of pocket cost be?
What is my deductible
200
Sore throat
What is medical insurance
200
When your non-participating (out-of-network) dentist sends you a bill for an amount not covered by Delta
What is balance billing (trick question - we didn't cover this yet!)
300
Cost sharing on major medical services with the carrier after the deductible has been met
What is coinsurance
300
The amount you pay toward your annual out of pocket costs if you are on the $500 deductible plan
What is $1,500 per person or $4,500 per family
300
Wisdom teeth removal
What is dental
300
The amount you pay for cleaning and exams
What is $0 (as long as they are routine and 6 months apart)
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