Types of Health Insurance
This type of health insurance only has in network benefits.
What is an HMO (Health Maintenance Organization) plan?
This term refers to the amount of money you must pay out of pocket for covered services before your insurance begins to pay.
What is a deductible?
This term refers to the document sent by a healthcare provider to the insurance company requesting payment for services rendered.
What is a claim?
This term refers to healthcare providers who have a contract with your insurance company to provide services at negotiated rates.
What are in-network providers?
True or False: Select Health Insurance is a not-for-profit health insurance organization that operates in multiple states.
What is True?
This type of health insurance is provided by the government for individuals aged 65 and older.
What is Medicare?
This term refers to the percentage of costs you must pay after meeting your deductible, while your insurance company pays the rest.
What is coinsurance?
This term refers to the process of verifying that a patient is eligible for coverage under their health insurance plan.
What is eligibility verification?
True or False: Seeing an in-network provider typically results in lower out-of-pocket costs for the patient compared to seeing an out-of-network provider.
What is True?
This term refers to the online member portal provided by Select Health, where members can access their health insurance information, find healthcare providers, and manage their benefits.
What is Intermountain Health?
This type of health insurance is for people with low incomes and is jointly funded by the state and federal governments.
What is Medicaid?
This term refers to the maximum amount of money you will have to pay out of pocket for covered services during a policy period.
What is an out-of-pocket maximum?
This term refers to the practice of a healthcare provider billing a patient for the difference between the provider's charge and the amount allowed by the patient's insurance plan.
What is balance billing?
This term refers to healthcare providers who do not have a contract with your insurance company and may charge higher rates for their services.
What are out-of-network providers?
Select Health offers a variety of wellness programs and resources to its members, including discounts on gym memberships, weight loss programs, and this type of program that rewards healthy behaviors.
What is a wellness incentive program?
This type of health insurance plan includes in-network and out-of-network benefit options at the same cost.
What is a PPO (Preferred Provider Organization) plan?
This term refers to the monthly payment you make to your insurance company for coverage.
What is a premium?
This term refers to the maximum amount that an insurance company will pay for a covered healthcare service, based on the terms of the patient's insurance plan.
What is the allowed amount?
True or False: Some insurance plans provide coverage for out-of-network providers, but patients may be responsible for a greater share of the costs.
What is True?
This term describes the close collaboration between Select Health Insurance and Intermountain Healthcare, allowing for seamless coordination of care and improved health outcomes for members.
What is integrated care or integrated health system?
This type of health insurance account lets you set aside pre-tax money to pay for medical expenses.
What is an HSA (Health Savings Account)?
This term refers to the list of healthcare services covered by your insurance plan and the amount it will pay for each service.
What is a Member Payment Summary (MPS)?
This term refers to the amount that a healthcare provider has agreed to accept as full payment for a covered service, after any applicable deductibles, coinsurance, or copayments have been applied.
What is the contracted rate?
True or False: Emergency services will always be covered in network, regardless of the location, hospital, ambulance, and providers?
What is True?
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