1
The set amount of money paid monthly.
Premium
A joint federal-state program providing free or low-cost health coverage to millions of Americans with limited income and resources, including children, pregnant women, elderly adults, and people with disabilities.
Medicaid
Doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more.
Benefits
The set amount of money you must pay out-of-pocket.
Deductible
A federal health insurance program in the U.S. primarily for people aged 65 or older, as well as younger individuals with specific disabilities.
Medicare
Healthcare providers, facilities, or pharmacies that do not have a contracted, negotiated rate with your health insurance plan.
Out-of-Network
The absolute most you will pay for covered in-network health services in a plan year, includes deductibles, co-payments, and coinsurance, but not premiums.
Out-of-Pocket Maximum.
Voluntary, additional coverage designed to pay cash directly to you for out-of-pocket expenses, such as deductibles, co-pays, and daily living costs that your primary insurance doesn't cover.
Supplemental Insurance
A fixed, out-of-pocket dollar amount.
Co-payment
A tax-advantaged personal savings account paired with a High-Deductible Health Plan (HDHP), allowing you to set aside pre-tax funds to pay for qualified medical expenses.
Health Savings Account (HSA)
The percentage of covered medical costs you pay after meeting your deductible, while the insurance plan pays the remainder.
Co-insurance
The designated, typically annual, period when individuals can sign up for, renew, or change health insurance plans without a qualifying life event.
Open Enrollment