Terminology
After you have paid this amount of money, your health insurance will cover 100% of your costs for medical services that are included in your plan.
Out-of-pocket max (or limit)
Insurance program that provides free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities.
Medicaid
Age until when young adults can stay on their parent’s health insurance plans
26
The amount one pays monthly to maintain their health insurance.
Premium
A federal health insurance program for people 65 and older and certain younger people with disabilities.
Medicare
Routine health care that includes screenings, check-ups, and patient counseling to prevent illnesses, disease, or other health problems.
Preventive Services
A specified amount of medical expenses that the member must pay before the insurance begins to pay.
Deductible
If you only go to the doctor a couple times a year you'll want a plan with a higher _______ and a lower __________.
deductible, premiums
2010 government act passed to help Americans gain access to more affordable healthcare insurance
Affordable Care Act or Obamacare
The flat fee that an individual is expected to pay for a medical service, such as a doctor's appointment.
Co-pay
If you go to the doctors a couple times a month you might want a plan with higher ___________ and lower ____________.
premiums, deductibles
Government program which provides compensation and other benefits to someone injured on the job.
Worker's Compensation
A percentage that the insurance company will pay of medical expenses once your deductible has been met.
Co-insurance
PPO or Preferred Provider Organization helps you pay less for doctors visits with the help of health care providers that our in the plans __________.
Network
A provider who doesn’t have a contract with your health insurer or plan to provide services to you.
A Non- Preferred or Out of Network Provider