Dental
These are the two most common types of "Preventative" services that insurance usually covers twice a year.
What are cleanings and exams?
Coverage that replaces a portion of your income if you cannot work due to illness or injury.
What is disability insurance?
Most vision insurance plans cover one of these every 12 months to check your prescription and overall eye health.
What is a Comprehensive Eye Exam?
This is the plastic card you carry in your wallet to show a doctor that you have insurance coverage
What is an insurance card?
A tree branch falls on your parked car during a storm. This specific "C-word" coverage pays for the repairs.
What is Comprehensive coverage?
Mark needs a $200 filling. His plan has a $50 deductible and covers "Basic" work at 80%. This is the amount he pays before the 80% kicks in.
What is $50?
Waiting period after a disability occurs before benefits begin.
What is an elimination period?
This is the specific dollar amount a plan gives you to spend on designer frames; if you go over it, you pay the difference.
What is a Frame Allowance?
This is the person, such as a doctor or a nurse, who "provides" your medical care.
What is a provider?
You accidentally hit a mailbox. This coverage type pays for the damage you caused to the mailbox owner's property.
What is Property Damage Liability?
While medical insurance has no "cap," dental insurance usually has this—the most they will pay for your teeth in a year.
What is an annual maximum?
Determine if you are covered if you cannot perform your specific job, even if you can do other work.
What is the definition of own occupation coverage?
In many vision plans, this is the fixed indemnity amount the patient pays directly to the provider for specific services, such as $10 for an exam or $25 for materials.
What is Copay
This is the monthly "subscription fee" you pay to keep your insurance active, even if you don't get sick.
What is a premium?
After an accident, you have to pay the first $500 of the repair bill yourself. This out-of-pocket amount is known as this.
What is a deductible?
Kevin just signed up for insurance today and wants a $1,000 crown tomorrow, but his claim is denied because of this "waiting" policy.
What is a waiting period?
These claims are harder to prove and often have stricter limitations compared to physical injuries.
What are mental health symptoms?
or those who need help seeing both near and far without a visible line in their glasses, insurance often covers a portion of these "no-line" lenses.
What are Progressive Lenses?
This is a fixed, small fee (like $20) you pay right at the front desk when you arrive for a checkup.
What is a copay?
You are hit by a driver who has no insurance at all. This part of your policy steps in to pay for your medical bills and car repairs.
What is Uninsured Motorist coverage?
On December 30th, Mike has a $1,500 root canal that maxes out his insurance for the year. On January 2nd, he returns for the $1,000 crown. Even though it’s the same tooth and the same problem, his insurance pays for the crown because of this annual event.
What is the Benefit Year Reset (or "New Calendar Year")?
Social Security guide for evaluating impairments if your condition isn’t listed you must prove you are still unable to work.
What is the Blue Book?
Using this type of provider ensures the lowest out-of-pocket costs because the doctor has a contract with your insurance company.
What is an In-Network Provider?
This is the "starting line" of your insurance, the amount of money you have to pay for your own care before the insurance company starts chipping in.
What is a deductible?
You are in a "no-fault" state and get into an accident. Regardless of who caused the crash, this specific part of your policy—often abbreviated as PIP—pays for your medical bills and lost wages.
What is Personal Injury Protection?