Major Medical Health
Insurance Definitions
By: Jason Cunningham
Common Health Insurance Terms that you have seen but
may have been afraid to ask.
Co-Payment: This is
the amount of money you must pay for services rendered regardless of
co-insurance and the deductible. (i.e. Jim goes to
the doctor for a physical and is required to pay a co-payment of $15 for the
services rendered.) Get Free Health Insurance
Quotes for permanent plan
individual or family insurance health plan
from local insurance
agents.
Deductible:
Before the
health insurance company will pay for procedures that exceeds office limits, or you are
required by your insurance to pay first, you must pay the stated deductible and
then the health policy will begin to pay. (i.e.
Jim's doctor performs open surgery and the procedure costs $15,000. Jim has a
deductible of $500 and is required to pay it before his health insurance
pays.)
Coinsurance: You and your
health insurance company have agreed to share the cost of paying for
procedures up to a certain dollar limit called a Stop-Loss. Once the Stop-Loss
is exceeded, your health policy will pick up the bill for covered
procedures. (i.e. Jim has a 80/20 %
Coinsurance and a $10,000 Stop-Loss. This means that Jim is required to pay 20%
or $2000 of $10,000 of procedures in a given calendar year above his deductible.
In the above case, Jim pays a $500 deductible and $2000 for his Coinsurance, his
health insurance pays $12,500.)
Maximum Lifetime Benefit:
This number is the maximum your health insurance policy
will pay you for benefits throughout your lifetime.
( i.e. Jim has a policy with a 2,000,000 Lifetime Limit.)
Other Health Insurance
Articles
|