insurance vocab

A percentage of a healthcare bill a person will have to pay after the person's deductible is met
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Terms in this set (13)
A percentage of a healthcare bill a person will have to pay after the person's deductible is met
co insurance
the share of the cost for health care service (for example a doctor's visit) not covered by health insurance
co payment
the dollar amount paid out of pocket for healthcare services before health insurance will cover the cost
deductible
people who perform quality review of records and data coded by the coding staff.
DRG
an employment benefit that has a monetary value but does not affect basic wage rates, e.g., health insurance or disability insurance
fringe benefit
a measure of income level issued yearly by HHS used to determine eligibility of Medicaid, the Children's Health Insurance Program, and the cost of premiums for health insurance purchased through Health Exchanges
FPL
Insurance provider that ministers basic and supplemental health maintenance and treatment services to enrollees who pay a fixed fee.
HMO
Healthcare program for low-income pregnant women, seniors at 100% of the federal poverty level, and individuals with disabilities; jointly funded by federal and state governments
medicaid
provides health care to the disabled and those over 65 years of age
medicare
costs of healthcare services not covered by private health insurance, Medicaid or Medicare, or Children's Health Insurance Program.
out of pocket
Health Insurance plan that covers the cost of providers within a network and outside of the network although copayments by the patient are higher for out-of-network providersPPOthe cost of health insurance covered by an employer, shared with the employee or purchased through a Health Exchangepremiumthe action of repaying someone who has spent or lost money.reimbursement