Author: Nick Brightwell

Excluded Services

Health care services that your health insurance or plan doesn’t pay for or cover. Back to Glossary Interested in a Free Benefits Consultation? LET’S MEET

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Emergency Medical Condition

An illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe harm. Back to Glossary Interested in a Free Benefits Consultation? LET’S MEET

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Deductible

The amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1000, your plan won’t pay anything […]

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Co-Payment

A fixed amount (for example, $15) you pay for a covered health care service, usually when you receive the service. The amount can vary by the type of covered health care service. Back to Glossary […]

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Co-Insurance

Your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay co-insurance plus any deductibles you owe. For example, […]

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Balance Billing

When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you […]

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