Medical Insurance Terminology Dictionary. Use this informative health and life insurance glossary to understand the definitions of many commonly used insurance terms. When making decisions about health coverage, consumers should know the specific meanings of terms used to discuss health insurance.
With your health insurance or plan, or if your health insurance or plan has a “tiered” network and you must pay extra to see some providers. Policyholders who fall within the determined age range are liable to apply for that health insurance policy, while others are ineligible. Administrative services only (as0) plan :
The Maximum That A Vendor May Charge For Something.
A hospice is a facility or program that provides care for people who are terminally ill. This term is often used in pharmaceutical contracting. Maximum allowable cost (mac) maximum allowable cost, or charge.
Hospice Care Is Covered Under Medicare Part A (Hospital Insurance).
After paying 80 percent of losses up to a specified ceiling, the insurer starts paying 100 percent of losses. This includes church and governmental plans. Most medical billing software's have the ability to generate a separate report for insurance aging and patient aging.
However, Some Conditions Require More Care And Insurance Involvement Than Others.
When making decisions about health coverage, consumers should know the specific meanings of terms used to discuss health insurance. State health insurance assistance program (ship) state insurance department. Health benefits and health insurance plans contain exclusions and limitations.
Aetna Is The Brand Name Used For Products And Services Provided By One Or More Of The Aetna Group Of Companies, Including Aetna Life Insurance Company And Its Affiliates (Aetna).
Medical dictionary is intended for use by healthcare consumers, students, and professionals as well as anyone who wants to keep up with the burgeoning array of terminology found in today’s medical news. Mcos integrate, to varying degrees, the financing and delivery of health care services. Policyholders who fall within the determined age range are liable to apply for that health insurance policy, while others are ineligible.
For Health Insurance, It Is A Percentage Of Each Claim Above The Deductible Paid By The Policyholder.
For a 20 percent health insurance coinsurance clause, the policyholder pays for the deductible plus 20 percent of his covered losses. For a fuller list of medical billing vocabulary. For example, a plan may pay 90% of the charges and the insurer pay 10%.