Insurance Terms

2. (Acronym) Equipment and supplies ordered by a health care provider for every day or extended use. May include oxygen equipment, wheelchairs, or blood testing strips for diabetes.
4. A physician (M.D. - Medical Doctor or D.O. - Doctor of Osteopathic Medicine), health care professional or health care facility licensed, certified or accredited as required by state law.
6. Your share of the costs of a covered health care service, calculated as a percentage (for example, 20%) of the allowed amount for the service.
7. The amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay.
8. The facilities, providers and suppliers your health insurer or plan has contracted with to provide health care services.
10. A physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent, or treat certain types of symptoms and conditions.

1. The amount that must be paid for your health insurance or plan. You and/or your employer usually pay it monthly, quarterly, or yearly.
3. A complaint that you communicate to your health insurer or plan.
5. A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary.
9. 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.