Medical Terminology

3. Fixed out of pocket amount the subscriber pays for medical services before the insurance will assume liability.
9. A benefit designed to allow for a designated individual to visit the member if they are inpatient more than 7 days abroad.
11. The identification of an illness or other problem
12. Ensures the physician never receives more than 100% reimbursement owed
15. A fixed amount the member pays for each diagnostic visit to the doctor or hospital.
16. Percentage of covered expense which must be paid by the member
17. Average charge for similar medical services in specific geographical locations

1. Maximums for services which have a specific dollar amount or service limit.
2. A length of time during which a benefit is paid
4. A physician focused on a specific area of medicine
5. An adjunct to basic medical services
6. The amount agreed upon by the Plan and Providers as payment in full for services rendered
7. An institution licensed to
8. Contract between GeoBlue and the applicant/group. It describes the benefit plan for which an individual is enrolled
10. Administrative Services Only
13. The member’s country of domicile
14. The difference between the charged amount on a claim and the allowed (UCR) on a claim. This is sometimes the patient’s responsibility.