Across
- 4. An amount taken off the cost of services, for example your insurance reduces the cost of your medical bill.
- 7. The information about a specific medical service submitted by your provider to your insurance company for processing. You can enter new claim records and access existing claim records in the member portal for payment and documentation purposes.
- 8. The amount you pay for coverage (usually monthly).
- 9. NETWORK A provider that participates in your health plan’s network and agrees to charge negotiated rates established with your health plan.
- 10. Explanation of Benefits - A statement from your insurance that shows the service billed from your provider, the deductible, coinsurance, and other covered amounts, as applicable. Compare this to the invoice from your provider to ensure accuracy.
Down
- 1. The amount you must pay before your health plan will start paying towards your expenses.
- 2. OF NETWORK A provider who does not participate in your health plan network and has no agreement with your health plan. You can still use your HSA to pay for qualified medical expenses from out-of-network providers.
- 3. Consumer Driven Healthcare
- 5. The cost per medical visit (paid to the provider before services are rendered) or portion responsible for a prescription.
- 6. OUT OF POCKET After you pay this amount in a year for medical expenses, your health plan will cover all healthcare costs completely.
- 7. The portion of costs that your health plan will pay after your deductible is met (often around 80%).
- 8. A contract with an insurance company that guarantees you certain coverage for expenses, gives rates of payment to keep coverage, and rates paid to providers for expenses.