15 Terms
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Health insurance
Industry: Insurance
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Health insurance
Effective date
Insurance; Health insurance
The effective date is the date your insurance coverage commences.
Capitation
Insurance; Health insurance
Capitation represents a set dollar limit that you or your employer pay to a health maintenance organisation (HMO), regardless of how much you use (or don't use) the services offered by the health ...
Insurance cooperatives
Insurance; Health insurance
Cooperatives or insurance cooperatives were proposed in the Senate as an alternative to a proposed government plan or public option. The cooperatives, which would have been structured as non-profits ...
Essential health benefits
Insurance; Health insurance
Beginning in 2014, under the Affordable Care Act, all health insurance policies sold in state health insurance exchanges must cover what physicians and consumer advocates call essential health ...
Cooperatives
Insurance; Health insurance
Cooperatives or insurance cooperatives were proposed in the Senate as an alternative to a proposed government plan or public option. The cooperatives, which would have been structured as non-profits ...
Coinsurance
Insurance; Health insurance
Coinsurance refers to money that an individual is required to pay for services, after a deductible has been paid. In some health care plans, co-insurance is called "copayment." Coinsurance is often ...
Case management
Insurance; Health insurance
Case management is a system embraced by employers and insurance companies to ensure that individuals receive appropriate, reasonable health care services.
