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- A provider who has a contract with your health insurer or plan who has agreed to provide services to members of a plan. You’ll pay less if you see a provider in the network. Also called “preferred provider” or “participating provider.”
www.cms.gov/medical-bill-rights/help/guides/health-insurance-terms
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Dec 19, 2022 · Here are explanations for many health insurance terms that you may encounter as you shop for insurance or navigate your health plan.
- Elizabeth Rivelli
Jun 22, 2023 · Here are some common health care terms, and what they mean. Download this page as a PDF. Allowed Amount. This is the maximum payment the plan will pay for a covered health care service. May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”
Nov 21, 2021 · Survey of Income and Program Participation (SIPP) Health Insurance Definitions. The Census Bureau collects data about different types of health insurance coverage and broadly classifies the types into either Private coverage or Public coverage.
Looking for more common health insurance terms? Learn common health insurance definitions for health insurance policies and health plans.
Glossary of Health Insurance Terms. On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law. When making decisions about health coverage, consumers should know the specific meanings of terms used to discuss health insurance. Below are definitions for some of the more commonly used terms and how ...
States should consider tying public option participation by insurers and providers to other state programs and using decision support tools to promote active enrollment. Federal policymakers can support state efforts while considering establishment of a national public option.
Health Insurance - a generic term applying to all types of insurance indemnifying or reimbursing for losses caused by bodily injury or illness including related medical expenses.
