Navigating your way through health insurance benefits can be a challenge. It is very important to understand the terminology especially when deciding which benefits will work for you and finding a plan that will best meet your needs.
This brief glossary will provide insight for some of the more common terms when dealing with health insurance.
co-insurance: in indemnity, the monetary amount to be paid by the patient, usually expressed as a percentage of charges.
co-payment: in managed care, the monetary amount to be paid by the patient, usually expressed in terms of dollars. consumer driven health care (CDHC): refers to health plans in which employees have personal health accounts such as a health savings account, medical savings accounts or flexible spending arrangement from which they pay medical expenses directly.
deductible: the portion of medical costs to be paid by the patient before insurance benefits begin, usually expressed in dollars.
denial: refusal by insurer to reimburse services that have been rendered; can be for various reasons.
eligibility: the process of determining whether a patient qualifies for benefits, based on factors such as enrollment date, pre-existing conditions, valid referrals, etc.
exclusions: services that are not covered by a plan.
flexible spending arrangements (FSAs): an account that allows employees to use pre-tax dollars to pay for qualified medical expenses during the year. FSAs are usually funded through voluntary salary reduction agreements with an employer.
gatekeeper: in managed care, it refers to the provider designated as one who directs an individual patient’s care. In practical terms, it is the one who refers patients to specialists and/or sub-specialists for care.
health maintenance organization (HMO): a form of managed care in which you receive your care from participating providers.
health savings account (HSA): a savings product that serves as an alternative to traditional health insurance. HSAs enable you to pay for current health expenses and save for future qualified medical and retiree health expenses on a tax-free basis.
managed care: a method of providing health care, in which the insurer and/or employer (policyholder) maintain some level of control over costs and utilization by various means. Typically refers to HMOs and PPOs.
member: a term used to describe a person who is enrolled in an insurance plan; the term is used most frequently in managed care.
open enrollment: a set time of year when you can enroll in health insurance or change from one plan to another without benefit of a qualifying evening.
out-of-pocket: money the patient’s pays toward the cost of health care services.
payer: the party who actually makes payment for services under the insurance coverage policy. In the majority of cases, the payer is the same as the insurer. But, as in the case of very large self-insured employers, the payer is a separate entity under contract to handle the administration of the insurance policy.
policyholder: purchaser of an insurance policy; in group health insurance, this is usually the employer who purchases policy coverage for its employees.
preferred provider organization (PPO): a form of managed care in which the member has more flexibility in choosing physicians and other providers. The member can see both participating and non-participating providers. There is a greater out-of-pocket expense if member sees non-participating providers.
premium: the cost of an insurance plan shared by employer and employee.
provider: one who delivers health care services within the scope of a professional license.
reimbursement: refers to the payment by the patient (first-party) or insurer (third-party), to the health care provider, for services rendered.
The past couple of months I had been feeling a lot of pain in my rib area. When I started coming here, my pain almost went away with only two sessions. My experience here has been wonderful! The people working here are so nice and I cannot thank y’all enough.
Fantastic, I would recommend it to anyone and a nice friendly caring atmosphere. They will help you with what ever your needs are.
Professional staff who are concerned about their patients. Also best program ever.
a nice place everyone is nice to you here. they care about you a lot they want you to get better.
My experience was great! They are all very nice and very helpful, the workers here do a great job, and also make you feel very comfortable by building a relationship with their patients. They also strive to get you at the level you need to be at, and will give it their all to get you there. I would recommend everyone I know to go to Athlete Plus!
i connected with the staff. i had fun and I am glad i dont have to get surgery.
Excellent therapist with great skills and very knowledgeable in the field. I would highly recommend him for therapy to patients of any age. I am now playing golf again without back pain.
I almost didn’t come back after the first week of therapy because the pain was so bad but I’m so glad I did. My experience was so good with all of the therapy assistants. I felt they were very caring.
i have improveed a lot. All the exercises ans therapy did a lot of good. Every one here were so helpful and explained everything very well. Rate it 10/10.
I feel that I have gotten stronger and I have learned what me weak areas are. I also think that I have learned some things that I need to avoid.