The maximum dollar amount a provider within your insurance network has agreed to accept for a covered service.
The additional amount you may be billed if you seek care from a provider that is not within your insurance network.
The predetermined start and end date of your plan benefits.
The set amount you owe, if any, at the time of the medical service.
The percentage of the total charges you pay, if any, at the time of service.
Medical services that are eligible for payment under your health plan.
The amount, if any, per benefit period, you owe before your insurance company begins to pay for covered services.
Refers to a provider (person or institution) who is participating in your plan’s network.
Refers to a provider not in your network, where your out-of-pocket costs will generally be higher.
What you pay for medical expenses (copay, coinsurance, deductible, etc.)
The most you’ll pay out of your pocket during your benefit period for any covered services you receive.
Any person or institution offering health care services, such as doctors, specialists, hospitals, labs, etc.