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Standard 9: Obj. 6

Define terminology related to insurance.

TermDefinition
Assignment of benefits an agreement that transfers the insurance claims rights or benefits of the policy to a third party.
Carrier Often called insurance companies, carriers create the insurance policy an agent offers.
Co-Insurance The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible.
Deductible The amount you pay for covered health care services before your insurance plan starts to pay.
Dependent Insurance coverage for family members of the policyholder, such as spouses, children, or partners.
Eligibility Conditions that must be met in order for an individual or group to be considered eligible for insurance coverage.
Exclusions a provision within an insurance policy that eliminates coverage for certain acts, property, types of damage or locations.
Maximum The most you have to pay for covered services in a plan year.
Provider include doctors, psychologists, or physical therapists, and health care facilities, like hospitals, urgent care clinics, or pharmacies.
Created by: bmims0002
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