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LifeInsuranceTerms
Student Produced Definitions
| Question | Answer |
|---|---|
| Affordable Care Act | Landmark health reform legislation passes by the 111th Congress and signed into law by President Obama |
| Beneficiary | Enrolled in a health insurance plan and receives benefits through those policies. |
| Benefit | Amount pay paid to you by insurance company when insured suffers a loss. |
| Brand-name drug | Prescription drugs marketed with a trademarked name. |
| Carrier | Insurance company offering a health care plan. |
| Claim | A request a person makes to an insurance company to pay for services obtained from a health care professional. |
| COBRA | Legislation that allows you to continue your healthcare plan through a former employer for up to 18 months after you leave that job. You pay for all costs. |
| Coinsurance | Both you and the insurance company pay part of the cost of medical services you receive. |
| Copayment | A predetermined amount you pay every time you visit a health care provider. |
| Deductible | The amount a person pays for health care before the insurance company covers the rest. |
| Dependent | A person who relies on a policy holder for health insurance coverage. |
| Effective date | The date your insurance coverage kicks in. |
| Employer-sponsored health insurance | Your place of employment buys all or part of your health insurance. |
| Employer-sponsored health plans | Your employers covers your health care costs out of a pool of money it sets aside to pay for health care costs. It doesn't buy policies. |
| Exclusion | A provision on a health care insurance policy that gets rid of coverage for certain acts, property, types of damage or locations. |
| Generic drug | Once a prescription drug's brand name expires, other companies can sell it using the chemical name. |
| Group health insurance | All people in the group pay in. Healthy people that do not use the insurance helps to pay the costs of people who do use healthcare services. |
| Guaranteed issue | Health insurance that covers people no matter the health issue. As long as the premium is paid, coverage continues. |
| HMO | Equal monthly fees no matter how many times you visit. |
| In-network | You can take advantage of a discounted cost by using healthcare providers that have signed an agreement with your health insurance company. |
| Limitations | A maximum amount paid by the insurance company for a specif service. |
| Long-term disability insurance | Pays you a part of your monthly earnings if you can no longer work due to a medical condition. |
| Managed care | A health care system that attempts to control both the quality and cost of medical services. |
| Medicaid | Health Insurance for the poor. |
| Medical Underwriting | A process used to evaluate whether or not to accept an applicant for health coverage for a certain premium rate. |
| Medicare | Health insurance for senior citizens and disabled people. |
| Network | A group of healthcare provide that provide services at a lower price. |
| Out-of-pocket maximum | The most you'll have to pay per year. |
| Outpatient | A person who gets medical services without spending a night in the hospital. |
| Pre-existing condition | A health issue you had prior to buying a health insurance policy. |
| Primary care provider | Your doctor. They refer you to specialists. |
| Private health insurance | When you buy your own health insurance directly from an insurance company. |
| Provider | Healthcare professionals who help you out with health issues. |
| Rescission | An insurance company issues you a policy, then revokes it because you did not tell the truth on the insurance application. |
| Rider | A modification to a health insurance policy. |
| Second opinion | Medical opinion by a different doctor as to whether or not you need a certain procedure. |
| Short-term disability | Getting paid when your not working to to an injury or condition that is quickly resolved. |
| Single-payer system | One insurance company for everyone. |
| Socialized medicine | The Government controls the health insurance industry. |
| Student health insurance | School sponsored health care plans. |
| Underwriter | The insurance company accepts you and agrees to pay your health care costs as outlined in the insurance policy. |
| Waiting period | A period of time where you cannot use your insurance. |