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Care in a hospital that requires admission as an inpatient and usually requires an overnight stay. An overnight stay for...
A contract that requires your health insurer to pay some or all of your health care costs in exchange for...
Health care services that your health insurance or plan doesn’t pay for or cover. Back to Glossary Interested in a...
Ambulance services for an emergency medical condition. Back to Glossary Interested in a Free Benefits Consultation? LET’S MEET
An illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe...
The amount you owe for health care services your health insurance or plan covers before your health insurance or plan...
A fixed amount (for example, $15) you pay for a covered health care service, usually when you receive the service....
Your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the...
When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the...
Maximum amount on which payment is based for covered health care services. This may be called “eligible expense,” “payment allowance”...