📖 Glossary

Quick definitions for healthcare and benefits terms

Deductible

The amount you pay for covered health care services before your insurance plan starts to pay.

Copay

A fixed amount you pay for a covered health care service after you've paid your deductible.

Coinsurance

Your share of the costs of a covered health care service, calculated as a percentage.

Out-of-Pocket Maximum

The most you have to pay for covered services in a plan year.

Premium

The amount you pay for your health insurance every month.

Network

The facilities, providers and suppliers your health insurer has contracted with to provide health care services.

Prior Authorization

A decision by your health insurer that a health care service is medically necessary.

Formulary

A list of prescription drugs covered by a prescription drug plan.

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