Overview
Health insurance policy management is crucial for ensuring that individuals have access to necessary healthcare services while protecting them from high medical costs. It involves understanding various policy types, processing claims, calculating premiums, and ensuring compliance with regulations. E...
Key Terms
Example: Under an HMO, you must see a primary care physician for referrals.
Example: With a PPO, you can see any doctor, but costs are lower if you use network providers.
Example: Your health insurance premium is due on the first of each month.
Example: If your deductible is $1,000, you pay that amount before coverage kicks in.
Example: You might pay a $20 copayment for a doctor's visit.
Example: If your coinsurance is 20%, you pay 20% of the costs after your deductible.