A certificate issued by an insurance company that gives written verification of the existence of insurance, dates of coverage, and thus is proof that a person has or has had valid medical insurance.

 The legal maximum allowable amount of money due an insured person from an insurance company to pay for an incurred medical expense. Usually a claim is made in the form of a written notification to th [..]

 A percentage of the medical costs to be shared by the insurer and the insured after the deductible has been met. In an “80/20 to $5000” plan, the insured will pay his deductible (e.g. $500) and also [..]

 Medical expenses that the insurance company will cover based on the insurance policy purchased, thus expenses that qualify for reimbursement. A summary of “covered expenses” is listed in the Schedule [..]

 The amount of medical costs to be covered by the insured before the company begins to cover costs.

 Usually a spouse and/or children who are legally dependent on the insured. Depending on the insurance plan, dependents may qualify for insurance coverage on the insured’s policy.

 The date when the insurance coverage begins, becomes effective. The day when coverage for medical care begins.

 The Health Insurance Portability and Accountability Act. This is also known as the Kassebaum-Kennedy Act enacted by the US Congress in 1996. It includes basic requirements for health insurance privac [..]

 Medical facilities and practitioners that have contracted with the insurance companies to provide discounted rates. Those facilities that have not contracted are considered “Out-of-Network.” The insu [..]

 A patient admitted for at least a 24-hour residence (or at least overnight) in a medical facility where he is being treated.