Ch 4: Terms (matching) Flashcards
Coverage Types and Sources
What is COBRA?
A law that provides continuation of group health coverage when an individual leaves his or her place of employment
What is indemnity insurance?
Traditional healthcare in which patients can choose any provider they want (including specialists) and change physicians at any time
What is an FSA?
An IRS Section 125 cafeteria plan
What are preexisting conditions?
Illnesses or injuries that occurred before the start of a health insurance contract
What is coinsurance?
The portion of the fee (usually a percentage) that the insured must pay
What is an HSA?
A special tax shelter set up for the purpose of paying medical bills
What is a nonparticipating (nonPAR) provider?
A provider who is under no contractual agreement with the insurance carrier to accept reimbursement as payment in full
What is a premium?
A periodic fee that is paid to an insurer for healthcare coverage
What is a deductible?
The amount the insured must pay before insurance coverage begins
What is UCR?
The part of a provider’s charge that the insurance carrier will allow as covered expenses
A law that provides continuation of group health coverage when an individual leaves his or her place of employment
COBRA
Traditional healthcare in which patients can choose any provider they want (including specialists) and change physicians at any time
Indemnity insurance
An IRS Section 125 cafeteria plan
FSA
Illnesses or injuries that occurred before the start of a health insurance contract
Preexisting condition
The portion of the fee (usually a percentage) that the insured must pay
Coinsurance
