Health Insurance Glossary
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  • Maximum out-of-pocket limit
    Maximum out-of-pocket limit is the maximum amount that an insured individual or an insured family would have to pay in a given year for the share of the cost of covered medical expenses . Once a maximum out-of-pocket limit is reached, the insurance company (the insurer) pays all additional covered medical ...   Read More
 
 
  • Medical Emergency

    Medical Emergency means a sudden onset of a medical condition or psychiatric condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical or psychiatric attention could reasonably result in:

    • Permanently placing your health in jeopardy, or
    • Causing other serious medical or psychiatric consequences, or
    • causing serious impairment to ...   Read More
 
 
  • Medicare Advantage Plans
    Medicare Advantage Plans are health plan options that are part of the Medicare program. If you join one of these plans, you generally get all your Medicare-covered health care through that plan. This coverage can include prescription drug coverage. Medicare Advantage Plans include:
    • Medicare Health Maintenance Organization (HMOs)
    • Preferred Provider Organizations ...   Read More
 
 
 
 
 
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