home Insurance Basic Terminology for Health Insurance

Basic Terminology for Health Insurance

The most important part of a person’s life is having a healthy life and having insurance that covers your medical expenses when going to the doctor for a checkup or when you are sick is part of leading a healthy life. There are several credible services out there that you can choose from. Choosing from Our range of specialist insurance will get you the best insurance policy with the lowest premium rates so that you can keep yourself secure from any unforeseen events. 

Without health insurance, your daily checkups and expenses are costly. With the health insurance companies covering some of the costs, you, the patient, do not have to worry about paying a lot because the cost is reduced to an insignificant fee called a co-pay.

Whether the patient is being treated for a long time or has a disability, the insurance includes it in their coverage. An employer provides workers, who work full time, with benefits that include insurance for their health. It does not matter if you are an individual or a big business, you can still acquire insurance. There are also programs from the federal government that provide insurance to people who are eligible.

The following terms are basic information which is important to understand what health insurance companies mean when they are talking about insurance.

The amount of money insurance companies obtained from policy owners every month to be actively covered by the insurance is a premium.

The money that you pay on your own before the insurance company starts to give out payments for medical services is the deductible.

Another thing to remember is the term called exclusions. Exclusions are services the insurance company will not pay and you, the policy owner, will have to cover in full. These exclusions are usually conditions that have been determined to cause injuries such as playing sports.

There are also things that limit coverage. The coverage limits include having the insurance companies pay for a maximum amount. After the company pays the maximum amount, the insured client will deal with the rest of the payment.

There is also a maximum amount of policy owners payout. The term is called out of pocket maximum. This is basically the same as above. Instead of insurance companies, it deals with the policy owner.

Patients have to make a small amount of payment when they visit clinics or other medical-related services such as buying prescriptions. This amount is small compared to not having insurance at all, which is costly. The insurance companies will pay for most of the payment needed. This term is co-payment or co-pay for short.

Another term to remember is coinsurance. It is a percentage of the total payment for the services done. The difference between this and co-pay is the fact that co-pay is a fixed amount. The advantage of having the coinsurance is it can be smaller than the co-pay. A final term relating to health insurance is capitation. It is a payment made to medical care providers from insurance companies to take care of the policy owners insured by the companies


David Robson

David Robson is the founder of Complus Alliance. He has been writing about different topics for almost 10 years. He’s main focus is delivering quality insights to a wide array of audience.