Health care providers who agree to work with a health plan to provide services to

A type of health plan that contracts with medical providers —such as hospitals an

A managed care plan where services are covered only if you go to doctors, special

A plan with a higher deductible than a traditional insurance plan because it is d

This describes the portion of your claims costs that are covered by your health p

These are your health care expenses that are filed with your insurer to request p

This term refers to the percentage of costs of a covered health care service for

This fixed, out-of-pocket payment is made by the plan participant at the time a m

Generally speaking, a deductible is the predetermined amount of money a participa

The maximum out-of-pocket limit includes the deductible, co-pays and co-insurance

The most you will have to pay in a year in out-of-network deductibles and co-insu

Medical services from the Emergency department of a hospital to evaluate a medica

This type of doctor or medical practitioner provides preventive and routine care.

A doctor or medical practitioner with advanced training in a specific subset of c

This refers to filling your prescriptions at a participating network pharmacy. Th

Also known as a preferred formulary, this is a list of prescription drugs covered

Co-pays for prescription drug prices are differentiated by the levels or tiers. T