MSC Medical Terminology

The amount of money you pay to your insurance company for coverage. This is usually paid monthly, quarterly, or annually. This is called the:

• Copayment

• Premium

• Health Insurance

• Deductible

The amount of money you pay out of pocket for covered medical expenses before your insurance starts to pay. This is the known as the

• Coinsurance

• Copayment

• Deductible

is a federal health insurance program for individuals who are over age 65 and younger people with qualifying disabilities. People who are eligible can choose between Original Medicare and Medicare Advantage.

The process by which health insurance companies determine whether to extend coverage to an applicant and/or set the policy's premium.

• Underwriting

• Rider

• Waiting Period

• Benefit

any person (i.e., doctor, nurse, dentist) or institution (i.e., hospital or clinic) that provides medical care

sometimes known as the "allowed amount," "maximum allowable," and "usual, customary, and reasonable (UCR)" charge, this is the dollar amount considered by a health insurance company to be a reasonable charge for medical services or supplies based on the rates in your area.

the 12-month period for which health insurance benefits are calculated, not necessarily coinciding with the calendar year.

a health care professional, hospital, or pharmacy that is part of a health plan’s network of preferred providers

• Network Provider

• Provider

• I really don't know

• In Network Provider

a health problem that has been diagnosed, or for which you have been treated, before buying a health insurance plan.

• Claim

• Pre-Existing Condition

• Rider

• Health Savings Account

This type of care does not require an overnight stay in the hospital or healthcare facility

• In patient care

• Outpatient Care

• Urgent Care