Get to know the complex world of health care in a way that makes sense to you. A basic understanding of these key words will make it easier for you to navigate your health plan:
Preferred Provider Organization (PPO) is a managed care plan which gives you access to more health care providers and services.
Health Savings Account (HSA) is a savings account available to members who have a high-deductible health plan to help offset medical costs. The funds contributed to the account are not subject to federal income tax at the time of deposit.
Network refers to a group of doctors, specialists, urgent cares and hospitals your health insurance company has partnered with to help save you money.
Primary care provider (PCP) is the doctor you see first for common health concerns and continuing care.
Specialist is a provider or doctor who has advanced education and clinical training in a specific area of medicine.
Copay is the fixed amount you pay every time you receive health care services.
Coinsurance is your share of the costs of a covered health care service.
Deductible is the amount you owe for health care services before your health insurance kicks in.
Out-of-pocket maximum is the most you’ll pay for covered benefits in any one year.
Claim is a request for payment you or your doctor sends to your health insurance company when you receive medically necessary services you want covered.