All insurance (health, car, homeowner's) is based on this.

A group of physicians, health care providers and services of all types that are recognized by an Insurance Company because they agree to its fee structure.

This document looks like a bill but isn’t. It tells what the insurance company paid and what your expenses will be. 

A savings account for health care expenses. 

Codes used to classify illness, injuries and conditions. These are used universally throughout the world.

The amount that must be paid out of pocket by the policy holder before an insurance provider will pay any expenses.

Any amount or costs a patient must pay themselves.

A fixed amount you pay for covered services, typically when you get the service. 

The amount of money an individual or business pays for an insurance policy.

Exclusions in insurance are provisioins that exclude coverage for expenses incurred by a specific event.

Type of insurance which requires referrals from a gatekeeper for specialty services. 

A system of health insurance payments in which health professionals are paid fixed amounts per month based on the number of insured people they have as patients.

Insurance policy which allows you to see specialists directly without a referral from a family doctor. The specialist must be “in-network”

 Another name for an insurance company.

Half of the U.S. population gets their health insurance through their _____________.

Insurance for adults over 65. 

Insurance for low income individuals

Insurance for children in  low income families. 

Insurance for those serving in the military and their families. 

Medicare and Medicaid are funded by:

a) Federal government

b) state governement

c) Both

Term used to describe where folks without insurance can purchase a health plan. Created by the Affordable Care Act