Tag: Health Insurance Definitions

  • Insured

    Insured

    The person who procures an insurance. …

  • Insured

    Insured

    The person who procures an insurance. …

  • Hospital Care

    Legal Definition and Related Resources of Hospital Care Meaning of Hospital Care Reimbursement for both inpatient and outpatient medical care expenses incurred in a hospital. Inpatient Benefits include; Charges for room and board, charges for […]

  • Capitation

    Legal Definition and Related Resources of Broker Meaning of Broker One who exercises the calling of negotiating between parties ; the business of buying or selling or any other lawful transactions. A person whose business it is to bring a […]

  • Rescission

    The act of abrogating, cancelling, vacating or annulling; the undoing of a thing. Carlson v Sheppard Pontiac Inc., 314 N. Y. S.2d 77, 63 Misc.2d 994; it involves the restoration of parties to their relative positions as though the contract had never been made. See Rescind. In relation to […]

  • Exclusion

    An exclusion is a provision within a health insurance policy that eliminates coverage for certain acts, property, types of damage or locations….

  • Coinsurance

    The percentage of costs a patient pays out-of-pocket for medical care….

  • Referral

    Legal Definition and Related Resources of Referral Meaning of Referral An OK from the primary care physician for the patient to see a specialist or get certain services. In many HMO plans, the insured person needs to get a referral before they […]

  • Renewal

    A change of something old for something new; as, the renewal of a note; the renewal of a lease. See Novation; 1 Bouv. Inst, note 800. …

  • Renewal

    A change of something old for something new; as, the renewal of a note; the renewal of a lease. See Novation; 1 Bouv. Inst, note 800. …

  • Certificate Of Insurance

    The certificate of insurance is a printed description of the benefits and coverage provisions forming the contract between the carrier and the customer. It discloses what is covered, what is not, and dollar limits….

  • Cobra

    Consolidated Omnibus Budget Reconciliation Act. A federal law passed in 1985 that permits many people who lose eligibility under a group health plan to continue using that coverage….

  • Care Plan

    A written plan for one’s health care…

  • Case Management

    Comprehensive coordination or supervision of a member’s healthcare when the chronically ill or otherwise impaired person may require long-term care….

  • Dependent

    One who is unable to subsist without the aid of another. One who depends upon or is sustained by another or relies on another for support . One who relies on another for the reasonable necessities of life. See Russell v Johnson, 42 N.E.2d 392, 112 Ind. A pp. 253.