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Glossary Of Health Insurance Terms Pdf Free - http://shurll.com/bkwvr
Except for Grandfathered Plans, beginning January 1, 2014, all annual dollar limits on coverage of essential health benefits will be prohibited. Allied Health Personnel: Also referred to as paramedical personnel, these are health workers (often licensed) who perform duties that would otherwise be performed by physicians, optometrists, dentists, podiatrists, nurses and chiropractors. Assignment of Benefits: The payment of health insurance benefits to a healthcare provider rather than directly to the member of a health insurance plan. It is not meant to replace the advice of health care professionals. Alternate Delivery Systems may include skilled nursing facilities, hospice programs and home health care services. A term used to describe the number of persons admitted to a hospital within a given period. Your health insurance company will pay all or a portion of the remaining $80, minus any co-payment or deductible that you may owe. A link to the Outside Site is not an endorsement of the service offered on the Outside Site, its content, or its sponsoring organization. Allowed Amount: -see Allowable Charge.
If the doctor is a member of your health insurance company's network of providers, he or she may be required to accept $80 as payment in full for the visit - this is the Allowable Charge. Some insurance companies may refund this fee if the application is not approved. Age/Sex Factor: A factor employed by insurance companies in the underwriting process, used to determine a group's risk of incurring medical costs, based on the ages and genders of the persons in that group. Not a Substitute for Professional Health Care or Advice The health information contained in these websites is general in nature and is not a substitute for professional health care. Beginning September 23, 2010, PPACA phases annual dollar limits will be phased out over the next 3 years until 2014 when they will not be permitted for most plans. Agent: A state-licensed individual or entity representing one or more insurance companies. The total charge for the visit comes to $100.
3) The insurance company will then review your application and you can receive an update within 24 hours on whether you are approved; though in some cases you may receive a status update or request for further information instead. Access: The availability of medical care. Administrative Services Only (ASO) Agreement: A business contract under which an insurance company agrees to perform specific administrative duties for the maintenance of a self-funded health insurance plan. You cannot be billed for this provider write-off. No judgment or warranty is made with respect to the accuracy, timeliness, or suitability of the content for the Outside Site; TCHS takes no responsibility for the Outside Site. Not a Solicitation Nothing in this site should be construed as a solicitation or offer to purchase coverage from Transamerica or any of its affiliated companies. The Outside Site is not owned, maintained, operated or hosted by TCHS, and TCHS is not responsible for the Outside Site's privacy policies or terms of use. d680c458d3
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