Health Insurance Definitions and Terms

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Defining Health Insurance Definitions and Terms These definitions and terms are essential for understanding your health insurance coverage.

Click on the health insurance term to see it's definition! < BACK

Note: All health insurance definitions defined here are to be understood as being general definitions.
These definition may vary by insurance company and may be found in the company policy or certificate of insurance.

ASO Administrative Services Only	Gatekeeper	Premium
Association Health Plans	Group purchasing arrangement	Reinsurance
Coinsurance	Maximum plan dollar limit	Second surgical opinion
Co-payment	Maximum out of pocket expense	Stop loss coverage
Deductible	Non Emergency Admission	Usual and Customary Charges
Flexible spending accounts FSA)	Preadmission testing	Utilization review
Flexible benefits plan Cafeteria plan 125 Plan	Primary care physician (PCP)	Fully insured plan
Preadmission Certification

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AZ, CA, CO, CT, IL, MI, NC, OH, TN, TX, VA, DC, DE, FL, GA, MO, MS, NV, SC	CO, CT, IN, KY, NV, OH, WI	Available In All States Except HI, AK, WY, WA
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All health insurance definitions defined here are to be understood as being general definitions. These definition may vary by insurance company and may be found in the company policy or certificate of insurance. Not all products from all companies are available in all states.

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