default imagePost

What is Preferred provider?

A preferred provider is a term commonly used in the healthcare industry to describe a healthcare provider or facility that has a special agreement with a health insurance company. This agreement allow...

default imagePost

What is Preauthorization?

In the world of healthcare, preauthorization plays a significant role in ensuring seamless access to medical services and treatments. Whether it’s a prescription medication or a medical procedur...

default imagePost

What is pre-existing condition?

A pre-existing condition refers to a medical condition that existed before you obtained health insurance coverage. These conditions can range from chronic illnesses such as diabetes or hypertension to...

default imagePost

What is Pre-existing condition (job-based coverage)?

Pre-existing conditions can have significant implications for individuals seeking health coverage through their job. Understanding what pre-existing conditions are and how they affect health coverage ...

default imagePost

What is pre-admission certification?

Pre-admission certification refers to the process that patients must go through to obtain approval from their insurance companies before receiving specific medical treatments or procedures. This step ...

default imagePost

What is Policy year?

The concept of a policy year plays a crucial role in insurance, affecting premiums, coverage, and overall policy management. Understanding what a policy year entails is essential for policyholders to ...

default imagePost

What is Platinum health plan?

Platinum health plan is a type of health insurance plan that offers extensive coverage and provides individuals with comprehensive medical benefits. In this article, we will delve into the specifics o...

default imagePost

What is Plan year?

A plan year is a crucial concept in various sectors, including health insurance, retirement plans, and corporate planning. It refers to a specific period during which a plan’s benefits and cover...

default imagePost

What is Plan ID?

In today’s complex world, where various systems and processes are in place, it is essential to have unique identifiers to differentiate and manage different aspects efficiently. One such identif...

default imagePost

What is Physician services?

Physician services play a crucial role in healthcare, providing essential medical care to individuals and communities. Understanding the concept of physician services is important to grasp the compreh...

default imagePost

What is Payment bundling?

Payment bundling is a payment model that combines multiple services or procedures into a single payment, rather than reimbursing each service separately. This approach aims to align financial incentiv...

default imagePost

What is Patient Protection and Affordable Care Act?

The Patient Protection and Affordable Care Act (ACA), also known as Obamacare, is a comprehensive healthcare reform law that was enacted in the United States in March 2010. It was implemented to expan...

default imagePost

What is parent plan health insurance?

Parent plan health insurance is a type of coverage that provides medical insurance for dependents of the policyholder. It is primarily designed to cover children under the age of 26 who are still fina...

default imagePost

What is Out-of-pocket estimate?

Out-of-pocket estimate refers to an estimation of the amount that an individual is expected to pay for healthcare services or treatments after considering the insurance coverage. It is an important to...

default imagePost

What is out-of-pocket costs?

Out-of-pocket costs are an essential aspect of healthcare expenses that individuals and families encounter when accessing medical services. Understanding the basics of out-of-pocket costs is crucial f...

default imagePost

What is Out-of-network coinsurance?

In today’s complex world of healthcare, it is crucial to understand the intricacies of health insurance and how it affects our wallet. Out-of-network coinsurance is an important aspect that ofte...

default imagePost

What is Original Medicare?

Original Medicare is a government health insurance program that provides coverage for a broad range of medical services. It is administered by the Centers for Medicare and Medicaid Services and serves...

default imagePost

What is open enrollment?

Open enrollment is a vital aspect of many insurance plans. It is an annual period during which individuals can make changes to their health insurance coverage. This article will explore the concept of...

default imagePost

What is open enrollment period?

Open enrollment period is a crucial time of the year when individuals and families can make changes to their health insurance coverage. It is a fixed period set by insurance companies or the governmen...