The monthly fee you pay to keep your health insurance policy active.
Premium
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15
The date your insurance coverage commences. In most cases, this will always be the first of a future month, although a newborn baby or newly adopted child can have coverage retroactive to the date of birth or adoption.
Effective Date
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15
A cap on the total lifetime benefits you may get from your insurance company.
Lifetime Maximum
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15
A type of health insurance plan that allows you to choose any doctor or hospital, but you may pay more for out-of-network care.
Preferred Provider Organization (PPO)
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15
A recommendation from your doctor to see another doctor or specialist.
Referral
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15
A type of health insurance plan that combines features of HMO and PPO plans.
Point-of-Service (POS)
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seesaw
Swap points!
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shark
Other team loses 10 points!
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shark
Other team loses 10 points!
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thief
Give points!
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25
15
A fixed fee you pay for each doctor's visit or prescription.
Copay
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15
The amount of money you must pay out of pocket before your insurance starts to cover the costs of your care.
Deductible
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15
A percentage of the cost of your care that you pay after you have met your deductible.
Coinsurance
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trap
No points!
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rocket
Go to first place!
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gift
Win 25 points!
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lifesaver
Give 25 points!
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lifesaver
Give 25 points!
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shark
Other team loses 10 points!
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shark
Other team loses 25 points!
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thief
Give points!
5
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20
25
15
A doctor or hospital that has contracted with your insurance company to provide care at a discounted rate.
In-network provider
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15
A doctor or hospital that has not contracted with your insurance company and may charge you more for care.
Out-of-network provider
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15
A process that insurance companies use to determine whether a patient is eligible to receive certain procedures, medications, or tests, except in an emergency.
Pre-authorization
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15
The process of determining which of your insurance plans will pay for your care when you have multiple insurance policies.