health plan

Medical benefits arrangement

A health plan is an arrangement that covers medical expenses, typically through insurance or a managed care organization.

Employers often offer health plans as benefits: The company's health plan includes dental and vision.

Health plans vary widely in what they cover, which providers you can see, and how costs are shared between the plan and the patient.

coverage

insurance

Contractual risk coverage

deductible · copayment · co-insurance · claims · network · provider · HMO · PPO · EPO · POS

affordability

premiums

Payments for insurance coverage

cost-sharing · out-of-pocket · tax credits · financial assistance · sliding scale · means-tested · marketplace · exchange · bronze tier · silver tier

benefits

preventive care

Health maintenance before disease

prescription · maternity · telehealth · vaccinations · checkups · screenings · therapy · counseling · prenatal · chiropractic

security

HIPAA

Medical privacy statute

confidentiality · patient rights · audit · authorization · consent · medical records · identity verification · fraud prevention

Categories
Opposites
coverage vs. uncovered status

health planuninsured

Lacking protective coverage

coverage gap · insurance lapse · insurance exclusion · underinsured

organized vs. unorganized healthcare access

health planself-pay

Uninsured payment method

out-of-pocket · direct payment · medical debt · medical bankruptcy

collective vs. individual financial burden

health planout-of-pocket expenses

Unreimbursed personal spending

direct payment · medical bankruptcy · personal liability

Family

plan, health, healthy, planned, plans, planning, unhealthy, planner, unplanned

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