A type of health plan that contracts with health care providers, including doctors, clinics and hospitals, to create a network of participating providers.
A decision by your insurance company that a health care service, treatment plan, prescription drug, or durable medical equipment is
A type of value-based payment method in which the plan pays providers using a traditional fee-for-service payment structure but adds a financial reward/penalty related to quality/outcomes.
A term used when health care providers work together as a team to provide you with more coordinated, personalized and effective care.
The most you pay during a policy period (usually one year) before your health insurance plan begins to pay 100% for covered health benefits.
Expenses for medical care that are not paid by your health insurance. These costs include deductibles,