The action you can take if you disagree with a decision your insurance company has made about your coverage or payment. You can
An arrangement in which a self-insured entity (such as an employer) contracts for administrative insurance services such as enrollment,
The ratio (expressed as a percentage) of the benefits for which a plan will pay after member cost sharing to the total allowed covered benefits. For example, if a plan has an
A healthcare organization, often made up of providers, that agrees to be accountable for the quality, cost, and overall care of a group of people, typically with its revenue tied to quality metrics and cost of care. The organization typically contracts with a combination of hospitals, primary care physicians, and specialists to provide care to the specified population.
A fee imposed on entities engaged in providing health insurance in the United States to help fund the implementation of the Patient Protection and
Health coverage options are available for people in New Hampshire who have recently been laid off or lost their employer sponsored health insurance benefits. Get info on COBRA, NH State Continuation, Granite Advantage, Health Insurance Marketplace and where to find help!
The out-of-pocket maximum is a limit on what you pay out on top of your premiums during a policy period for deductibles, coinsurance and copays. Once you reach your out-of-pocket maximum, your health insurance will pay for 100% of most covered health benefits for the rest of that policy period. The next policy period (plan year), it starts all over again - note: the policy year may not coincide with the calendar year.