health insurance

coverage that provides for the payments of benefits as a result of sickness or injury

health insurance

impacts of the affordable care act

• individual ___ or pay ____

• ____ assistance

• 100% coverage of ____ services

• elimination of _____

• elimination of _____ conditions

• maximum ____

mandate, penalty, financial, preventative, lifetime maximums, pre-existing, out of pocket

public insurance examples (5)

medicare, medicaid, state children’s health insurance program, military benefits, marketplace/exchange

private insurance (2)

employer, individual marketplace/exchange

benefits of health insurance

• clearly defined network of ____

• pre-negotiated, discounted pricing for ____

• _____ care services at 100%

• peace of mind in _____

hospitals and physicians, products and services, preventative, worst case scenario

deductible where each entire family must meet the deductible individuals before recieving plan benefits

unembedded deductible

deductible where each member of the family only needs to meet their portion of the entire deductible before receiving plan benefits

embedded deductible

health insurance plan usually with lower deductible and higher monthly premium

preferred provider organization

health insurance plan usually with higher deductible but lower monthly premium

high deductible health plan

tax-favored bank account used by the patient to pay for qualified medical expenses

health savings account

simple and standardized comparison document required by the affordable care act

summary of benefits

statement from your health insurance plan detailing the costs towards a medical procedure of service you received. not a bill

explanation of benefits