Tag: Health insurance

  • Internal Review

    Internal Review in the United States Concept of Internal Review in Health Insurance Law In this context, the following is a definition of Internal Review: The review of the health plan’s determination that a requested or provided health care service or treatment health care service is not or […]

  • Internal Review

    Internal Review in the United States Concept of Internal Review in Health Insurance Law In this context, the following is a definition of Internal Review: The review of the health plan’s determination that a requested or provided health care service or treatment health care service is not or […]

  • Essential Benefits

    Essential Benefits in the United States Concept of Essential Benefits in Health Insurance Law In this context, the following is a definition of Essential Benefits: PPACA requires all health insurance plans sold after 2014 to include a basic package of benefits including hospitalization, […]

  • Essential Benefits

    Essential Benefits in the United States Concept of Essential Benefits in Health Insurance Law In this context, the following is a definition of Essential Benefits: PPACA requires all health insurance plans sold after 2014 to include a basic package of benefits including hospitalization, […]

  • Customary Charge

    Customary Charge in the United States Concept of Usual, Customary and Reasonable Charge (ucr) in Health Insurance Law In this context, the following is a definition of Usual, Customary and Reasonable Charge (ucr): The cost associated with a health care service that is consistent with the going […]

  • Annual Limit

    Annual Limit in the United States Concept of Annual Limit in Health Insurance Law In this context, the following is a definition of Annual Limit: Many health insurance plans place dollar limits upon the claims the insurer will pay over the course of a plan year. PPACA prohibits annual limits […]

  • Annual Limit

    Annual Limit in the United States Concept of Annual Limit in Health Insurance Law In this context, the following is a definition of Annual Limit: Many health insurance plans place dollar limits upon the claims the insurer will pay over the course of a plan year. PPACA prohibits annual limits […]

  • Balance Billing

    Balance Billing in the United States Concept of Balance Billing in Health Insurance Law In this context, the following is a definition of Balance Billing: When you receive services from a health care provider that does not participate in your insurer’s network, the health care provider is not […]

  • Balance Billing

    Balance Billing in the United States Concept of Balance Billing in Health Insurance Law In this context, the following is a definition of Balance Billing: When you receive services from a health care provider that does not participate in your insurer’s network, the health care provider is not […]

  • Coinsurance

    Coinsurance in the United States Concept of Coinsurance in Health Insurance Law In this context, the following is a definition of Coinsurance: A percentage of a health care provider’s charge for which the patient is financially responsible under the terms of the policy.

  • Coinsurance

    Coinsurance in the United States Concept of Coinsurance in Health Insurance Law In this context, the following is a definition of Coinsurance: A percentage of a health care provider’s charge for which the patient is financially responsible under the terms of the policy.

  • Patient Protection

    Patient Protection in the United States Patient Protection Act and Tax Law There are more details about Patient Protection Act in thetax compilation of the legal Encyclopedia. Concept of Patient Protection and Affordable Care Act (ppaca) in Health Insurance Law In this context, the following […]

  • Patient Protection

    Patient Protection in the United States Patient Protection Act and Tax Law There are more details about Patient Protection Act in thetax compilation of the legal Encyclopedia. Concept of Patient Protection and Affordable Care Act (ppaca) in Health Insurance Law In this context, the following […]

  • Community Rating

    Community Rating in the United States Concept of Community Rating in Health Insurance Law In this context, the following is a definition of Community Rating: A way of pricing insurance, where every policyholder pays the same premium, regardless of health status, age or other factors. Community […]

  • Community Rating

    Community Rating in the United States Concept of Community Rating in Health Insurance Law In this context, the following is a definition of Community Rating: A way of pricing insurance, where every policyholder pays the same premium, regardless of health status, age or other factors. Community […]