We've compiled a list of common health care and health insurance related terms to help you better understand words commonly used in our industry and on our web site.
Terms appear in alphabetical order. To use the glossary, please choose the first letter of the term you would like to view.
Payments provided for services covered under the terms of the policy.
The limit or degree of services a person is entitled to receive based on his/her contract with a health plan or insurer.
Sum of money that is paid for specified services or for a calendar year or the contract lifetime.
The specified period of time during which charges for covered services must be incurred in order to be eligible for payment by the Plan. A charge for covered services is considered incurred on the date the service or supply was provided to a member.
BLUE CROSS AND BLUE SHIELD ASSOCIATION (BCBSA)
The national trade association of Blue Cross and Blue Shield Plans.