| A | B |
|---|
| basic medical | Pay a large part of hospital and medical care, may also pay part of some other expenses (e.g. doctor’s visits) |
| Cash value | The amount of money a whole life policyholder would receive if the policy were surrendered before death or maturity. |
| HMO | Health management organizaiton---a health care group that provides health care services to members for a set fee and a small co-pay. |
| PPO | Preferred providers organization---an agreement between health providers with employers or insurers to provide services at a reduced rate to employees. |
| POS | Point of service---members use a primary physician who refers them as needed to participating specialists or members can see non-participating specialist members. But, members pay more to use non-participating health providers. |
| fee-for-services plan | A plan in which an insured can select his/her own doctors and hospitals, pay costs at time of visit, and file form with insurance company for reimbursement of covered expenses |
| worker’s compensation | Employers are required to have in every state in some form. Covers medical care, treatment, rehabilitation, and a portion of wages from injuries that occur in the workplace. |
| COBRA | A federal law that someone who leaves employment may be eligible to keep insurance coverage at his/her own expense up to six months. |
| open enrollment period | A time period during which a person can enroll in a health care plan |
| preauthorization | Requirement to obtain approval from the plan before having certain treatments or procedures done |
| primary care physician | A doctor who provides general medical care and coordinates other health care. |
| beneficiary | A group or individual selected to receive the assets of a person when he/she dies |
| insurance benefits | Assets or gain received by having an insurance policy |
| face value | The amount of money payable to a beneficiary as a death benefit when an insured dies |
| maturity | The length of time it takes an insurance policy to reach its full value |
| major medical | Pays for long-term illness expenses after basic medical benefits limits have been reached (e.g. cancer). |
