For health insurance purposes, an accident is an unforeseen, unexpected and unintended event resulting in bodily injury.
Ages below and above which an insurance company will not accept applications or renew policies.
Charges for healthcare services and supplies for which benefits are available under your health insurance plan.
A bill for medical services rendered, typically submitted to the insurance company by a healthcare provider.
Health insurance coverage extended to the spouse and unmarried children of the primary insured member. Certain age restrictions on the coverage of children may apply.
The date on which health insurance coverage comes into effect.
The date on which a person becomes eligible for insurance benefits.
Conditions that must be met in order for an individual or group to be considered eligible for insurance coverage.
A dependent (usually spouse or child) of an insured person who is eligible for insurance coverage.
Benefits payable for hospital room and board and other miscellaneous charges resulting from hospitalization.
Typically, hospitalization services include services related to staying at a hospital for scheduled procedures, accidents or medical emergencies. Hospitalization services typically do not include hospital stays for giving birth to a child.
The termination of insurance coverage due to lack of payment after a specific period of time.
Maternity coverage means the insurance covers part or all of the medical cost during a woman's pregnancy.
If a person is covered under more than one health insurance plan, primary coverage is the coverage provided by the health insurance plan that pays on claims first.
Renewal occurs when a member continues coverage under a health insurance plan beyond the original time frame of the contract. At the end of each benefit year, a plan member is generally invited to renew his or her coverage.
Any condition / illness for which the patient has already received medical advice or treatment prior to enrollment in a new medical insurance plan.
The date on which a member's health insurance plan benefit year renews.
This term may be used to describe ancillary products purchased in conjunction with a medical insurance plan.
The geographic area in which a health insurance plan's benefits are made available. Some health insurance plans will not provide coverage outside of a plan's service area.
In healthcare and insurance usage, this term is used to describe a person who is not expected to live beyond six months due to a specific illness.
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