BACK TO DASHBOARD

Helpful Videos

Health Insurance 101 - Navigating Health Insurance Waiver Denials

Explore common reasons why your health insurance waiver is denied or pended for additional information and how you can address it effectively.

Health Insurance 101 - Coverage Types for College Students

Helping you figure out which coverage is the best while studying away at school.

Health Insurance 101 - Deductibles, Coinsurance and Copays

Understand how deductibles, coinsurance and copays work in health insurance.

Health Insurance 101 - Using Your Health Plan

What to do when you need to see a doctor. Make sure you are prepped and have everything you need.

Health Insurance 101 - International Student Health

The US health care system is most likely much different than your own. Make sure you are prepared with health, vision, and dental insurance before your arrival.

Contact Support

If you can’t find the answer to your question, try:
Giving us a call at (833) 818-7091

Glossary: Your Health Insurance Dictionary

  • Affordable Care Act: A federal law enacted by the Obama Administration in 2010. It is most known for enacting a health insurance requirement and expanding Medicaid eligibility.
  • Claim: A request for payment of services or treatment rendered under the terms of an insurance policy.
  • Claims Company: The company that processes claims from providers and distributes payment on behalf of the insurance plan, also called the third-party administrator (TPA).
  • Coinsurance: Your share of the cost of a covered healthcare service. For example, if the plan covers 90% of a service, you would be responsible for 10%. Coinsurance differs between in-network and out-of-network providers. You pay coinsurance plus any deductibles you owe. Your plan’s schedule of benefits will show the coinsurance percentage.
  • Copayment/Copay: A flat fee that you must pay upfront for services, generally including office visits, emergency room visits, urgent care, and prescription drugs.
  • Deductible: A set amount that you must pay before the plan will pay any coinsurance. Deductibles can be annual or per condition.
  • Insurance Company: The company that assumes the risk and payment of the claims under a policy, also called the underwriter or carrier.
  • Network: A group of doctors, hospitals, and other healthcare providers contracted to provide services at a negotiated rate. Provider networks can exist in a local or regional area, as well as nationally. You will generally pay less for using a network provider.
  • Out-of-Network: Providers who do not belong to the specified network and do not offer pre-negotiated rates. Out-of-network costs are generally higher. For some types of plans, out-of-network providers are not covered at all.
  • Out-of-Pocket Maximum: The total amount you are required to pay. Once you reach (have paid) the out-of-pocket maximum, the plan will pay 100% (up to plan maximum). The out-of-pocket maximum does not include copays.
  • Premium: The amount you pay for the insurance plan. This may be annually, monthly, quarterly, by semester, or term.
  • Provider: A doctor, hospital, pharmacy, laboratory, other ancillary facility, or licensed supplier that provides healthcare services.