A group of healthcare providers, including doctors, hospitals, and other medical professionals, that have agreed to provide services to members of a particular health insurance plan at negotiated rates.
The amount of money an individual or employer pays to an insurance company for health coverage.
A fixed amount that an insured person pays for covered healthcare services, usually due at the time of service.
The amount of money an insured person must pay out of pocket for covered services before their insurance plan begins to pay.
The group of doctors, hospitals, and other healthcare providers that have contracted with a particular insurance company to provide services to its members.
Healthcare providers who have agreed to provide services at discounted rates to members of a specific insurance plan.
Healthcare providers who have not contracted with a particular insurance company and may result in higher out-of-pocket costs for services.
A healthcare provider, usually a doctor, who serves as a patient’s main point of contact for medical care and coordinates other necessary services.
A recommendation from a primary care physician to see a specialist or receive certain medical services.
Approval from an insurance company for certain medical services, procedures, or medications before they are provided, typically required for coverage.