20 Terms
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Health insurance
Industry: Insurance
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Health insurance
salary allotment insurance
Health care; Managed care
A life or health insurance plan arrangement for employees with an employer whereby regular forms of insurance are sold individually to employees on a payroll allotment basis, with premiums deducted ...
prospective reserve
Health care; Managed care
A life or health insurance reserve computed as the present value of assumed future claims minus the present value of net premiums, both values computed on the basis of assumed rates of interest.
cap
Health care; Managed care
A limit placed on the number of dollars that a health plan will pay in a specified period of time.
hospitalization policy
Health care; Managed care
A limited health insurance policy that provides payment only in the event hospital expenses are incurred. If such a policy pays first-dollar benefits but has relatively low limits, it is called a ...
restricted formulary
Health care; Managed care
A limited set of drugs or medicinal benefits available for health plan, managed care, or insurance members.
formulary
Health care; Managed care
A list containing the names of certain prescription drugs that an HMO covers when dispensed to its members who have drug coverage.
rate manual
Health care; Managed care
A list of charges by an insurance company for nonstandard premiums.
