5 Terms
Home > Industry/Domain > Health care > Managed care
Managed care
A health care practice intended to streamline services and provide high quality, cost-effective care.
Industry: Health care
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Managed care
special features
Health care; Managed care
Health insurance policy benefits paid with respect to losses other than those covered by principal sum and loss of time. Hospital and surgical benefits are among these.
conversion clause
Health care; Managed care
Health insurance policy contract provision that allows changeover to an individual health plan aft er termination of the group policy.
reverse membership
Health care; Managed care
Health insurance policy member with a new ID number and not previously the subscriber.
noncancelable guaranteed renewable health insurance
Health care; Managed care
Health insurance policy not subject to change, alteration, termination, or premium increase.
special indemnities
Health care; Managed care
Health insurance policy provisions that extend the coverage of the policy or more clearly define the risks covered.
critical illness insurance
Health care; Managed care
Health insurance policy that pays a lump sum or face amount if the insured is diagnosed with a specific critical condition.
estimated premium
Health care; Managed care
Health insurance premium setting method based on expectations of projected loss experiences. The remained is due at the end of the year to reflect actual loss experiences and costs.
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