20 Terms
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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
straight deductible clause
Health care; Managed care
Insurance policy clause that specifies either the dollar amount or percentage of loss that the insurance does not cover.
group insurance
Health care; Managed care
Insurance protecting a group of persons, usually employees of the same firm. It is based on the principle that the selection process may be applied directly to groups of people, as well as to ...
classified insurance
Health care; Managed care
In life or health insurance, coverage on impaired risks.
restrictions
Health care; Managed care
In life or health insurance, limitations or exclusions in a policy.
quality business
Health care; Managed care
In life, long-term care, disability, and health insurance, a term used to describe the staying power of an agent’s business. It is characterized by good persistency, satisfactory mortality, and low ...
daily hospital benefit
Health care; Managed care
In medical expense health policies, benefit coverage for hospital charges, such as room, board, nurses, and other routine services, provided on a per diem (daily) basis. Sometimes referred to as DBR ...
covered person or member
Health care; Managed care
In reference to either a subscriber or an enrolled dependent, a covered person is one who both meets the eligibility requirements of the contract and is enrolled for coverage under the contract.
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20 Terms