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

other urban area

Health care; Managed care

A metropolitan statistical area with a population of less than 1 million, or a New England County Metropolitan Area with fewer than 970,000 people.

A provision in health insurance policies to exclude benefits for sickness beginning within a specified number of days, such as 15 or 30, following the policy date. Its purpose is to reduce the number ...

cut-off provision

Health care; Managed care

A provision in health insurance that regulates the period during which benefits are payable under major medical and comprehensive medical expense insurance.

benefit clause

Health care; Managed care

A provision in health policies that describes the payments and the services provided under the contract.

preexisting condition limitations

Health care; Managed care

A provision in insurance policies that excludes health conditions existing prior to coverage sign up. These limitations exclude specified conditions entirely or for a specified period. When an ...

free-look provision

Health care; Managed care

A provision in life and health insurance policies that gives the policy owner a stated amount of time (usually 10 days) to review a new policy. It can be returned within this time for a 100% refund ...

restoration of benefits

Health care; Managed care

A provision in many Major Medical Plans that restores a person’s lifetime maximum benefit amount in small increments aft er a claim has been paid. Usually, only a small amount ($1,000–$3,000) may be ...