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What is a Claim in Health Insurance

MS, PA, CPC. A health insurance claim is a request made by a policyholder or healthcare provider to an insurance company for payment of health services. The insurance …

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How to Read Health Insurance Card: A Simplified Guide

Every health insurance card has a policy number. The policy number is what the insurance company uses to keep track of your medical expenses. It’s typically found on the …

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Health Insurance Basics: A Beginner's Guide to Coverage

CHIP (Children’s Health Insurance Program): CHIP, also known as SCHIP, is designed to provide healthcare coverage for children in low-income families who are not eligible for Medicaid. It …

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What Are the ACA Essential Health Benefits

To protect consumers, all plans on the Health Insurance Marketplace must cover the 10 essential health benefits set by the Affordable Care Act (ACA), no matter which metal …

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Best Healthcare Options for Young Adults: A Guide

As a single person under 30, your healthcare options vary depending on age, income, habits, medical needs, employment, and location. For example, individuals under 26 …

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What Are Health Insurance Ratings & What Do They Mean For You

Just as insurance companies receive financial ratings and complaint index scores, individual health plans receive quality ratings. This applies to plans offered in the federal …

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what is supplemental What is Supplemental Health Insurance And …

Hospitalization insurance, also known as hospital insurance or hospital indemnity, is a supplemental insurance plan that helps cover the unexpected costs associated with hospital …

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What is Gap Health Insurance

Eligibility. Age Requirement: Typically, individuals within a certain age range may be eligible for gap health insurance. This can vary, but policies often cover individuals …

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What is a Consumer-Driven Health Plan

A consumer-directed health plan combines high-deductible health insurance with a health fund feature to save on premium costs and give members more control over their …

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What is Prescription Insurance

Prescription drug coverage is generally subject to a deductible. A plan’s deductible is the amount of money consumers pay out of pocket for covered services before their health …

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Short-Term vs. Long-Term Health Insurance: What's Best

Stay Covered to Avoid Unexpected Medical Expenses . Health insurance coverage is critical for containing healthcare costs in the U.S. About 63% of people under age 65 have …

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What Are HMO Plans & When Are They Right For You

A health maintenance organization (HMO) is a type of health insurance plan with a pre-approved network of physicians, hospitals, and other healthcare providers who have …

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What Is a Qualifying Life Event

MS, PA, CPC. Qualifying life events are situations that trigger a special enrollment period (SEP) to enroll in a health insurance plan outside of the annual enrollment period. …

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What is an Indemnity Plan

An indemnity plan, also known as a fee-for-service plan, is a lesser-known type of health insurance that reimburses consumers a set amount for each covered service. Some …

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How Going to Medicare Affects Your Spouse’s Health Insurance

Everyone pays a premium for Medicare Part B, $164.90 in 2023, whereas Part A is generally free if you or your spouse has paid Medicare taxes for at least 40 quarters. If …

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HDHP vs. PPO Plans: Understanding The Differences

Both HDHP and PPO plans cover medically necessary services like doctor services, emergency services, hospitalizations, prescription drugs, and laboratory services. …

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How Do Doctor Referrals Work

A doctor referral is an order written by a primary care provider stating the medically necessary reasons a patient must see a specialist or get particular medical services. The …

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COBRA vs. Obamacare: The Differences in Coverage

Yes. In general, both COBRA and Obamacare are available to those who are unemployed. COBRA allows you to keep the same group health plan for some time after a job …

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