Self-pay means that the patient pays completely out of pocket for his or her medical care and is therefore often paying the full retail price for health care, unless a hospital or doctor provides a sliding scale. Self-pay individuals pay much more than those with health benefits because they do not have the clout or […]
COBRA is the acronym for the Consolidated Omnibus Budget Reconciliation Act of 1986. According to the U.S. Department of Labor, the landmark legislation provides for continuation of group health coverage that otherwise might be terminated. COBRA provisions give certain former employees, retirees, spouses, former spouses and dependent children the right to temporary continuation of their […]
The CDC is the acronym for the Centers for Disease Control and Prevention. It is the nation???s top public health agency and one of the main components of the Department of Health and Human Services (HHS). Based in Atlanta, Ga., it works to protect the health of people and communities by identifying and preventing potential […]
Medical underwriting is the process used by insurance companies to determine whether to offer an individual health care coverage and how much a policy premium will cost. It also can be used to determine coverage exclusions or limits.
Charity care is free or discounted health care provided by a hospital. The people who receive this care generally do not qualify for either Medicaid insurance for the poor or Medicare insurance for the elderly, or they do not have insurance.
Private health insurance is coverage by a health plan provided by an employer or purchased by an individual from a private health insurance company.
Preadmission certification is preapproval by a health insurance company or employer-sponsored plan for an individual???s admittance to a hospital. If precertification is not obtained for a non-emergency procedure, the insurance provider may pay for some of the services received or may not pay for any of the services.