The out-of-pocket maximum or limit is the maximum amount a person will have to pay for covered services in a year. Generally, this includes copayments, coinsurance and deductibles, though it may vary from insurance plan to insurance plan.
An outpatient is an individual who receives health care services on an outpatient basis, meaning the person does not stay overnight in a hospital or inpatient facility. These services can include diagnosis, treatment and surgery.
A primary care physician is a physician who handles the primary and general outpatient care needs of patients. Primary care physicians can be family physicians, internists, pediatricians and obstetrician-gynecologists. Primary care physicians tend to make less money than specialists, though they see more patients, but salary surveys show primary care physicians are taking on a […]
A specialist focuses on a more narrow area of medical care such as a neurologist, a cardiologist, an oncologist or an otolaryngologist.
A subspecialist is a doctor who has a narrower area of expertise in a specialized area. For example, a pediatric oncologist is a doctor who takes care of children with cancer, and a geriatric oncologist is a doctor who takes care of elderly people with cancer.
A waiting period is the amount of time an individual or dependent must wait before insurance coverage becomes effective.
Ambulatory care refers to medical services that are provided on an outpatient basis, such as at an urgent care center, certain clinics and health centers. According to the Department of Health and Human Services (HHS), the term ambulatory care implies that the patient must travel to a location to receive services that do not require […]