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Altura Benefits periodically offers a variety of useful resources to keep you informed.
08/13/2019
Posted by: Altura Benefits in
The amount you pay for covered health care services before your insurance plan starts to pay their portion of your medical bills. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. After you pay your deductible, you usually ...
05/28/2019
A time outside the yearly Open Enrollment Period when you can sign up for health insurance. You may qualify for a Special Enrollment Period if you’ve had certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child...
A health care provider is a person or company that provides a health care service to you. In other words, your health care provider takes care of you. The health care provider you’re probably the most familiar with is your PCP or primary care physician....
The amount you pay for your health insurance every month. In addition to your premium, you usually have to pay other costs for your health care, including a deductible, copayments, and coinsurance. When shopping for a plan, keep in mind that the plan with the lowest ...
The most you have to pay for covered services in a plan year. After you spend this amount on the combined total of deductibles, copayments, and coinsurance, your health plan pays 100% of the costs of covered benefits. The out-of-pocket limit doesn't include your mont...
The yearly period when people can enroll in a health insurance plan. For Individual/Family plans, open enrollment lasts from November 1st to December 15th. January 1st is the effective date for all applications received during open enrollment. Open Enrollment peri...
The group of facilities [hospitals], providers [doctors], and suppliers that your health insurer or plan has contracted with to provide health care services. For example, SelectHealth has a network contract with all IHC-owned hospitals, while Regence Blue Cross Blue Shi...
Medicare is the federal health insurance program for: People who are 65 or older Certain younger people with disabilities People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD) ...
Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. For more information on Medicaid, please follow this link....
The percentage of costs (30%, for example) of a covered health care service you will pay after you've paid your deductible. Let's say your health insurance plan's allowed amount for a diagnostic test is $100 and your coinsurance is 30%. If you've paid your deducti...
A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible. Let's say your health insurance plan's allowable cost for a doctor's office visit is $100. Your copayment for a doctor visit is $20. If you've paid your ...
Insurance program that provides low-cost health coverage for children aged 0-18 in families that earn too much money to qualify for Medicaid but not enough to buy private insurance. Each state offers CHIP coverage and works closely with its state Medicaid program. Yo...