Care for an illness, injury or condition serious enough that a reasonable person would seek care right away, but not...
The amount paid for a medical service in a geographic area based on what providers in the area usually charge...
A physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent or...
Surgery and follow-up treatment needed to correct or improve a part of the body because of birth defects, accidents, injuries...
A physician (M.D. – Medical Doctor or D.O. – Doctor of Osteopathic Medicine), nurse practitioner, clinical nurse specialist or physician...
A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical...
The most you pay during a policy period (usually a year) before your health insurance or plan begins to pay...
The percent (for example, 40%) you pay of the allowed amount for covered health care services to providers who do...
A provider who doesn’t have a contract with your health insurer or plan to provide services to you. You’ll pay...
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