- Industry: Health care
- Number of terms: 3360
- Number of blossaries: 0
- Company Profile:
CIGNA Corporation, headquartered in Philadelphia, provides health care and related benefits in the United States and internationally.
A health care model in which the consumer (plan member) is made aware of the true costs and value of health care so that he/she can make informed decisions that balance choice with cost. Health plans that fall in this category may include FSA, HSA and HRA.
Industry:Health care
The portion of the amount billed that was not covered or eligible for payment under your plan. Examples include charges for services or products that are not covered by your plan, duplicate claims that are not your responsibility and any charges submitted that are above the maximum amount your plan pays for out-of-network care.
Industry:Health care
Muscle fibers covered by a mucous membrane that attaches the cheek, lips and or tongue to associated dental mucosa.
Industry:Health care
A legal agreement between an individual subscriber or an employer group and a health plan that describes the benefits and limitations of the coverage.
Industry:Health care
The dollar amount that a plan member must pay for eligible health expenses before a traditional health plan kicks in with benefits.
Industry:Health care
A primary care physician who provides a broad range of routine medical services and refers patients to specialists, hospitals and other providers as necessary. This traditional primary care physician role is called a "gatekeeper" function. Under some benefits plans, a referral by the primary care physician is required to obtain services from other providers.
Industry:Health care
The option to purchase individual coverage by a person who will no longer have access to group health insurance.
Industry:Health care
A prescription drug that has the same active-ingredient formula as a brand-name drug. A generic drug is known only by its formula name and its formula is available to any pharmaceutical company. Generic drugs are rated by the Food and Drug Administration (FDA) to be as safe and as effective as brand-name drugs and are typically less costly.
Industry:Health care
A provision in a contract that applies when a person is covered under more than one group health benefits program. It requires that payment of benefits be coordinated by all programs to eliminate overinsurance or duplication of benefits.
Industry:Health care
