Health Insurance terms starting with D

17 terms

  1. Deductible The dollar amount you must pay out-of-pocket for each claim before the insurance company begins paying.
  2. Denial An insurance company decision to withhold a claim payment or preauthorization. A denial may be made because the medical service is not covered, not…
  3. Dental Coverage Benefits that help pay for the cost of visits to a dentist for basic or preventive services, like teeth cleaning, X-rays, and fillings.
  4. Department of Health and Human Services (HHS) The federal agency that oversees CMS, which administers programs for protecting the health of all Americans, including Medicare, the Marketplace…
  5. Dependent A qualifying child or qualifying relative, other than the taxpayer or spouse, who entitles the taxpayer to claim a dependency exemption.
  6. Dependent Coverage Insurance coverage for family members of the policyholder, such as spouses, children, or partners.
  7. Disability A limit in a range of major life activities. This includes activities like seeing, hearing, walking and tasks like thinking and working.
  8. disclosure A disclosure document explains how a financial product or offering works. It also details the terms to which you must agree in order to buy it or use it…
  9. Discount Health Plan A “discount health plan” refers to a type of “buyers’ club” that specifically markets reduced-rate health care services.
  10. Disease managem ent A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and…
  11. Dividend See Dividends
  12. Doctor Visits For some plans, you can receive benefits like doctor visits before you meet your deductible.
  13. Domestic Partnership Two people of the same or opposite sex who live together and share a domestic life, but aren't married or joined by a civil union.
  14. Donut Hole, Medicare Prescription Drug Most plans with Medicare prescription drug coverage (Part D) have a coverage gap (called a "donut hole").
  15. Drug Formulary A list of drugs that an insurer will pay for. Drugs that are not on the formulary ("off-formulary") are sometimes covered but are more expensive (see…
  16. Drug List A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Also called a formulary.
  17. Durable Medical Equipment (DME) Equipment and supplies ordered by a health care provider for everyday or extended use.