Health Insurance terms starting with O

15 terms

  1. Open Enrollment The time (usually a preset two-week or one-month period annually) when you can change health plans under your employer's group plan.
  2. Open Enrollment Period The period of time during which individuals who are eligible to enroll in a Qualified Health Plan can enroll in a plan in the Marketplace.
  3. Original Medicare Original Medicare is fee-for-service coverage under which the government pays your health care providers directly for your Part A (Hospital Insurance)…
  4. Out-of-Network Co-Insurance The percent (for example, 40%) you pay of the allowed amount for covered health care services to providers who do not contract with your health insurance…
  5. Out-of-Network Co-Payment A fixed amount (for example, $30) you pay for covered health care services from providers who do not contract with your health insurance or plan.
  6. Out-of-Network Coinsurance The percentage (for example, 40%) you pay of the allowed amount for covered health care services to providers who don't contract with your health…
  7. Out-of-Network Copayment A fixed amount (for example, $30) you pay for covered health care services from providers who don't contract with your health insurance or plan.
  8. Out-of-network provider For health plans that utilize an HMO or PPO, a health care provider (such as a hospital or doctor) that is not contracted to be part of the HMO or PPO…
  9. Out-of-Pocket The amount of money you pay for medical services after insurance has paid its contribution.
  10. Out-of-Pocket Costs Your expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered…
  11. Out-of-Pocket Estimate An estimate of the amount that you may have to pay on your own for health care or prescription drug costs.
  12. Out-of-Pocket Limit The most you pay during a policy period (usually a year) before your health insurance or plan begins to pay 100% of the allowed amount.
  13. Out-of-Pocket Maximum The most you will have to pay in a year for deductibles and coinsurance for covered benefits.
  14. Out-of-pocket maximum/limit The most you pay during a policy period (usually one year) before your health insurance or plan starts to pay 100% for covered essential health benefits.
  15. Over-the-Counter Drug You don't need a prescription to obtain over-the-counter drugs.