Benefits Glossary
Search and learn about common benefit terms and definitions
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General Insurance
Coinsurance
General InsuranceYour share of costs after meeting your deductible. For example, you pay 20% and insurance pays 80%.
Copay (Co-payment)
General InsuranceA fixed amount you pay for a covered service, like $25 for a doctor visit.
Deductible
General InsuranceThe amount you pay out-of-pocket before your insurance starts paying for covered services.
Explanation of Benefits (EOB)
General InsuranceA statement from your insurance showing what was covered and what you owe for a claim.
In-Network
General InsuranceDoctors and facilities that have agreements with your insurance to provide services at lower rates.
Out-of-Network
General InsuranceProviders without agreements with your insurance. Using them typically costs more.
Out-of-Pocket Maximum
General InsuranceThe most you'll pay in a year. After reaching this, insurance covers 100% of covered services.
Premium
General InsuranceThe amount you pay each month for your insurance coverage.