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Name of the person who is eligible for the covered service.
A unique number assigned to you by the insurance company so that they can identify you.
The group plan number is the number your employer is given to identify their employer is given to identify their employee health insurance policy. A group number is issued when your health insurance is privided through your employer.
Prescription Bank Identification Number is a number that tells the pharmacy database which Pharmacy Benefit Manager (PBM) will receive the claim for a particular prescription. Note, despite the name, banks (financial institutions) are not involved in the insurance billing process.
A fixed amount that a person has to pay for medical office visits. This is an initial payment for service, no matter what the service is for.
The health care services that patients receive when they need urgent medical care and visit an emergency room.
The health care services that patients receive when they need urgent medical care and visit an emergency room.
The urgent care co-pay is the fixed amount it will cost to see a doctor at an urgent care facility.
Prescription Bank Identification Number is a number that tells the pharmacy database which Pharmacy Benefit Manager (PBM) will receive the claim for a particular prescription. Note, despite the name, banks (financial institutions) are not involved in the insurance billing process.
Your card might have a label like HMO, PPO, HSA, Open, or another word to describe the type of plan you have. These types of plans cater to different needs. For more information, find an expert to ask in our Find Help section.
The name of a child, disabled adult or spouse covered by your insurance plan.
An individual deductible is the amount of money an individual must pay for health care before the insurance company will begin paying. In a family, an individual has to meet their individual copay before insurance will start paying for the services they use, even if another member of the family has already met their own individual copay and getting services paid for.
A family deductible is the amount of money a family must collectively spend on health care before the insurance company will start contributing to the health care usage of all members of the family. For large families, this number is much smaller than the total of all of their individual copays added up.
Your share of the costs of a covered health care service, given as a percent (for example, 20%) of the allowed amount for the service. For any particular doctor's visit, medicine, or procedure, you pay coinsurance plus any deductibles you owe.
This is the date that insurance an insurance plan begins.