Knowledge - Page 17

Extra Benefits, also known as supplemental benefits or value-added services, are additional perks offered by some health insurance plans beyond the standard

An Explanation of Benefits (EOB) is a detailed statement that health insurance providers send to their beneficiaries after a medical service or

An Expedited Appeal is a specialized process that allows individuals to request a faster review of their appeal for a healthcare coverage

Excess Charge refers to the additional amount that a healthcare provider may bill a patient for medical services in the context of

An Exception Request, also known as a formulary exception or coverage exception, is a formal process through which individuals can seek approval

Evidence of Coverage (EOC) is a comprehensive document that provides essential information about the terms and conditions of a health insurance plan.

Enrollment periods refer to specific timeframes during which individuals can enroll in or make changes to their health insurance coverage. These periods

End-Stage Renal Disease (ESRD) is a serious and advanced stage of chronic kidney disease (CKD) in which the kidneys are severely damaged

Durable Medical Equipment (DME) refers to a category of specialized medical devices and equipment designed to provide therapeutic benefits and support individuals

Dual-eligible individuals, also known as “dual eligibles,” are individuals who qualify for both Medicare and Medicaid benefits. This unique status grants them