Knowledge - Page 19

Coverage restrictions refer to limitations or conditions imposed by health insurance plans on the scope of coverage for certain medical services, treatments,

The Coverage Gap, also commonly known as the “Donut Hole,” is a temporary phase in Medicare Part D prescription drug plans where

Cost-sharing is a fundamental concept in healthcare that involves the division of medical expenses between the insured individual and the insurance provider.

A Cost Plan is a type of health insurance plan that offers a unique combination of Original Medicare (Part A and Part

A copayment, often referred to as a “copay,” is a fixed amount that an insured individual is required to pay at the

Coordination of Benefits (COB) is a process used by insurance companies to determine how multiple health insurance plans should work together to

Coinsurance is a cost-sharing mechanism in healthcare where the insured individual is responsible for paying a percentage of covered medical expenses, while

COBRA, or the Consolidated Omnibus Budget Reconciliation Act, is a federal law that allows eligible individuals to continue their group health insurance

The CMS Star Rating is a quality rating system implemented by the Centers for Medicare & Medicaid Services (CMS) to assess and

In the healthcare context, a claim is a formal request submitted by a healthcare provider to an insurance company, Medicare, or Medicaid