Premium – This is the actual cost of your insurance plan. The amount you pay per semester for insurance coverage.
Deductible – The amount that you must pay out of your own pocket before the insurance company will pay the doctor or hospital, and is typically paid at the time of treatment.
Co-Pay – Like a deductible, this is the amount of money you must pay out of pocket before the insurance company begins to pay for your eligible expenses. Typically this is required instead of a deductible or coinsurance, and requires you to pay a set fee for a specific visit.
Coinsurance – A percentage of what the insurance will pay to cover your health care cost after any deductibles or copays have been met.
Provider Network – Group of medical providers that have contracted with the insurance company to provide health care services. In-network providers typically charge less for the same service compared to non-network providers, so using an in-network provider can save you money and they will usually accept direct payment from your insurance company.
Usual, Reasonable, and Customary – (URC) the average cost for a particular treatment in a particular geographic area. It is the amount that insurance companies use to describe the limit on how much they will pay for covered expenses.
Pre-existing conditions – include any injury or illness that you may have had 6 months prior to being covered under GBG’s insurance. Pre-existing conditions are not covered until after the covered person maintains 12 months of uninterrupted coverage from his/her effective date of coverage.
Repatriation of Remains – On most insurance plans, repatriation of remains covers the cost of returning the insured’s body back to their home country in case of death.
Emergency Medical Evacuation – provides medically necessary transportation to the nearest qualified medical facility