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  • Maximum out-of-pocket limit

    Maximum out-of-pocket limit is the maximum amount that an insured individual or an insured family would have to pay in a given year for the share of the cost of covered medical expenses . Once a maximum out-of-pocket limit is reached, the insurance company (the insurer) pays all additional covered medical ...   Read More
 
 
  • Medical Emergency

    Medical Emergency means a sudden onset of a medical condition or psychiatric condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical or psychiatric attention could reasonably result in:

    • Permanently placing your health in jeopardy, or
    • Causing other serious medical or psychiatric consequences, or
    • causing serious impairment to ...   Read More
 
 
  • Medicare Advantage Plans

    Medicare Advantage Plans are health plan options that are part of the Medicare program. If you join one of these plans, you generally get all your Medicare-covered health care through that plan. This coverage can include prescription drug coverage. Medicare Advantage Plans include:
    • Medicare Health Maintenance Organization (HMOs)
    • Preferred Provider Organizations ...   Read More
 
 
  • Medicare Supplement Plans

    A Medicare Supplemental (Medigap) policy is health insurance sold by private insurance companies to fill the “gaps” in Original Medicare Plan coverage. Medicare has several gaps and doesn't pay for all of the health care services you may need. Medicare Supplement policies help pay some of the health care ...   Read More

 
 
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