Learn about the calendar year deductible in health insurance—how it works and its importance no matter how many claims are made within a calendar year.
Learn about the customary charge, the average cost of medical procedures used to determine Medicare benefits, and its impact on health insurance.
Learn about Medicare supplement insurance, an essential adjunct that helps cover deductibles and co-payments not covered by Medicare. Explore how it works, what it covers, and how to choose the right plan for you.
Learn about reasonable and customary charges in health insurance, what they mean for your healthcare costs, and how they relate to provider charges and Medicare-approved costs.
Learn about the Explanation of Medicare Benefits, a statement mailed to Medicare participants detailing the payment for their claims. Find out how it informs beneficiaries about covered services and payments.
Learn about the Relative Value Schedule in health insurance. Discover how it lists surgical costs and values, providing an accurate fee for each procedure.
Learn what the average semi-private rate means in health insurance. Discover how this charge is determined for semi-private hospital rooms in your area.
Learn about the 'Fee Schedule' in health insurance, which outlines the maximum charges for providers operating on a fee-for-service basis.
Learn about Relative Value Unit (RVU) - a vital metric used in health insurance to determine surgical costs and values through multiplication with a conversion factor.
Understand the concept of fee maximum in health insurance, which refers to the maximum fee available to a health care professional for a service provided under a contract.
Learn about the out-of-pocket limit in health insurance, a critical factor that determines the maximum coinsurance you have to pay before your insurer covers all expenses. Find out how it affects your policy and overall costs.
