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Health Insurance Glossary

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Office Visit:
An office visit is the amount you pay when you see the doctor or dentist for routine care.

Examples for $100 office visit:
  • If the plan's office visit is $25, then you pay $25.
  • If the plan's office visit is 30% before deductible, then you pay $30.
  • If the plan's office visit is 35% after deductible, then, if you have not yet reached your deductible, you pay $100; if you have reached your deductible you pay $35.

Select higher amounts to lower your monthly premiums.

Office Visit (IFP):
Typically, an office visit is an outpatient visit to a physician's office for illness or injury.
Open Enrollment Period:
A time period during which eligible persons or eligible employees may opt to sign up for coverage under a group health insurance plan. During an open enrollment period, applicants typically will not be required to provide evidence of insurability.
Out-of-network Care:
Healthcare rendered to a patient outside of the health insurance company's network of preferred providers. In many cases, the health insurance company will not pay for these services.
Out-of-pocket Costs:
-see Maximum Out-of-pocket Costs.
Out-of-Pocket Maximum:
-see Maximum Out-of-pocket Costs.
Outpatient:
A term referring to a patient who receives care at a medical facility but who is not admitted to the facility overnight, or for 24 hours or less. The term may also refer to the healthcare services that such a patient receives.
Outpatient Surgery:
Typically, outpatient surgery is defined as any surgical procedure that does not require an overnight stay in a hospital.
Over-the-counter (OTC) Drugs:
Drugs that may be obtained without a prescription.

please note, however, that definitions of certain terms may vary across insurance companies.

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