The monies the insurance company pays to a healthcare provider for medical services to you if you become ill or injured. May also cover preventative care. Consult your health plan for information on their coverages.
See also
Claim: A request by you for payment by the insurance company of medical expenses that are covered under the insurance policy. The provider of a medical service will usually file a claim for you.
Co-insurance: The amount (typically a percentage) you are obligated to pay for covered medical services after you’ve satisfied any co-payment or deductible required by your health insurance plan.
Co-payment: The set or fixed-dollar amount you are required to pay each time a particular medical service is used. A co-payment for services may be $10 per visit.
