Related Words

Out-Of-Pocket: Copayments, deductibles or fees paid by participants for health services or prescriptions.

Out-Of-Pocket Maximum: A predetermined limited amount of money that an individual must pay out of their own savings, before an insurance company or (self-insured employer) will pay 100 percent for an individual's . . . View Full Definition

Annual Out-Of-Pocket Maximum: The most a plan member will pay per year for covered health expenses before the plan pays 100% of covered health expenses for the rest of that year.

Indemnity Plan: A type of health benefits plan under which the covered person pays 100% of all covered charges up to an annual deductible. The health benefits plan then pays a percentage of covered charges . . . View Full Definition

Exclusive Provider Organization (EPO): A healthcare benefit arrangement that is similar to a preferred provider organization in administration, structure, and operation, but which does not cover out-of-network care.

Preferred Provider Organization (PPO) Plan: A specific type of CIGNA health plan with a national network of physicians. Plan members can visit physicians both in and out of the network, and can visit specialists without a referral. Me . . . View Full Definition

Medical Savings Accounts (MSA): Savings accounts designated for out-of-pocket medical expenses. In an MSA, employers and individuals are allowed to contribute to a savings account on a pre-tax basis and carry over the unus . . . View Full Definition

Rural Rental Assistance: Section 521 rental assistance available through the Rural Housing Service reduces out-of-pocket cash that very-low-income and low-income families pay for rent, including utilities.

Health Care Flexible Spending Account (FSA): A benefit plan designed to allow employees to set aside pre-tax dollars to pay for eligible medically related expenses, such as medical, vision or dental exams, copays and deductibles, as we . . . View Full Definition

Reimbursement: Payment made to someone for out-of-pocket expenses has incurred.