A to Z Guide for Health Insurance

A

1. Annual Premium: The total amount paid for health insurance coverage over a year.

2. Approved Provider: A healthcare provider, such as a hospital or clinic, that is approved by the insurance company to provide treatment under the terms of the policy.

3. Awareness Campaigns: Initiatives aimed at educating the public about health insurance options and benefits.

B

1. Beneficiary: A person designated to receive benefits from a health insurance policy.
   

2. Bupa: A leading health insurance provider in the UK, offering various health cover plans.

   
   

3. British Standard: Guidelines set by the British Standards Institution (BSI) that relate to health insurance products.
   
   

C

1. Capitation: A payment arrangement for healthcare service providers where they receive a set amount for each enrolled patient per period, regardless of whether that patient seeks care.

   
   

2. Chronic Condition: A health condition that persists over time, such as diabetes or heart disease; often requires long-term management.

   
   

3. Co-payment (Co-pay): A fixed amount you pay for a specific healthcare service, with the insurer covering the rest.
   
   

D

1. Day Patient: A patient who undergoes treatment or a procedure without being admitted to the hospital overnight.

   
   

2. Deductible: The amount you pay out-of-pocket for healthcare services before your insurance starts to pay.

   
   

3. Dependent: A person who is covered under another individual’s health insurance policy, such as a child or partner.
   
   

E

1. Excess: The amount you agree to pay towards a claim before the insurer covers the remainder.

   
   

2. European Health Insurance Card (EHIC): A card that entitles the holder to access state-provided healthcare during a temporary stay in other European Economic Area (EEA) countries and Switzerland.

   
   

3. Eligibility: The criteria that must be met to qualify for coverage under a particular health insurance plan.
   
   

F

1. Funding: The financial backing for your healthcare plan, which can come from private sources, employers, or directly from individuals.

   
   

2. Fully Underwritten Policy: A health insurance policy where the insurer assesses the applicant's medical history before providing coverage.
   
   

G

1. GP (General Practitioner): A doctor who provides primary healthcare services and is usually the first point of contact for patients.

   
   

2. Group Insurance: A health insurance plan provided by employers or organizations to cover multiple individuals under one policy.
   
   

H

1. Health Maintenance Organization (HMO): A type of health insurance that requires members to use a network of local providers.

   
   

2. Illness Benefit: A compensation provided to individuals who cannot work due to health conditions.

   
   

3. In-patient: A patient who is admitted to a hospital and stays overnight or longer for treatment.
   
   

M

1. Mandatory Requirements: Conditions that must be met to qualify for certain types of health insurance.

   
   

2. Medi-claim Insurance: A type of health insurance that provides coverage for medical expenses incurred due to hospitalization or treatment.
   
   

O

1. Out-patient: A patient who receives medical treatment without being admitted to a hospital.

   
   

2. Open Enrollment: A designated period each year when you can enroll in or make changes to your health insurance plan.

   
   

3. Owner's Manual: A document that outlines the details of a specific health insurance policy, covering benefits and conditions.
   
   

P

1. Policyholder: The individual or entity who owns an insurance policy.

   
   

2. Pre-existing Condition: A health issue or illness that existed before the start of a new health insurance policy.

   
   

3. Premium: The monthly or annual price paid for health insurance coverage.
   
   

Q

1. Quarantine: A period during which a patient may be isolated to prevent the spread of infection, often tied to insurance coverage of related medical costs.
   
   

R

1. Referral: When a GP or another healthcare provider directs a patient to a specialist or for further treatment.

   
   

2. Reimbursement: Payment by the insurance company to the insured for covered expenses incurred.

   
   

3. Risk Assessment: The evaluation conducted by an insurance provider to determine the likelihood of a policyholder claiming on their health insurance.
   
   

S

1. Self-Employed Health Insurance: Coverage options available for individuals who work for themselves and need private health insurance.

   
   

2. Sick Pay Insurance: Insurance that provides income support during periods of illness when the policyholder is unable to work.

   
   

3. Supplementary Insurance: Additional coverage that can be added to a basic health insurance policy for extended benefits.
   
   

T

1. Travel Insurance: A type of insurance that covers medical expenses and other losses while traveling overseas.

   
   

2. Waiting Period: The time period that must pass before certain benefits of a health insurance policy become active.

   
   

3. Whole Life Insurance: A type of life insurance that remains in effect for the insured's entire lifetime and often includes a savings component.
   
   

U

1. Underwriting: The process by which insurers assess the risk of insuring a person based on their medical history and other factors.
   
   

V

1. Voluntary Health Insurance: Private insurance that individuals can purchase to cover healthcare costs not covered by the National Health Service (NHS).
   
   

W

1. Wellness Coverage: Insurance benefits that emphasize preventive care and health promotion services, such as screenings and check-ups.

This glossary should help provide a better understanding of health insurance terminology in the UK context. If you have specific terms or concepts you'd like to explore further, feel free to ask!

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