{"id":185,"date":"2022-07-06T23:27:02","date_gmt":"2022-07-06T23:27:02","guid":{"rendered":"http:\/\/www.healthplansamerica.org\/articles\/?p=185"},"modified":"2022-09-27T19:22:58","modified_gmt":"2022-09-27T19:22:58","slug":"the-top-five-health-insurance-terms-you-need-to-know","status":"publish","type":"post","link":"https:\/\/quotes.healthplansamerica.org\/articles\/?p=185","title":{"rendered":"The Top Five Health Insurance Terms You Need to Know"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-186\" src=\"\/wordpress\/wp-content\/uploads\/2022\/07\/iStock-864384892-2.jpg\" alt=\"\" width=\"5421\" height=\"3614\" srcset=\"\/wordpress\/wp-content\/uploads\/2022\/07\/iStock-864384892-2.jpg 5421w, \/wordpress\/wp-content\/uploads\/2022\/07\/iStock-864384892-2-300x200.jpg 300w, \/wordpress\/wp-content\/uploads\/2022\/07\/iStock-864384892-2-768x512.jpg 768w, \/wordpress\/wp-content\/uploads\/2022\/07\/iStock-864384892-2-1024x683.jpg 1024w, \/wordpress\/wp-content\/uploads\/2022\/07\/iStock-864384892-2-600x400.jpg 600w, \/wordpress\/wp-content\/uploads\/2022\/07\/iStock-864384892-2-450x300.jpg 450w\" sizes=\"auto, (max-width: 5421px) 100vw, 5421px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Health insurance terminology can be hard to follow at times, but we\u2019ve broken down the five most important ones to note:<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Premium <\/b><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">&#8211; while you pay a monthly bill for your health insurance, the cost of said premium doesn&#8217;t necessarily equate to the cost of the health care services.<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Deductible <\/b><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">&#8211; this is the out-of-pocket amount you must pay for health care services before your health insurance takes effect. Once you\u2019ve paid your deductible, you still may be required to pay copays or coinsurance until you hit your limit for those payments.<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Copayment <\/b><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">&#8211; also known as \u201ccopay\u201d is a fixed amount you pay for a service or medication. This is often the way health insurance companies will split the cost with you after you\u2019ve met your deductible.<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Coinsurance <\/b><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">&#8211; unlike copay, coinsurance is not a fixed cost. Instead, it\u2019s a percentage of the cost you pay for covered insurance until you reach your out-of-pocket maximum.<br \/>\n<\/span><\/span><\/span><\/span><b><\/b><b><br \/>\n<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Maximum out-of-pocket<\/b><span style=\"font-weight: 400;\"> &#8211; this is sometimes called the out-of-pocket limit, which is the most you would ever have to pay for health care services in a year. Every dollar you pay toward your deductible, copayment, or coinsurance counts toward your out-of-pocket limit. Monthly premiums, on the other hand, don\u2019t count.<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Having an understanding of these terms will help you make better choices surrounding your health insurance. With the help of <\/span><b>Health Plans of America<\/b><span style=\"font-weight: 400;\">, looking for the right health insurance is hassle-free. Get connected with a licensed insurance agent to find a health care plan that works for you and your budget.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Health insurance terminology can be hard to follow at times, but we\u2019ve broken down the five most important ones to note: Premium &#8211; while you pay a monthly bill for your health insurance, the cost of said premium doesn&#8217;t necessarily equate to the cost of the health care services. Deductible &#8211; this is the out-of-pocket amount you must pay for health care services before your health insurance takes effect. Once you\u2019ve paid your deductible, you still may be required to pay copays or coinsurance until you hit your limit for those payments. Copayment &#8211; also known as \u201ccopay\u201d is a fixed amount you pay for a service or medication. This is often the way health insurance companies will split the<\/p>\n<div><a class=\"read-more\" href=\"https:\/\/quotes.healthplansamerica.org\/articles\/?p=185\"> Read More<\/a><\/div>\n","protected":false},"author":3,"featured_media":186,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-185","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=\/wp\/v2\/posts\/185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=185"}],"version-history":[{"count":12,"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=\/wp\/v2\/posts\/185\/revisions"}],"predecessor-version":[{"id":216,"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=\/wp\/v2\/posts\/185\/revisions\/216"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=\/wp\/v2\/media\/186"}],"wp:attachment":[{"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quotes.healthplansamerica.org\/articles\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}