{"aaData": [["ACCIDENT AND HEALTH INSURANCE", "
\nInsurance under which benefits are payable in case of disease,\naccidental injury, or accidental death.\n\n
\nA plan under which the insured has health insurance coverage from\nmore than one carrier.\n\n
\nAn organization that provides for a wide range of comprehensive\nhealth care services for a specified group at a fixed periodic\npayment. An HMO can be sponsored by the government, medical schools,\nhospitals, employers, labor unions, consumer groups, insurance\ncompanies, or hospital-medical plans. This plan may not cover medical\nexpenses incurred outside of the HMO physician network except on an\nemergency or referral basis.\n\n
\nA short-term policy protecting individuals as passengers on scheduled\nairline flights. It is generally obtained at airports.\n\n
\nThis plan con cover x-rays and labs performed in a hospital setting in\naddition to all other inpatient treatment. Does not cover professional\nfees.\n\n
\nAn organization in which a program administrator contracts with a \nnumber of pysicians who agree to provide treatment to subscribers in\ntheir own offices for a fixed capitation payment per month.\n\n
\nAn individual or group insurance policy designed to protect an essential\nemployee or employees of a firm against the loss of income resulting\nfrom disability. If desired, it may be written for the benefit of \nthe employer, who usually continues to pay the salary during periods \nof disability.\n\n
\nHealth insurance to finance the expense of major illnesses and\nappliances, and prescribed out-of-hospital treatment, drugs, and \nmedicines.\ninjuries. Major medical policies usually include a deductible\nclause, which means that the individual or another insurer \ncontributes toward the cost of the medical expenses. The\nlarger the deductible, the greater the savings in premium cost.\nAbove this initial deductible, major medical insurance is \ncharacterized by large benefit maximums, ranging up to $25,000\nor even beyond. The holder is reimbursed for the major part\nof all charges for the hospital, the doctor, private nurse, medical \n\n
\nA self-administered, self-insured program that is an agreement\nbetween the employer and the employee. The employee may choose\nthe provider. Once a procedure or service has been approved,\nthe physician is free to charge his or her regular fee.\n\n
\nA plan sponsored jointly by the federal and state governments for\npeople eligible for public assistance and some other low-income\npeople. Coverage and benefits vary widely from state to state.\n\n
\nAn independent, not-for-profit membership corporation providing\nprotection against the costs of hospital care (Blue Cross) and\nagainst the costs of surgery and other items of medical care\n(Blue Shield).\n\n
\nCalifornia's state governmental Medicaid policy. Pays secondary to Medicare.\n\n
\nA form of health insurance that provides benefits for medical care\non an outpatient basis. The company may limit the amount it will\npay per call or the total amount for all calls. It may also exclude\nthe first few calls made by the physician at the beginning of an\nillness.\n\n
\nThe hospital insurance system and supplementary medical insurance for \nthe aged created by the 1965 Amendments to the Social Security Act \nand operated under the provisions of the act. Benefits are also\nextended to the totally disabled and the blind.\n\n
\nThis program, also known as Medi-Medi, covers those persons\nprotected under both Medicare and Medicaid (or Medi-Cal).\n\n
\nThis is a standard MEDIGAP plan purchased individually as a\nsupplemental policy and is designed to cover amounts not covered \nby Medicare. These policies are not available to individuals \nnot covered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare\nare not covered by a supplemental plan. \n\n
\nAutomobile insurance that provides coverage against injury or other\nloss without the need to determine responsibility for an accident.\nCoverage and benefits vary widely; at present plans exist in many\nstates.\n\n
\nAn entity that serves as a broker to contract for comprehensive\nhealth care services, with both hospitals and physicians, on\nbehalf of an employer or other group of patients,\nat prearranged discounted rates or on a fee schedule.\n\n
\nA plan under which specified health services are rendered by\nparticipating physicians to an enrolled group of persons, with\nfixed periodic payments made in advance, by or on behalf of\neach person or family. If a health insurance carrier is\ninvolved, it contracts to pay in advance for the full range \nof health services to which the insured is entitled under\nthe terms of the health insurance contract. Such a plan is\none form of a Health maintenance organization.\n\n
\nA form of substandard or special class insurance that restricts\nbenefits to the insured's particular condition.\n\n
\nCoverage that provides benefits toward the cost of such services as\ndoctor fees for nonsurgical care in the hospital, at home, or in a\nphysician's office and x-rays or laboratory tests performed outside\nof the hospital.\n\n
\nPlan pays secondary to Medicare and covers co-insurance and deductibles\nnot paid by Medicare.\n\n
\nCoverage for health insurance applicants who cannot qualify for\na standard policy because of their health.\n\n
\nCoverage for risks or hazards of a special or unusual nature.\n\n
\nA policy that provides benefits, usually of large amounts, toward\nthe expense of the treatment of the disease or diseases named in \nthe policy.\n\n
\nInsurance against catastrophic illness.\n\n
\nA health insurance policy that provides benefits toward the doctor's\noperating fees. Benefits usually consist of scheduled amounts for\neach surgical procedure.\n\n
\nA contract that insures a person against on-the-job injury or\nillness. The employer pays the premium for his or her employees.\n\n
\nInsurance policy that pays only for labs, procedures, X-rays, etc.\n\n
\nA plan that is designed to protect against loss of income resulting\nfrom disability and/or major illness.\n\n
\nPrescription only coverage.\n\n
\nPlan which covers mental health care and substance abuse care.\n\n
\nA term used to indicate protection that provides benefits toward\nthe cost of any or all of the numerous health care services normally\ncovered under various health insurance plans.\n\n
\nA government-sponsored program that provides hospital and medical\nservices for dependents of active service, retired service personnel\nand their dependents, and dependents of deceased members who died in\nactive duty.\n\n
\nInsurance for patients who are retirees from the service. All\nautomatically receive TRICARE, and may select the supplemental\npolicy of their choice.\n\n
\nA comprehensive medical coverage plan purchased under a policy holder's\nautomobile policy which provides medical benefits when an individual is\ninvolved in an auto accident.\n\n
\nEmployer provided benefits that deduct the amount that any other\ninsurance pays for a service from the plan's allowed charge for the same\nservice and pays the difference after the patient pays the annual\ndeductible.\n\n
\nThe Civilian Health and Medical Program for the Veterans Administration\nis a health benefit plan for the families of veterans with 100% service\nconnected disabilities and the surviving spouse and/or children of a\nveteran who dies from a service connected disability.\n\n
\nThis is a plan for a group of retirees, purchased separately after they \nbecome Medicare eligible. All members in this plan are retired and \nMedicare eligible and the benefits are not supplemental to Medicare. \n\n
\nThis plan requires the selection of primary care physician\n and/or a primary care facility. Benefits will usually be paid to out of \nnetwork providers/facilities at a reduced rate. \n\n
\nAnother individual or organization may be at fault and responsible for\npayment (i.e. a health insurance company, a casualty insurance company,\nor another person in the case of an accident, etc.)\n\n
\nThis is a standard MEDIGAP plan purchased individually as a\nsupplemental policy and is designed to cover amounts not covered \nby Medicare. These policies are not available to individuals \nnot covered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare\nare not covered by a supplemental plan.\n\n
\nThis is a Standard MEDIGAP plan purchased individually as a supplemental \npolicy and is designed to cover amounts not covered by Medicare. These \npolicies are not available to individuals not covered by Medicare and \nare usually purchased directly by the individual and not through an \nemployer. Services not covered by Medicare are not covered by a \nsupplemental plan.\n\n
\nThis is a standard MEDIGAP plan purchased individually as a supplemental \npolicy and is designed to cover amounts not covered by Medicare. \nThese policies are not available to individuals not \ncovered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare \nare not covered by a supplemental plan.\n\n
\nA plan under which the insured and the insurer share hospital and\nmedical expenses resulting from illness or injury. Sometimes seen in\nmajor medical insurance.\n\n
\nThis is a standard MEDIGAP plan purchased individually as a\nsupplemental policy and is designed to cover amounts not covered \nby Medicare. These policies are not available to individuals \nnot covered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare\nare not covered by a supplemental plan.\n\n
\nThis is a standard MEDIGAP plan purchased individually as a\nsupplemental policy and is designed to cover amounts not covered \nby Medicare. These policies are not available to individuals \nnot covered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare\nare not covered by a supplemental plan.\n\n
\nThis is a standard MEDIGAP plan purchased individually as a\nsupplemental policy and is designed to cover amounts not covered \nby Medicare. These policies are not available to individuals \nnot covered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare\nare not covered by a supplemental plan.\n\n
\nThis is a standard MEDIGAP plan purchased individually as a\nsupplemental policy and is designed to cover amounts not covered \nby Medicare. These policies are not available to individuals \nnot covered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare\nare not covered by a supplemental plan. \n\n
\nThis is a standard MEDIGAP plan purchased individually as a\nsupplemental policy and is designed to cover amounts not covered \nby Medicare. These policies are not available to individuals \nnot covered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare\nare not covered by a supplemental plan.\n\n
\nThis is a standard MEDIGAP plan purchased individually as a\nsupplemental policy and is designed to cover amounts not covered \nby Medicare. These policies are not available to individuals \nnot covered by Medicare and are usually purchased directly by the \nindividual and not through an employer. Services not covered by Medicare\nare not covered by a supplemental plan.\n\n
\nThis is a plan for a group of retirees, purchased separately after they \nbecome Medicare eligible. All members in this plan are retired and \nMedicare eligible and the benefits are not supplemental to Medicare. \nThis plan includes Part B excess charges.\n\n
\nThis is a plan purchased as a supplement to Medicare. This\nplan is intended to help cover co-insurance/deductible amounts.\n\n
\nHIGH DEDUCTIBLE HEALTH PLAN\n\n
\nHIGH DEDUCTIBLE HEALTH PLAN W/HEALTH SAVINGS ACCOUNT\n\n
\nA policy designed to give the protection offered by both a basic\nand a major medical health insurance policy.\n\n
\nHIGH DEDUCTIBLE HEALTH PLAN W/HEALTH REIMBURSEMENT ARRANGEMENT\n\n
\nHEALTH MAINTENANCE ORGANIZATION W/OUT OF NETWORK BENEFITS\n\n
\nEXCLUSIVE PROVIDER ORGANIZATION\n\n
\nMEDICARE ADVANTAGE\n\n
\nVISION\n\n
\nPseudo plan - DO NOT BILL\n\n
\nA form of insurance that provides protectio against the costs of \ndiagnostic and preventive dental care as well as oral surgery,\nrestorative procedures, and therapeutic dental care.\n\n