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    Health insurance

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    • Health insurance by country

    • This piglix contains articles or sub-piglix about Health insurance by country


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    • Health insurance card

    • This piglix contains articles or sub-piglix about Health insurance card


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    • Health insurance companies

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    • Public dispensaries

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    • Universal healthcare

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    • Health insurance

    • Health insurance is insurance against the risk of incurring medical expenses among individuals. By estimating the overall risk of health care and health system expenses, among a targeted group, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to ensure that money is availabl ... Read »


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    • Accidental death and dismemberment insurance

    • In insurance, accidental death and dismemberment (AD&D) is a policy that pays benefits to the beneficiary if the cause of death is an accident. This is a limited form of life insurance which is generally less expensive. In the event of an accidental death, this insurance will pay benefits in addition to any life i ... Read »


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    • Balance billing

    • Balance billing, sometimes also called extra billing, is the practice of a healthcare provider billing a patient for the difference between what the patient's health insurance chooses to reimburse and what the provider chooses to charge. Advocates of balance billing argue that it increases the incomes of high-quality ... Read »


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    • Blue Cross Canada

    • The Canadian Association of Blue Cross Plans (CABCP) is an association of 7 regional not-for-profit health and travel insurance providers in Canada. The first Blue Cross Plan was offered to residents of Manitoba in 1939. The association is headquartered in Etobicoke, Ontario. Blue Cross Canada is linked to Blue Cross ... Read »


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    • Bupa Arabia

    • Bupa Arabia

      Bupa (pronounced /buːpə/) Arabia for Cooperative Insurance is a Saudi-owned and operated publicly traded company with SR 800 million in paid up capital. Bupa Arabia provides health insurance in accordance with the requirements of the Council of Cooperative Health Insurance and the Saudi Arabian Monetary Agency (S ... Read »


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    • Cadillac insurance plan

    • Informally, a Cadillac plan is any unusually expensive health insurance plan, usually arising in discussions of medical-cost control measures in the United States. The term derives from the Cadillac automobile, which has represented American luxury goods since its introduction in 1902, and as a health care metaphor dat ... Read »


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    • Cancer insurance

    • Cancer insurance is a type of supplemental health insurance that is meant to manage the risks associated with the cancer disease and its numerous manifestations. Cancer insurance is relatively new trend within the insurance industry at large. It is meant to mitigate the costs of cancer treatment and provide policyholde ... Read »


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    • Capitation (healthcare)

    • Capitation is a payment arrangement for health care service providers such as physicians or nurse practitioners. It pays a physician or group of physicians a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care. These providers generally are contracted with a t ... Read »


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    • Choosing Healthplans All Together

    • "Choosing Healthplans All Together" (CHAT) is the name given to a simulation exercise in which players decide which benefit types (e.g. hospitalization, consultations, tests, imaging, medicines, etc.) they would like to include in their health insurance package, and what level of service (basic or high) they prioritize ... Read »


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    • Community rating

    • Community rating is a concept usually associated with health insurance, which requires health insurance providers to offer health insurance policies within a given territory at the same price to all persons without medical underwriting, regardless of their health status. Pure community rating prohibits insurance rate ... Read »


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    • Cost sharing

    • In health care, cost sharing occurs when patients pay for a portion of health care costs not covered by health insurance. The "out-of-pocket" payment varies among healthcare plans and depends on whether or not the patient chooses to use a healthcare provider who is contracted with the healthcare plan's network. Example ... Read »


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    • Critical illness insurance

    • Critical illness insurance, otherwise known as critical illness cover or a dread disease policy, is an insurance product in which the insurer is contracted to typically make a lump sum cash payment if the policyholder is diagnosed with one of the specific illnesses on a predetermined list as part of an insurance policy ... Read »


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    • Defined contribution health benefits

    • A Defined Contribution Health Benefit is a consumer-driven health care arrangement in which employers choose a set dollar amount to contribute towards an employee’s healthcare. Under a Defined Contribution Health Plan the employee is responsible for researching and purchasing his or her own insurance policy. ... Read »


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    • Dental discount plan

    • A dental discount plan, also known as a referral plan, is a membership-based discount plan for dental health maintenance and intervention. In it, the patient pays the entire cost of a rate negotiated between the dentist and the referring company, usually between 10-60% of normal cost. These plans emerged as an alterna ... Read »


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    • Dental insurance

    • Dental insurance is designed to pay a portion of the costs associated with dental care. There are several different types of individual, family, or group dental insurance plans grouped into three primary categories: (1) Indemnity (generally called: dental insurance) that allows you to see any dentist you want who accep ... Read »


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    • Disability insurance

    • Disability Insurance, often called DI or disability income insurance, or income protection, is a form of insurance that insures the beneficiary's earned income against the risk that a disability creates a barrier for a worker to complete the core functions of their work. For example, the worker may suffer from an inabi ... Read »


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    • Electronic remittance advice

    • An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation. It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. The explanations include the denial codes and the descript ... Read »


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    • Federal Compulsory Medical Insurance Fund (Russia)

    • Federal Compulsory Medical Insurance Fund (Russian: Федеральный фонд обязательного медицинского страхования) is one of the state budget funds established to finance me ... Read »


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    • Guaranteed issue

    • Guaranteed issue is a term used in health insurance to describe a situation where a policy is offered to any eligible applicant without regard to health status. Often this is the result of guaranteed issue statutes regarding how health insurance may be sold, or to provide a means for people with pre-existing conditions ... Read »


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    • HBF Health Fund

    • HBF Health Limited

      HBF is a private health insurance company based in Perth, Western Australia. It is Western Australia’s largest health insurance provider and also offers general insurance products including motor, home and travel insurance. In 1941, HBF was established as the Metropolitan Hospitals Benefit Fund of Western Aus ... Read »


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    • Health cash plan

    • A health cash plan refers to health insurance products in the United Kingdom that helps people cover any everyday healthcare needs by providing cashback on a range of health benefits including dental and optical. Health cash plans are an affordable way to manage the increasing health costs that can affect a family. He ... Read »


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    • Aasandha

    • Aasandha (Dhivehi: އާސަންދަ) is the universal health insurance scheme of the Maldives. It is managed in a public-private partnership with Allied Insurance Company of the Maldives and began its services on the 1 January 2012. ... Read »


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    • National Health Insurance (Japan)

    • National Health Insurance (国民健康保険, Kokumin-Kenkō-Hoken?) is one of the two major types of insurance programs available in Japan. The other is Employees' Health Insurance (健康保険, Kenkō-Hoken?). National Health insurance is designed for people who are not eligible to ... Read »


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    • Health insurance mandate

    • A health insurance mandate is either an employer or individual mandate to obtain private health insurance instead of (or in addition to) a national health insurance plan. Australia's national health insurance program is known as Medicare, and is financed by general taxation including a Medicare levy on earnings; u ... Read »


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    • Health insurance premium index

    • The Health insurance premium index collects data on the evolution of premiums for compulsory and complementary health insurance and is the weighted average of the two sub-indices. By means of the Health insurance premium index, the effects of the evolution of premiums on the growth of households' disposable income can ... Read »


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    • Health-on-Line

    • Health-on-Line Company UK Limited ("health-on-line") was established in 2000 and is a private medical insurance company based in Bournemouth, United Kingdom. In 2012, Health-on-Line was acquired by AXA Insurance. ... Read »


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    • Integrated delivery system

    • An integrated delivery system (IDS) is a network of health care organizations under a parent holding company. Some IDS have an HMO component, while others are a network of physicians only, or of physicians and hospitals. Thus, the term is used broadly to define an organization that provides a continuum of health care s ... Read »


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    • Invalidity Insurance (Agriculture) Convention, 1933 (shelved)

    • Invalidity Insurance (Agriculture) Convention, 1933 (shelved) is an International Labour Organization Convention. It was established in 1933: Having decided upon the adoption of certain proposals with regard to compulsory invalidity insurance,... The concepts included in the convention were revised and included in I ... Read »


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    • Invalidity Insurance (Industry, etc.) Convention, 1933 (shelved)

    • Invalidity Insurance (Industry, etc.) Convention, 1933 (shelved) is an International Labour Organization Convention. It was established in 1933: Having decided upon the adoption of certain proposals with regard to compulsory invalidity insurance,... The concepts included in this convention were revised and included ... Read »


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    • Long-term care insurance

    • Long-term care insurance (LTC or LTCI) is an insurance product, sold in the United States, United Kingdom and Canada, that helps pay for the cost of long-term care. Long-term care insurance covers care generally not covered by health insurance, Medicare, or Medicaid. Individuals who require long-term care are generall ... Read »


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    • Managed care

    • The term managed care or managed healthcare is used in the United States to describe a group of activities ostensibly intended to reduce the cost of providing health care while improving the quality of that care ("managed care techniques"). It has become the essentially exclusive system of delivering and receiving Amer ... Read »


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    • Manitoba Blue Cross

    • Manitoba Blue Cross

      Manitoba Blue Cross is a not-for-profit health benefits provider headquartered in Winnipeg, Manitoba. Affiliated with the Canadian Association of Blue Cross Plans, Manitoba Blue Cross was founded in 1974. Its history, however, dates back to the 1938 when the Manitoba Hospital Services Association (a non-profit, hos ... Read »


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    • Maximum medical improvement

    • Maximum Medical Improvement (MMI) occurs when an injured employee reaches a state where his or her condition cannot be improved any further or when a treatment plateau in a person’s healing process is reached. It can mean that the patient has fully recovered from the injury or that the patient’s medical condi ... Read »


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    • Medical care ratio

    • Medical care ratio (MCR), also known as medical cost ratio, medical loss ratio, and medical benefit ratio, is a metric used in managed health care and health insurance to measure medical costs as a percentage of premium revenues. It is a type of loss ratio, which is a common metric in insurance measuring the percentage ... Read »


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    • Ontario Health Insurance Plan

    • The Ontario Health Insurance Plan (in French: Assurance-Santé de l'Ontario, and commonly known in both languages by the acronym OHIP, pronounced /ˈoʊhɪp/ OH-hip) is the government-run health insurance plan for the Canadian province of Ontario. OHIP is funded by a payroll deduction tax by residents who are g ... Read »


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    • Open Referral

    • Open Referral in private medical insurance refers to the practice of General Practitioner referring patients to any consultant with a particular speciality for treatment rather than explicitly naming a specific consultant. The insurance company will then choose a consultant that has the speciality specified from an app ... Read »


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    • Overseas Student Health Cover

    • Overseas Student Health Care is a compulsory health insurance product required by international students studying in Australia. OSHC is an insurance product that basically gives international students a level of insurance coverage that is based on the Australian Medicare system. Overseas Student Health Cover is commonl ... Read »


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    • Prescription analytics

    • Prescription analytics is the practice of analyzing consumers' prescription drug histories in order to provide useful information for health insurers. In the United States, two-thirds of health insurers use prescription history reports to help identify consumers who may prove expensive to insure, and to set prices or ... Read »


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    • Rajiv Gandhi Jeevandayee Arogya Yojana

    • Rajiv Gandhi Jeevandayee Arogya Yojana

      Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY) is a Universal health care scheme run by the Government of Maharashtra for the poor people of the state of Maharashtra who holds one of the 4 cards issued by the government; Antyodaya card, Annapurna card, yellow ration card or orange ration card. The scheme was first laun ... Read »


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    • Step therapy

    • In managed medical care step therapy is an approach to prescription intended to control the costs and risks posed by prescription drugs. The practice begins medication for a medical condition with the most cost-effective drug therapy and progresses to other more costly or risky therapies only if necessary. Also called ... Read »


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    • Stop-loss insurance

    • Stop-loss insurance is insurance that protects insurers against large claims. Stop-loss policies take effect after a certain threshold has been exceeded in claims. Insurance companies themselves, as well as self-insuring employers, purchase stop-loss coverage for a premium to protect themselves. In the case of a parti ... Read »


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    • Terminal illness insurance

    • Terminal Illness Insurance (known as Accelerated Death benefit in North America) pays out a capital sum if the policyholder is diagnosed with a terminal illness from which the policyholder is expected to die within 12 months of diagnosis, by a physician who specialises in that illness or condition. Terminal Illness In ... Read »


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    • Universal health care

    • Universal health care, sometimes referred to as universal health coverage, universal coverage, or universal care, usually refers to a health care system which provides health care and financial protection to all citizens of a particular country. It is organized around providing a specified package of benefits to all me ... Read »


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    • Utilization management

    • Utilization management (UM) is defined by the Institute of Medicine (IOM) Committee on Utilization Management by Third Parties (1989) as "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessment ... Read »


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    • Value-Based Insurance Design

    • Value-Based Insurance Design (a.k.a. V-BID, VBID, Evidence-Based Benefit Design, or Value-Based Benefit Design) is a demand-side approach to health policy reform. V-BID generally refers to health insurers’ efforts to structure enrollee cost-sharing and other health plan design elements to encourage enrollees to co ... Read »


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    • Vanbreda International

    • Vanbreda International

      Vanbreda International was a diversified cross-border health care insurance provider, headquartered in Antwerp, Belgium. Its core business was setting up and administering health insurance programmes and employee benefits for intergovernmental organisations, multinational corporations and their international workforce ... Read »


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