A–Z Glossary

Balance Billing

Balance billing occurs when an out-of-network provider bills a patient for amounts beyond the insurer’s allowed payment.

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Understanding Pediatric Bills, Copays and Deductibles

Understanding Pediatric Bills, Copays and Deductibles

The Basic Language of Pediatric Cost Sharing Health insurance cost sharing describes the portion of covered healthcare expenses that a family pays directly. The main terms are related but not interchangeable. Premium: the recurring amount paid to maintain insurance coverage. A premium is generally owed whether or not your child receives care. Copay: a fixed […]