A–Z Glossary

Deductible

A deductible is the amount a person or family pays for eligible covered services before insurance begins sharing costs.

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Insurance coverage and out-of-pocket costs

Insurance coverage and out-of-pocket costs

Why birth coverage can feel confusing Birth is a medical event, a hospital or birth center encounter, and the beginning of a newborn’s own medical record. That combination makes billing more complex than many routine health visits. A single labor admission may include professional fees from an obstetrician or midwife, a facility charge, medications, fetal […]

Financial planning for childbirth settings

Financial planning for childbirth settings

Start with the full episode of care Financial planning for childbirth settings should begin with the whole perinatal episode, not only the day of birth. The budget usually includes prenatal visits, screening tests, ultrasounds, laboratory work, medications, childbirth education, delivery care, newborn evaluation, postpartum visits, lactation support, pelvic floor rehabilitation if needed, and sometimes mental […]

Pediatric visit costs explained

Pediatric visit costs explained

What a pediatric visit may cost There is no single national price for a pediatric visit. The charge depends on the clinician’s coding level, the complexity of the evaluation, geographic region, practice overhead, and whether care occurs in an independent office, hospital outpatient department, urgent care center, or emergency department. A brief established-patient check may […]

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 […]