Glossary of Terms


Balance Billing

A balance billing is an invoice from your health care provider or facility for your share of covered expenses. This is typically sent after your claim has been processed and the plan has paid its benefit.

Benefits Summary

The benefits summary is a chart that provides highlights of the plan’s coverages and benefits – in other words, what the plan covers and how you and the plan share costs for covered services.

Brand-name Drug; Brand Drug

A brand-name drug is a medicine made by the pharmaceutical company that developed and patented it. (See Preferred brand-name drug and Non-preferred brand-name drug).

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