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Emergency Services

Evaluation of an emergency medical condition and related treatment to keep the condition from getting worse.

Group Health Insurance
Medical
Ancillary/Supplemental Health

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Examples IRL

Emergency services

HealthCare.gov web page
https://www.healthcare.gov/glossary/emergency-services/

Related Terms

Appeal

An Appeal is a request from you for your health insurer or administrator to review a decision that denies a benefit or payment (or pays a lower-than-expected amount toward the billed charge for a medical service or treatment). An Appeal...
Balance Billing

Balance Billing occurs when a provider sends you a bill for the difference between a provider’s charge for a covered service or treatment and the insurance company’s Allowed Amount. For example, if the provider’s charge is $100.00 and the allowed...
Coinsurance
Co-insurance

Coinsurance is your share of the costs for covered health care services. It is calculated as a percentage (for example, 20%) of the allowable amount for the service. You pay the coinsurance amount plus your plan deductible (if not already...

Further Reading & Resources

https://www.sutterhealth.org/services/emergency
https://www.uhc.com/member-resources/where-to-go-for-medical-care/urgent-care-vs-er

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Network

The health care facilities, providers, and suppliers contracted with your health insurer to provide services to members.

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Categories

Affordable Care Act13
Copayment1
Health Insurance26
HSA1
Compliance5
Group Health Insurance64
Medical68
Ancillary/Supplemental Health36
Uncategorized5

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