A cap on all lifetime benefits you can get from your insurance company for certain conditions. A health plan may have a lifetime limitation on benefits (for example. B a lifetime cap of $1 million) or restrictions on certain benefits (such as a lifetime cap of $200,000 for organ transplants or gastric bypass surgery per life) or a combination of both. After reaching a life limit, the insurance plan no longer pays for the services covered. The Health Act no longer allows for the limitation of lifespan to essential health care such as emergency services and hospitalizations. Services provided by a doctor or other healthcare provider with a contractual agreement with the insurance company and paid at a higher level of benefit. Glossary of Health Terms Health insurance is full of terms you may not be familiar with. To help you better understand health insurance, you will find here the list of the most used terms and definitions in the field of health. ABCDEFGHIJKLMMNOPQRSTUVWXYZ A Affordable Care Act A comprehensive law passed in 2010 that aimed to reform the U.S.

health care system to improve access and affordability for more Americans. Authorized fee The maximum amount that a health plan reimburses a physician or hospital for a given service. Annual deductible The amount you must pay each year before reimbursement begins through your health insurance plan. The deductible requirement does not apply to prevention services. Annual limit An insurance plan may limit the dollar amount it pays during a year for a given treatment or service or for all services provided in a year. B Benefits Health care or services covered by an insurance plan. Your insurance plan can sometimes be called a benefit package. C Disastrous Plan The Health Insurance Stock Exchange will have a disastrous plan option.

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