Health care providers receive reimbursement for services provided through third-party payers. Co-payments are fixed amounts paid by insured individuals. Understanding terms like deductibles, co-payments, and premiums is essential in navigating health insurance.
Reimbursement is the payment a health care provider receives from a third-party payer for services provided to a patient. This payment covers costs incurred by the provider. For example, in fee-for-service systems, providers are reimbursed based on the specific services rendered.
One of the key terms associated with health insurance is a co-payment, which is the fixed amount that an insured person must pay out of pocket for a particular visit or service. This cost-sharing mechanism helps in covering health care expenses.
Understanding these terms like deductibles, co-payments, and premiums is crucial for individuals navigating the complexities of health insurance and healthcare costs.
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