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Health Maintenance Organization Super Brokers Glossary

WebMedical Specialist — Definition, . A doctor with training in a specific medical field. Point of Service Plan — Definition, . A health insurance plan that combines the features of both …

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URL: https://www.superbrokers.ca/library/glossary/term/health-maintenance-organization

Canadian Health Insurance Cards

WebIn Canada, our health insurance cards give us access to the majority of personal health services that we need. It does this without the need for out-of-pocket expenses. …

Category:  Health Go Health

Private Health Services Plan Super Brokers Glossary

WebDefinition. A tax-deductible vehicle through which Canadian businesses can provide health and dental benefits for their employees. Benefits provided through a Private health …

Category:  Health Go Health

Private Healthcare Super Brokers Glossary

WebDefinition. Medical services provided by an entity that is not the government. In countries with a publically funded health care system, such as Canada, Japan or the United …

Category:  Medical Go Health

Two-Tier Healthcare Super Brokers Glossary

WebDefinition. A healthcare system where everyone can access a basic publically-funded healthcare program but for those who can afford it, they can access a more robust level …

Category:  Health Go Health

Health and Welfare Trust Super Brokers Glossary

WebDefinition. A tax-free method for corporations to provide health benefits to their employees. Introduced in 1986, health and welfare trusts (HWT) can be used in conjunction with …

Category:  Health Go Health

High Deductible Health Plan Super Brokers Glossary

WebDefinition. A health insurance plan that features low premiums and high deductibles. A high-deductible health plan, or HDHP for short, is used to cover catastrophic illnesses that …

Category:  Health Go Health

Preferred Provider Organization Super Brokers Glossary

WebA type of managed care health insurance system that gives participants a great deal of flexibility in their health care options. Unlike a health maintenance organization (HMO), …

Category:  Health Go Health

Group Life Insurance Super Brokers Glossary

WebDefinition. A life insurance policy purchased by an organization, such as an employer or labour union, and offered to its members. Usually offered as a part of a benefit package, …

Category:  Health Go Health

Co-insurance Super Brokers Glossary

WebDefinition. An insurance policy where both the insurer and the insured agree to split costs in a set ratio a claim is submitted. For example, if an individual has a 90/10 co-insurance …

Category:  Health Go Health

Disease Management Super Brokers Glossary

WebDisease Management Program (DMP) — Acronym, Dread Disease Rider — Definition, . Insurance that provides a benefit if the policyholder is diagnosed with an illness that is …

Category:  Health Go Health

Unallocated Benefit Super Brokers Glossary

WebUnallocated Benefit: A requirement for health insurance policyholders to pay reasonable hospital expenses out of pock

Category:  Health Go Health

Gatekeeper Super Brokers Glossary

WebDefinition. Someone who controls access to something. As it relates to health maintenance organizations (HMOs), a gatekeeper is a primary care physician (PCP) who directs the …

Category:  Health Go Health

Environmental Property Issues

WebEnvironmental Property Issues. Despite the old saying “what you see is what you get”, that is note always the case. When purchasing a property, there are issues to be aware of.

Category:  Health Go Health

Stop Loss Insurance Super Brokers Glossary

WebDefinition. An insurance policy that places an upper limit on the amount of coverage the insurer is willing to provide for insurance claims. Stop loss insurance policies typically …

Category:  Health Go Health

Usual, Customary and Reasonable Fees Super Brokers Glossary

WebDefinition. The fees that a medical treatment generally costs and how much an insurer is willing to pay for that treatment. Usual, customary and reasonable fees (UCR) are split …

Category:  Medical Go Health

Morbidity Rate Super Brokers Glossary

WebDefinition. A measure of the incidence rate or prevalence of a medical condition or disease. Used commonly in epidemiology and actuarial science, the morbidity rate, in addition to …

Category:  Medical Go Health

Long Term Care Insurance Super Brokers Glossary

WebDread Disease Rider — Definition, . Insurance that provides a benefit if the policyholder is diagnosed with an illness that is deemed serious or terminal. Elimination Period — …

Category:  Health Go Health

Fringe Benefit Super Brokers Glossary

WebDefinition. Compensation that is given to employees in addition to wages, tips, or salaries. Such benefits can include health insurance, life insurance, and pension plans. …

Category:  Health Go Health