Health Insurance Glossary
- Office Visit:
-
An office visit is the amount you pay when you see the doctor or dentist for routine care.
Examples for $100 office visit:- If the plan's office visit is $25, then you pay $25.
- If the plan's office visit is 30% before deductible, then you pay $30.
- If the plan's office visit is 35% after deductible, then, if you have not yet reached your deductible, you pay $100; if you have reached your deductible you pay $35.
Select higher amounts to lower your monthly premiums.
- Office Visit (IFP):
- Typically, an office visit is an outpatient visit to a physician's office for illness or injury.
- Open Enrollment Period:
- A time period during which eligible persons or eligible employees may opt to sign up for coverage under a group health insurance plan. During an open enrollment period, applicants typically will not be required to provide evidence of insurability.
- Out-of-network Care:
- Healthcare rendered to a patient outside of the health insurance company's network of preferred providers. In many cases, the health insurance company will not pay for these services.
- Out-of-pocket Costs:
- -see Maximum Out-of-pocket Costs.
- Out-of-Pocket Maximum:
- -see Maximum Out-of-pocket Costs.
- Outpatient:
- A term referring to a patient who receives care at a medical facility but who is not admitted to the facility overnight, or for 24 hours or less. The term may also refer to the healthcare services that such a patient receives.
- Outpatient Surgery:
- Typically, outpatient surgery is defined as any surgical procedure that does not require an overnight stay in a hospital.
- Over-the-counter (OTC) Drugs:
- Drugs that may be obtained without a prescription.
please note, however, that definitions of certain terms may vary across insurance companies.
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