Dictionary
The Dictionary provides concise definitions of health economics terms, arranged alphabetically for quick reference. Use it to understand unfamiliar terminology or confirm the meaning of a specific term.
C
- CoinsuranceCo-insurance, Percentage Cost-Sharing
- Coinsurance is the percentage of the allowed cost of a covered healthcare service that an insured person pays under the plan's cost-sharing rules, commonly after satisfying the applicable deductible.
- Coinsurance MaximumCoinsurance Cap, Coinsurance Limit
- The highest total amount an insured person will pay in coinsurance within a defined period, beyond which the insurer covers everything further.
- Coinsurance RateCoinsurance Percentage, Cost-Share Rate
- The specific percentage of a covered service's cost an insured person is responsible for paying under a coinsurance arrangement.
- CopaymentCopay, Fixed Fee Cost-Share
- A cost-sharing form in which an insured person pays a fixed sum for a covered service, unlike coinsurance's percentage-based payment.
- Cost SharingCost-Sharing, Patient Cost Share
- The general term for the portion of healthcare costs an insured person pays directly, covering deductibles, copayments, and coinsurance.
- Cost Sharing DesignCost-Sharing Structure, Benefit Cost-Share Design
- The specific combination of deductibles, copayments, coinsurance, and out-of-pocket maximums selected for a plan, determining enrollees' overall financial exposure.
P
- Patient ResponsibilityPatient Financial Responsibility, Patient Liability
- The total amount a patient owes for services after insurance has been applied, covering any deductible, copayment, coinsurance, or non-covered amounts.