If I have questions completing an application, whom can I call? Please call us at (336) 725-4606 or (800) 830-4146 for any assistance you may need and speak to our Client Service Coordinator, Patty Bendig.

What is a co-payment?
A co-payment is a fixed dollar amount you pay for each
physician/service visit.

What is a deductible?
A deductible is the amount of annual medical expenses (excluding co-payments) that a health plan member must pay before the plan will begin to cover expenses. For example, if your plan has a $500 deductible, you will pay the first $500 of your medical expenses before your health plan begins paying the expenses.

What is coinsurance?
Coinsurance is the portion of medical costs that are shared by both the insured (the patient) and the insurer. For example, if you have an 80% to $5,000 coinsurance:

• The insurer is responsible for 80% of the next $5,000 in covered medical expenses.
  
• The insured is responsible for 20% of that same $5,000 in covered medical expenses.

What is the difference between an in-network and an out-of-network medical provider?
An in-network medical provider is within the approved network of providers for a particular health plan. Out-of-network providers are not on the list. If you visit a doctor within the network, the amount you will be responsible for paying will be less than if you go to an out-of-network doctor.

What is an HSA?
It’s an interest bearing account created to help you pay medical expenses. An HSA is designed to work with a high deductible health plan. The funds in your HSA can be used to help pay your deductible, coinsurance and any medical expenses not covered by your health plan. All of the money you contribute is tax deductible when used to pay for qualified medical expenses. An HSA is your account. It goes with you if you changes jobs or when you retire.

What is short-term health insurance?
Short-term health insurance is designed to fill temporary gaps in your “permanent” health insurance coverage. These policies are relatively inexpensive and can go into effect very quickly. Most short-term plans last for no more than six months.

What is health insurance trend?
Health insurance trend is an annual percentage increase in health insurance claim costs. The two primary components of health insurance trend are: (1) inflation of costs physicians and hospitals charge for health care services and (2) increases in the average utilization of these services.