This number is located on the detail portion of the statement and under the Detail tab in MyAtriumHealth.Įxplanation of Benefits (EOB): A statement from the health insurance company explaining what medical treatments and/or services were paid for on their behalf to include any patient responsibility. This number is located on the top right portion of your statement and under the Overview section in MyAtriumHealth.Īccount Number: Specific date of service or visit there are many account numbers under one Responsible Person Number. It will be the first insurance to kick in and handle medical bills related. Responsible Person Number: The number that shows your overall balance for each account/visit that is patient responsibility. When you are hurt on the job the work comp insurance is actually the primary payor. Uninsured: You are not covered by health insurance and your medical bills will be your financial responsibility. Premium: The amount you pay each month to keep your health insurance plan active. Policy: The contract between you and your insurance company that provides specific coverage details for the health plan you selected.
Out-of-pocket Costs: Your total expenses for medical care that are not paid by your health insurance plan. Open Enrollment: The period of time that qualified individuals can sign up for a health insurance plan or switch to a new plan. Out-of-network: Health care providers who have NOT agreed to the discounted rates. In-network: Health care providers who have contracted with your insurance company to accept certain negotiated (i.e., discounted) rates. You pay lower out-of-pocket costs if you go to doctors and hospitals that belong to your plan’s network. Network: A group of doctors and hospitals that participate in the same health insurance plan. It also provides information on programs that can help people pay for coverage. Health Insurance Marketplace: The Health Insurance Marketplace is a resource for individuals and families to shop for and enroll in a health insurance plan. Not every type of health insurance plan requires a copay.ĭeductible: The amount you have to spend on your medical care each year before your health insurance plan starts helping you pay. Co-insurance: A percentage of your medical bill that is shared by you and your insurance company after your deductible has been met.Ĭopay: A predetermined fee you pay for health care services in addition to what’s covered by insurance.
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