Area of cover: The geographical region specified in a health insurance policy where you can have medical treatment.
Deductible or excess: A pre-agreed amount you pay each year for eligible treatment before your health insurance policy starts to pay any benefit.
In-patient treatment: Any medical service that requires admission into a hospital.
Out-patient treatment: Any medical service that does not require admission into a hospital.
Pre-existing conditions: Any health condition that a person has, or has had, prior to enrolling for health insurance.
Provider network: insurance companies have networks of medical providers (hospitals, clinics, doctors etc.) Typically:
- if you use a network provider the cost of treatment will be settled directly by the insurer
- if you don’t use a network provider you have to pay for treatment and submit a claim for reimbursement