Glossary

The amount you owe for covered healthcare services before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won’t pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.

A person eligible for coverage under a benefits plan because of that person's relationship to the primary member. Spouses and children are often eligible for dependent coverage.

A non-group member who pays his or her insurance premium directly to BCBSKS.

Identifying a patient's healthcare needs after discharge from inpatient care.

Voluntary programs which give members the information and support needed to live well with chronic conditions. These programs help members understand their doctors' instructions and improve the way they care for themselves every day.

Voluntarily terminating one's participation in a health benefits plan.

This provision applies to covered group employees (or family members of the employee) who are eligible for benefits from another group healthcare plan. Duplication of benefits coordination is conducted to make sure members do not profit by receiving payment from more than one source.

Equipment and supplies ordered by a health provider for every day or extended use. Coverage for DME may include: oxygen equipment, wheelchairs, crutches or blood testing strips for diabetics.