Sign In
Contact
Search
Our Customer Care unit is standing by to serve you. Office hours are Monday to Friday, 9 AM to 6 PM EST
ISO
150 West 30th Street, Suite 1101
New York, NY 10001
 
Phone:
(800) 244-1180
Fax:
(212) 262-8920
ISO
150 West 30th Street, Suite 1101
New York, NY 10001
Office hours are Monday to Friday, 9 AM to 6 PM EST
Phones

Toll free:

(800) 244-1180

Toll free phone

(800) 244-1180

General phone

(212) 262-8922

Reset Password

Not a member yet?

E-mail subjects

Insurance Dictionary

The terms below are an explanation of key terms and are not necessarily the terms used in ISO plans. In case of any contradiction, the terms provided in the policies will prevail. If you are still not clear about a term, please do not hesitate to contact an ISO Customer Service and ask. We want you to be familiar with the key terms and understand them.

ABCDEFGHIJKLMNOPQRSTUVWXYZ
Our Customer Care unit is standing by to serve you. Office hours are Monday to Friday, 9 AM to 6 PN EST
ISO
150 West 30th Street, Suite 1101
New York, NY 10001
Phone:
(800)244-1180
Fax:
(212)262-8920
A B C ...
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
A
Accident

An additional cash benefit to be paid to the insured person or his beneficiaries (usually family members) if an accident causes either the death of the insured or to lose body parts.

Accidental Death & Dismemberment (AD&D)

Excessive and self-damaging use of drugs and alcohol, leading to addiction or dependence, including serious physical and mental damage, or death.

Alcoholism or drug abuse

The ratio (%) of splitting a bill between the insurance company and you. 80% for the first $5,000 means the insurance company will pay $4,000 and you are responsible for the remaining $1,000.

B
Benefits

The ratio (%) of splitting a bill between the insurance company and you. 80% for the first $5,000 means the insurance company will pay $4,000 and you are responsible for the remaining $1,000.

C
Co-insurance

The fee you pay for certain medical services. For example, you may pay $30 to fill a prescription and the health plan covers the balance of the charges.

Co-pay

The fee you pay for certain medical services. For example, you may pay $30 to fill a prescription and the health plan covers the balance of the charges.

Coverage in/out a PPO network

The dollar amount of covered expenses you are responsible to pay the physician or hospital before the policy will pay any benefits. Deductible per event means you are responsible to pay the deductible once for each sickness or accident. If you return to the physician or hospital for the same sickness or accident, you do not have to pay the deductible again.

Covered person

The dollar amount of covered expenses you are responsible to pay the physician or hospital before the policy will pay any benefits. Deductible per event means you are responsible to pay the deductible once for each sickness or accident. If you return to the physician or hospital for the same sickness or accident, you do not have to pay the deductible again.

D
Deductible

The date specified on your certificate of insurance as the beginning of coverage.

Dependent

A planned treatment/surgery that is subject to choice (election) and not involved in a medical emergency.

E
Effective date

Most plans cover emergency care in a hospital emergency room if it is an extremely urgent medical emergency, even if the hospital you are taken to is not in the plan's network.

Elective treatment/surgery

A method in which doctors and other health care providers are paid for each service performed.

Emergency care

A health plan offered by an employer or employee organization that provides health coverage to employees and their families.

F
Fee for service

A health plan offered by an employer or employee organization that provides health coverage to employees and their families.

G
Group health plan

A policy that allows you to choose any doctor or hospital and is not limited to a specific PPO. The service you received, if eligible, will be covered by the terms of the policy.

H
Hospitalization

A policy that allows you to choose any doctor or hospital and is not limited to a specific PPO. The service you received, if eligible, will be covered by the terms of the policy.

I
Indemnity insurance

The total amount payable by the insurance company for covered medical expenses due to injury or sickness per policy lifetime.

Insured person

The total amount payable by the insurance company for covered medical expenses due to injury or sickness per policy lifetime.

M
Maximum lifetime medical benefits

Transferring the insured person to the nearest hospital or medical facility in case of an emergency injury or sickness or back to his home country.

Maximum per injury or sickness

Transferring the insured person to the nearest hospital or medical facility in case of an emergency injury or sickness or back to his home country.

Medical evacuation

Transferring the insured person to the nearest hospital or medical facility in case of an emergency injury or sickness or back to his home country.

N
Non–preferred provider

A medical treatment received without being admitted to a hospital.

O
Out-of-pocket maximum

A medical treatment received without being admitted to a hospital.

Outpatient treatment

A network of doctors, clinics, hospitals and related medical service providers who are organized under the PPO to provide health care at a discounted or negotiated rate.

P
Physician

A network of doctors, clinics, hospitals and related medical service providers who are organized under the PPO to provide health care at a discounted or negotiated rate.

PPO or Preferred Provider Organization

A specified amount of money that the insurer receives in exchange for its promise to provide health insurance to an individual or a group.

Pre-existing condition

A type of specified expense coverage that provides benefits for the purchase of drugs and medicines prescribed by a physician and not available over-the-counter. Often a plan will provide a prescription drug card that allows the insured to obtain medications by simply paying the co-pay at a participating pharmacy.

Premium or monthly rate

A type of specified expense coverage that provides benefits for the purchase of drugs and medicines prescribed by a physician and not available over-the-counter. Often a plan will provide a prescription drug card that allows the insured to obtain medications by simply paying the co-pay at a participating pharmacy.

Prescription drug coverage (Rx)

A type of specified expense coverage that provides benefits for the purchase of drugs and medicines prescribed by a physician and not available over-the-counter. Often a plan will provide a prescription drug card that allows the insured to obtain medications by simply paying the co-pay at a participating pharmacy.

Q
Qualified service provider

A licensed doctor, laboratory, nurse or hospital. Many plans will limit you to a list of doctors and hospitals organized under a PPO. This is a list of doctors and other service providers who agree to negotiated (and much lower) rates for their services. They, in exchange, get referrals from the insurance company. Better plans allow you to visit any licensed doctor or hospital.

R
Reasonable and customary charges

The act of harming oneself on purpose in order to take advantage of being injured.

Repatriation

An illness, disease or condition of the insured for which he/she incurs medical expenses while covered under the Policy. All related conditions and recurrent symptoms of the same or similar condition will be considered one Sickness.

S
Self-inflicted injury

An illness, disease or condition of the insured for which he/she incurs medical expenses while covered under the Policy. All related conditions and recurrent symptoms of the same or similar condition will be considered one Sickness.

Sickness

An illness, disease or condition of the insured for which he/she incurs medical expenses while covered under the Policy. All related conditions and recurrent symptoms of the same or similar condition will be considered one Sickness.

Specialist

A physician whose practice is limited to a particular branch of medicine or surgery. For example: Eye specialist.

Sports injury

The act of intentionally causing one's own death.

Student Health Center (SHC)

The act of intentionally causing one's own death.

Suicide

The act of intentionally causing one's own death.

T
Travel insurance

Insurance that covers medical expenses, financial default of travel suppliers, and other losses incurred while traveling. Travel insurance coverage is usually provided for a limited time.

U
Underwriter (carrier)

The insurance company, the Insurer. The party to an insurance arrangement who undertakes to indemnify for losses, provide pecuniary benefits, or render services.

V
Vision coverage

An electromagnetic image often used to diagnose illnesses or injuries.

W
Wellness and preventive care

The maximum the insurance will provide for treatments or services per policy year.

X
X-ray

The maximum the insurance will provide for treatments or services per policy year.

Y
Yearly/annual maximum

The maximum the insurance will provide for treatments or services per policy year.