• Co-pay: a fixed amount that you owe each time you receive care from a provider in your covered network
  • Deductible: the portion that you must pay before your medical or vision plan will begin to pay their portion of health expenses
  • Exclusion: medical or vision service that is not covered by your plan
  • Network: a group of providers that have agreed to provide care to a particular plan’s members for pre-set fees below their normal fees
  • Out-of-network: providers who have not contracted to provide services to a particular plan’s members for reduced fees
  • Provider: a health care professional that provides services to patients