Glossary
What does that even mean?
A quick reference guide to benefits insurance terminology.
Payroll Contributions
The amount you pay out of each payroll for your share of insurance plan premiums.
Premium
The gross monthly cost of each benefit insurance product.
Deductible
The amount you pay out-of-pocket prior to the plan beginning payments. Typically, a deductible does not include copayments.
Embedded Deductible
If you enroll dependents, each person has their own deductible to satisfy until the family collectively meats their family deductible maximum.
Non-Embedded Deductible
If you cover dependents, the individual deductible does not apply. Rather, each person’s inititial expenses combine and accumulate towards a family deductible.
Copay
A small charge amount you pay at the place of medical, pharmacy, dental, or vision services.
Coinsurance
A percentage of shared expense between you and the plan before the plan begins paying 100% of all charges.
Out-of-Pocket-Maximum
A specific dollar amount, after which the insurance plan begins paying 100% of charges for the remainder of the plan year. All out-of-pocket expenses, including copays, deductibles, and your coinsurance combine to accumulate towards the out-of-pocket maximum.
Premium
The gross monthly cost of each benefit insurance product.
PPO
Preferred Provider Organization. Specifically, the list of providers contracted with the plan to provide care at contracted discounts off regular billed charges.
HPN
High-performance Network (HPN). This is a limited, narrowed PPO - meaning, fewer providers available - that provides care at deeper discounts.
Qualifying Event
Specific life events that, if occuring mid-plan year, permit you to make changes in your plan elections. Marriage, divorce, birth, and adoption are examples of Qualifying Events.
Plan Year
The specific date range of an insurance plan’s 12-months of coverage. Typically, deductibles and out-of-pocket maximums are reset at the beginning of each plan year.
HSA
Health Savings Account. A dedicated bank account associated with a Qualified High Deductible Health Plan (HDHP). An HSA permits tax-free deposits and tax-free spending on eligible expenses.
FSA
Flexible Spending Account. A personal spending account that permits automatic tax-free deposits per payroll, that can be used, tax-free, for eligible expenses.
Dependent Care Flexible Spending Account
Like the FSA, but used specifically for expenses related to caring for eligible dependents during your work hours.
Virtual Care
Medical services providided via only or mobile video access.
Contribution Match
A calculation where SCAN matches your own contributions to your 401(k) retirement savings plan.
