Summary
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Terms and concepts which are important to know with respect to Fee-For-Service coverage are the following, each of which are defined in other sections of this document:
- Co-insurance
- Covered charges
- Deductible
- Lifetime Maximum (NOTE: Thanks to Health Reform 2010, health plans issued on or after September 23, 2010 cannot include a lifetime maximum.)
- Medical necessity
- Stop Loss or Out-of-pocket Maximum
- Usual, Customary and Reasonable

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