Content Overview 
- Adverse Determination
- Annual Limits
- Case Manager
- Certificate of Creditable Coverage
- Coordination Of Benefits
- Co-Insurance
- Co-Pay
- Covered Charges
- Department Of Insurance
- Deductible
- Eligibility
- Experimental Treatment
- Explanation Of Benefits
- Extensions
- Fee-For-Service (Indemnity)
- Formulary
- Lifetime Limits
- HMO
- Medical Necessity (Medically Necessary)
- Out Of Network
- Out-of-Pocket Maximum (also known as "Stop Loss" or "Cap")
- Palliative Care
- POS
- PPO
- Renewability
- Pre-Existing Health Condition
- Stop Clause (also known as "Stop Loss Clause")
- Underwriting (What It Is And How It Works)
- U.S. Department Of Labor
- Usual, Customary and Reasonable "(UCR")
- Utilization Management
Glossary of Health Insurance Terms To Know
Covered Charges
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"Covered charges" are the medical costs that are included in your health insurance policy and which will be paid for by the insurance company. Generally covered medical charges are stated broadly. For example, covered charges may be stated to be "visits to in-network doctors," "drugs and treatments which are medically necessary", or "hospitalization."
Experimental treatments are generally not covered. If a service is not a covered charge, the insurer will not pay. The amount of non-covered charges that you pay will not count toward your deductible.
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