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
Palliative Care
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Palliative Care is the use of medications and other methods to eliminate or at least minimize pain and other symptoms associated with a serious illness. (Palliative is pronounced pal-lee-uh-tiv)
The palliative care team does the following according to the American Academy of Hospice and Palliative Medicine:
- Provides relief from pain and other uncomfortable symptoms.
- Assists in making difficult medical decisions.
- Coordinates care with doctors other than the specialist taking car eof the disease and helps navigate the often-complex healthcare system.
- Guides in making a plan for living well, based on your needs, concerns and goals for care.
- Provides emotional and spiritual support and guidance for the patient and loved ones.
When it first started, palliative care was only given to patients who stopped taking curative treatments. Today, palliative care can be given at any place on the journey - including the same time medical care is given to cure a health condition.
Palliative care can be given anywhere, including at home, in a hospital, in a nursing home or in an assisted living facility.
Palliative care should not be confused with hospice care which is only about care at end-of-life.
Palliative care can be given by the doctor who treats the disease, by a doctor who specializes in palliative care (a palliative care specialist.) or by a team which includes a palliative care doctor, nurses and other professionals.