Glossary Adverse selection Ambulatory care Appeal Assignment Beneficiary Benefits Broker Cafeteria Plans Capitation Carrier Carve-out Claim Co-insurance Coord. of benefits Co-insurance Cost shift Coverage Covered charges Daily benefit Deductible Duplicate coverage Exclusions Experimental treatment Fee-for-service Grievance HMO Indemnity insurance Indiv. Practice Assoc. Limitation Long-term_care Major Medical Managed Care Medically necessary Medical Savings Acct. Medigap N.A.I.C. Out-of-pocket expense Palliative care Point of Service Precertification Pre-existing cond. Pref. Prov. Org. Premium Primary Care Phys. Reasonable/Customary Reimbursement Reinsurance Renewal Rider Risk Second opinion Self-funded Unbundling of Charges Underinsured Underwriting Upcoding Utilization Utilization Review Wellness Programs