Case Management Society of America

 

Glossary

     
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M

major medical insurance plan

A type of traditional medical expense coverage that provides substantial benefits for hospital surgical expenses and physicians' fees.


managed care

A method of integrating the financing and delivery of health care within a system that seeks to manage the cost, accessibility and quality of care.


maternity coverage

Many individual plans and some small-group plans for groups of fewer than 15 employees don't cover the costs associated with pregnancy and birth. However, federal law requires that group plans cover maternity if a group has 15 employees or more.


member

The person whose life or health is insured under an insurance policy. Also referred to as the "insured."


mental health - inpatient

Inpatient mental health care is generally reserved for severe mental health problems, such a schizophrenia and severe depression. State laws vary widely on the degree to which insurance companies must cover mental illness. Most plans do provide some coverage, though there may be limitations such as the severity or nature of the illness and the duration of care.


mental health - outpatient

Outpatient mental health benefits are generally divided into two categories, severe and non-severe health care. State laws vary widely on the degree to which insurance companies must cover mental illness. Most plans do provide some coverage, though there may be limitations such as the severity or nature of the illness and the duration of care.


msa -- benefits

The newest choice in health insurance for the self-employed, Medical Savings Accounts (MSAs) allow you to build up a tax-free savings account to pay for routine medical expenses.

You build the account with tax-free dollars, and they remain tax-free while your MSA is active. Your MSA is used in conjunction with a high-deductible insurance policy.

With the high-deductible insurance plan, the cost of an MSA can be kept competitively low. Tax-free dollars and an affordable price save you money.


   

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