Insurance Basics: Home
Doctors and insurers use standard codes for each medical service or supply. That helps them communicate about treatments and payments clearly.
Health plans negotiate the price of medical services with certain doctors, hospitals, labs and other providers.
Suppose your insurer won´t pay for a healthcare service, or pays less than you had expected. You have the right to “appeal”, or ask for your case to be formally reconsidered.
If you're an active-duty service member or a veteran, this article will explain your healthcare choices.
Most health plans don´t cover treatments they regard as “experimental”. Sometimes, they may deny a claim for such a treatment.
Suppose you receive care in a hospital that is in your health plan´s provider network. You may still get a bill from providers who treated you at the hospital but are not part of your plan´s network.