Insurance Basics: Home
Doctors and insurers use standard codes for each medical service or supply. That helps them communicate about treatments and payments clearly.
Medical supplies and equipment, such as bandages and wheelchairs, and ambulance rides are often listed separately on bills and Explanation of Benefits (EOB) forms.
After you visit a provider, you may get a bill telling you how much you have to pay.
Your plan may contract with doctors, dentists and other healthcare practitioners; hospitals; labs; radiology facilities; pharmacies and other types of providers. These are the providers in your “network”.
Most health plans don´t cover treatments they regard as “experimental”. Sometimes, they may deny a claim for such a treatment.
If you´re a woman, you have different healthcare needs than men. Women may need access to birth control, or prenatal and maternity care.