Treatment provided to the insured outside of the usual service area.

Treatment given to a member outside of the normal area.

The money the insured or covered person must pay themselves; for example, a co-payment.

The amounts the covered person must pay out of his own pocket. This includes such things as co-insurance, deductibles etc.

The highest coinsurance an insured will have to pay. After this amount is paid, the insurer will cover all expenses up to the policy limit.

The maximum co-insurance an individual will be required to pay, after which the insurer will pay 100% of covered expenses up the policy limit.

A patient who does not reside in a hospital in which he has received treatment.

Treatment provided outside of the usual geographic coverage area.

The costs the insured must pay; for example, deductible or prescription medication costs.

The limit on coinsurance the patient will have to pay before all expenses will be paid by the insurer, up to the policy limit.