Glossary of Medical Terms

COBRA – Abbreviation for Consolidated Omnibus Budget Reconciliation Act of 1985. Part of this law requires employers to continue offering health coverage for enrollees and their dependents for a period of time after an enrollee leaves the employer. Typically, the employee pays the entire monthly premium when covered by COBRA.

Co-Payment – A fixed sum and/or percentage that an enrollee pays for specific health services, regardless of the total charge for service (the insurer pays the rest of the total charge). For example, an enrollee may pay $15 co-payment and 20 percent of the total charge for each doctor’s visit, $75 for each day in the hospital, and $25 for each prescription.

��-��Բ��ܰ��Գ��– The portion of covered health care costs for which the covered person has a financial responsibility, usually according to a fixed percentage.

Deductible – A predetermined annual amount an enrollee must pay before the insurer will begin paying their portion of covered expenses. For example, if the plan has $300 deductible, the insured person would be responsible for the first $300 for his/her health care bills.

Drug Formulary – A listing of prescription medications (name brand and generic) which are preferred for use by the health plan, and w

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Human Resources Department