Health Insurance Glossary
Schedule of Benefits and Exclusions
A health insurance listing of the benefits which are covered under the policy guidelines as well as services which are not provided under the policy.
Second Surgical Opinion
This is an opinion provided by a second physician, when one physician recommends surgery to an individual. Most health insurance policies cover second surgical opinions.
Short-Term Medical Insurance
Temporary major medical coverage designed to fill "gaps" in traditional medical coverage. Short-term plans typically last no longer than one year and cannot be renewed.
Skilled Nursing Facility
A licensed institution that provides regular medical care and treatment to sick and injured persons. Daily medical records are kept and patients are under the care of a licensed physician.
Special Benefit Networks
Provider networks for particular services, such as mental health, substance abuse, or prescription drugs.
Standard Industrial Classification (SIC)
Coding of businesses by their product or service. This classification is used in group insurance in determining rates for various industries.
Stop-loss Provisions
A limit in a health insurance policy that provides for 100% payment of expenses after total patient out-of-pocket expenses exceed a certain contractual amount
Surgery Insurance
A commercial combined policy that usually covers buildings and contents of a healthcare / medical practice and can include business interruption, employers and public liabilities on an all risks basis. Here at Medical Insurance consultants we provide Choices Surgery Insurance for the Medical/Heathcare professions as well as Choices Surgery Insurance tailored specifically for the Dental profession.
