Glossary beginning with M

Glossary

Managed Care

It is a health care plan that contracts with health care providers and medical facilities to provides care for members at reduced costs.The care comes at lower costs only if the insurer takes the treatment from the contracted health care providers.Example:Raj has an inflamed tonsils problem every time the weather changes. To treat it, Raj needs to take antibiotics. His copay may be Rs. 6 for a generic drug, Rs. 20 for a recognized popular brand name drug, or Rs. 60 for an international drug. All the medicines contain the same drugs. The prices vary. Managed care can help Raj spend less because of his health care plan.

Maternity

It is an insurance coverage plan which helps in covering all pregnancy related expenses such as clinical visits, medication and delivery costs.

Maximum Allowable

Same as limits

Medical Underwriting

The process of understanding and quantifying risk associated with health insurance. Medical underwriting involves using data such as age, gender, lifestyle and several other parameters to determine the risk for the insurance company.

Member

Same as policy holder – the one who is being insured by CignaTTk.

Morbidity

It is the incidence of a particular disease.