Common terms

Need help with the lingo?

You don’t need to learn a whole new language, but here are some common terms that may be helpful to know as you go through the process of learning about and enrolling in small business health insurance.

Health insurance glossary of terms

Advanced Premium Tax Credit

Children's Health Insurance Program (CHIP)

Co-insurance

Co-payment

Cost Sharing

Deductible

Emergency Room Care

Health Insurance Marketplace (Exchange)

Health Reimbursement Account (HRA)

Health Savings Account (HSA)

High-Deductible Health Plan

Medicaid

Medicare

Network

Open Enrollment Period

Out-of-pocket Maximum

Premium

Premium Tax Credit

Prescription Drug Coverage

Preventive Services

Primary Care Physician (PCP)

Qualifying Life Event

Specialist

Urgent Care

Well-Baby and Well-Child Visits

Want to learn more?

When you make health decisions, you need information that's easy to understand. UnitedHealth Group’s Just Plain Clear® is an online glossary available in multiple languages that defines thousands of health care and insurance terms in plain, clear language.

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2. Savings based on UnitedHealthcare internal analysis of competitive rate filings for small group plans against similar competitors' plans. Actual savings may vary.

3. Among the 37.0% of UnitedHealthcare Level Funded plan sponsors nationwide who received a surplus refund in 2022, the average surplus refund was $8,407. UnitedHealthcare internal reconciliation analysis, January 1, 2022 through December 31, 2022. Please consult a tax and/or legal advisor to determine if, by receiving this surplus refund, there are any restrictions or obligations. Surplus refund available only where allowed by law. Actual savings may vary. Level Funded final plan rates are based on medical underwriting and final enrollment.

UnitedHealthcare Level Funded plans (all states except CT and NJ): Administrative services provided by United HealthCare Services, Inc. or their affiliates, and UnitedHealthcare Service LLC in NY. Stop-loss insurance is underwritten by UnitedHealthcare Insurance Company or their affiliates, including UnitedHealthcare Life Insurance Company in NJ, and UnitedHealthcare Insurance Company of New York in NY.

Oxford Level Funded plans (available in CT, NJ & NY): Administrative services provided by Oxford Health Plans LLC. Stop-loss insurance is underwritten by UnitedHealthcare Insurance Company or their affiliates, including UnitedHealthcare Life Insurance Company in NJ, and UnitedHealthcare Insurance Company of New York in NY.