Underinsured Patient definition

Underinsured Patient means a patient who has some form of health insurance coverage but has a significant self- pay responsibility which they cannot afford to pay.

Underinsured Patient means a patient who, despite having insurance coverage, finds the obligation to pay insurance, copayments, coinsurance and deductibles is such a financial burden that he or she delays or does not receive medically necessary health care services due to the health care costs.

Underinsured Patient means a patient of a CRMC Hospital Facility who has some level of insurance or third party assistance who nevertheless remains obligated to pay out-of-pocket expenses for the provision of eligible services that exceed such individual's financial abilities and is deemed medically indigent or meets the income and asset requirements as listed on Schedule A, as made part of this document.

Examples of Underinsured Patient in a sentence

• Underinsured Patient: An individual, with private or public insurance coverage, that (i) does not provide coverage for medically necessary or emergency services, (ii) has exceeded the maximum liability under his/her insurance coverage, or (iii) has a copay or deductible assessed under the patient's insurance contract for whom it would be a financial hardship to fully pay the expected out-of-pocket expenses for medical services provided by MHS.

• Under-insured Patients An "Under-insured Patient" is an insured patient with “high medical costs.” These are insured patients whose family income does not exceed 350% of the FPL and has either (1) incurred or whose family has incurred annual out-of-pocket costs at the hospital that exceed 10% of the patient’s family income in the prior 12 months or (2) incurred or whose family has incurred annual out-of-pocket costs with other providers that exceed 10% of the patient's family income in the prior 12 months.

• Underinsured Patient: An individual, with private or public insurance coverage, for whom it would be a financial hardship to fully pay the expected out-of-pocket expenses for medical services provided by Methodist.

• Other Requirements and Exceptions (Also see policy on Allowances and Write Offs and Uninsured & Underinsured Patient Management Program )1.

• Underinsured Patient: A person receiving healthcare services who has private healthcare insurance, but whose coverage does not cover specified care.

More Definitions of Underinsured Patient

Underinsured Patient means a patient with insurance coverage who has charges for services not covered by their health care coverage.

Underinsured Patient means a patient who has private or public insurance, but who incurs high medical costs in relation to the patient’s family income. An underinsured patient’s family income does not exceed 350% of the FPL, and the patient has incurred annual out-of-pocket medical costs that exceed 10% of the patient’s family income in the prior 12 months. In order to qualify for financial assistance as an underinsured patient, Lifespan requires each patient or family to complete a confidential FAP Application and to provide documentation of all out-of- pocket medical costs incurred over the prior 12 months.

Underinsured Patient means any patient enrolled in a health plan that does not meet the “Minimum Essential Coverage” standard as defined under the Affordable Care Act in existence as of July 1, 2017.

Underinsured Patient means a patient of Ingalls who is covered under a policy of health insurance (including a government payer such as Medicare or Medicaid) but for whom (i) the amount or type of benefit coverage does not cover the charges for the care provided, (ii) the insurer does not have a contract with Ingalls, or (iii) the insurance policy limits have been exceeded. “Uninsured Patient” means a patient of Ingalls who is not covered under a policy of health insurance and is not a beneficiary under a public or private health insurance plan, health benefit, or other health coverage program, including but not limited to high deductible health insurance plans, workers’ compensation, accident liability insurance, or other third party liability insurance.

Underinsured Patient means any patient enrolled in a health plan that does not meet the “Minimum Essential Coverage” standard as defined under the Affordable Care Act in existence as of July 1, 2017 or a patient with some level of governmental or commercial insurance, but the portion of the charges the insured patient is personally responsible for, i.e. co-pays, co-insurance, and deductibles exceeds their financial ability to pay in full. Non-covered services are not included.

Underinsured Patient means a patient who has some form of health insurance coverage

Underinsured Patient means a patient of UCMC who is covered under a policy of health insurance (including a government payer such as Medicare or Medicaid) but (a) the amount or type of benefit coverage does not cover the charges for the care provided,