Copay, A flat dollar amount that you pay for certain services like office visits and prescriptions., Deductible, A fixed dollar amount you must pay each year before the plan pays for services that require coinsurance., Allowance, The maximum amount a plan will pay for a covered health care service., Claims, The bills received by the plan after a member obtains medical services., Coinsurance, The percentage of a dollar amount that you pay for certain services. Unlike a fixed copay, coinsurance varies, depending on the total charge for a service., Premium, The amount you pay each month for your coverage, regardless of whether or not you receive health services., Head of Contract, An employee who works for a participating employer group and enrolls in coverage during the initial eligibility timeframe., Network, A group of doctors, hospitals and other health care providers contracted with a health insurance carrier to provide services to plan members for set fees.

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