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Glossary of Insurance Terms

What is a deductible?

The specified amount of money you must pay for covered services before the plan will pay a claim.

What is a copay?

The pre-determined amount you pay for covered services each time you visit a provider or facility. Your copay does not apply toward your annual deductible but accrues to your out-of-pocket maximum.

What is coinsurance?

The percentage you pay for care after meeting your deductible.

What is included in the medical out-of-pocket?

Your deductible, coinsurance, and copays are included in the medical out-of-pocket (OOP) maximum.

What does self-funded mean and why is that important to me?

The Ascend to Wholeness (ATW) Healthcare Plan is self-funded. This means your employer pays the actual cost of your healthcare expenses. As mentioned in the Protecting Your Privacy section, your employer does not receive personal health information. Stewardship is a key element of the health plan. The ATW Plan gives you choices for your long-term health while simultaneously saving you money. This is also why the ATW Plan and your employer have invested in a wellness program through Personify Health—empowering you to achieve your personal goals of complete, whole-person health through mind, body, and spirit.