Declarations page
The page attached to the front of a property or liability insurance policy that includes information such as the name and address of the insured, the property insured, its location and description, the policy period, the amount of insurance coverage, the deductible, applicable premiums, and other related policy information provided by the insured.
The amount of an insured loss paid by the policyholder. For example, if you select a deductible of $250 for your auto insurance policy, you agree to pay the first $250 worth of damages to your car if you are in an accident. In health insurance, it is the portion of eligible medical expenses that the insured must pay before the plan with make any benefit payments.
Defined network plan
A term used in Wisconsin law to refer to any health benefit plan that requires or creates incentives for an enrollee to use providers that are owned, managed, or under contract with the insurer offering the plan. This type of plan is sometimes referred to as a managed care plan.
An individual--usually a child or a spouse--who relies on another person for support and who obtains health coverage through that person (usually a spouse or parent).
A decrease in the value of property over a period of time resulting from use, obsolescence, or wear and tear.
Disability benefit
A feature added to some life insurance policies providing for waiver of premium, if the policyholder becomes totally and permanently disabled.
Disability insurance
A type of health insurance that pays a monthly income to the policyholder when he or she is unable to work because of an illness or accident.
Leaving a Medicare managed care plan to go to another health plan. There are certain plan rules that must be followed in order to leave the plan officially. Your disenrollment will be effective the first of the month following the submission of your disenrollment form.
Disenrollment form
The form necessary to submit to your present Medicare managed care plan indicating your decision to leave the plan. This could be a simple written statement from you to the insurance company, or you can get this form from your local Social Security office or from the plan in which you are presently enrolled.
An amount of money returned to the holder of a participating policy. The money is partial refund of the premium paid. It results from actual mortality, interest and expenses that were more favorable than expected when the premiums are set.
Drug formulary
Many defined network plans establish a list of prescription drugs that the plan considers medically appropriate and cost effective. The defined network plan will provide coverage for only those prescription drugs named in the list. However, your doctor may present medical evidence to the insurer to obtain an exception that will allow coverage for a prescription drug not routinely covered by the plan.
Durable medical equipment (DME)
Medical equipment that is ordered by a doctor for use in the home. These items must be reusable, such as walkers, wheelchairs, or hospital beds.

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