A payment structure in which the insurer will either reimburse the group or pay the provider directly for each medical expense incurred by the member and covered by the group contract.
A financing system for health care service in which a specified fee is payable for each individual service.
Payments to providers based on the specific services rendered. fee-for-service systems are typically distinguished from capitation payments, which involve a fixed periodic payment per individual regardless of what services are provided. Under a fee-for-service system, the provider is paid each time he or she provides a different service.
Reimbursement based on the cost of services provided.
A form of reimbursement in which physicians and hospitals are paid a “reasonable or customary” fee for a unit of service; also a system for the payment of professional services in which the practitioner is paid for the particular service rendered rather than receiving a salary for services provided during scheduled work or on-call hours.
plan – The model generally considered to be traditional health insurance, in which the beneficiary or her employer pays a monthly fee to the insurer, who will then pay for a designated portion of the cost of any covered health care services used by the beneficiary.
Payment agreements for health care in which the provider is paid for each service rather than a pre-negotiated amount for the patient.
Refers to paying medical providers for individual services rendered. UCR, CPR and Fee Schedules are examples of fee for service systems.
Physician compensation based on services performed. For example, a surgeon receives a specified payment for removing an appendix; a pediatrician receives a specified payment for an office exam.
An approach in which physicians or other providers bill separately for each patient encounter or service they provide, rather than receiving a salary or a set payment per patient enrolled.
Traditional method for paying providers based on the fee for each service, without any negotiated discounts.
A method of payment that is based on charges for each individual service or treatment rendered.
A type of reimbursement in which providers are paid a fee each time a service is performed.
Health insurance plans which reimburse physicians and hospitals for each individual service they provide. These plans allow consumers to choose any physician or hospital.
A payment system (sometimes called an indemnity plan) for healthcare in which the provider is paid for each service rendered. You can use any doctor or hospital of your choice. Usually, you pay a yearly deductible ($100, $250, etc.) and a co-pay percentage (say, 20% of the next $5,000). The insurance company pays the other 80% and, then, 100% thereafter.
The traditional health care payment system in which providers receive payment for each service delivered. Under this system, the total bill increases not only when the fees increase, but also when more units of service are rendered.
Method of payment for provider services based on each visit or service rendered.
(See Stabilized Rate and Fixed Price Catalogs). The equivalent of a standard price, but fee-for-service applies to end products of Non-Supply Management Business Areas.
This is a method of payment for physicians based on a fee schedule that itemizes each service and provides a fee for each service rendered.
The way traditional Medicare and health insurance work. Medical providers bill for whatever service they provide. Medicare and/or traditional insurance pay their share, and the patient pays the balance through co-payments and deductibles.
A fee-for-service, or traditional, plan uses a method of charging in which a physician or other healthcare professional bills for each office visit or service provided.
Also known as indemnity insurance, FFS is a type of health coverage that typically allows you to go to any doctor or provider. Your insurance company will reimburse your provider for each covered service provided. Deductibles and coinsurance usually apply in FFS coverage.
is a traditional method of paying for medical services under which providers are paid for each office visit, treatment, procedure, or other service rendered. See capitation. 35
Traditional insurance that does not place restrictions on which doctors you can use. The insurer pays for the expense incurred.
The traditional Medicare program, under which a fee generally is paid each time a service is used, with Medicare paying a share and the beneficiary paying the portion of the bill Medicare does not pay. Beneficiaries can choose any licensed/certified providers without referrals. This contrasts with managed care and other health plan options offered through Medicare Advantage.
A plan that pays for services to enrollees solely based on the amount the physician or other health-care provider bills.
A traditional method of paying for medical care by reimbursing the doctor (or patient) for the cost of care provided.
A method of charging for each visit or service. This method is arranged between a physician and the insurance company.
Payment: A traditional reimbursement method that involves paying fees to providers for procedures or services for beneficiaries after those services have been delivered, often with a maximum based on what is a usual, customary, and reasonable fee. A plan based on this form of reimbursement is sometimes referred to as an indemnity health plan (compare Capitation).
A system in which reimbursement is made according to a fee schedule for each service provided.
Traditional provider reimbursement in which the physician is paid according to the service performed (system used by conventional indemnity insurers).
A term which refers to the method of reimbursing service providers on an individual fee basis after services are rendered rather than reimbursing providers on a prepaid basis such as capitation.
A plan that has an established provider network but allows you the freedom to go to any doctor with the understanding that the plan will generally pay less if you choose a non-network doctor.
Method of charging whereby a physician bills for each visit or service. Premium costs for fee-for-service agreements can increase if physicians or other providers increase their fees, increase the number of visits, or substitute more costly services for less expensive ones.
The traditional health care payment system (also known as indemnity insurance) under which physicians and other providers receive a payment that does not exceed their billed charge for each unit of service provided. Under a fee-for-service insurance plan, insureds usually may choose to go to any provider they want, as long as the provider is willing to accept the insurance company's payments.
Traditional method of payment for health care services where payment is made for services rendered. Expenditures increase if the fees increase, if more services are provided, or if expensive services are substituted for cheaper ones.
The traditional Medicaid system where the government pays providers for each service they give patients.
A method of payment to providers based on charges for each service provided. A set schedule of charges may be used. Sometimes used as a synonym for traditional "indemnity" plans. Payment may be made by an insurance company, the patient or a government program such as Medicare or Medicaid.
Payment to providers for each service they provide, as in Original Medicare.
A method of paying practitioners on a service-by-service rather than a salaried or capitated basis.
An insurance carrier reimburses a medical care provider for each service.
Insurance plans that pay for medical services provided by any hospital or doctor, at any time. Also known as comprehensive plans, or "indemnity" plans.
A common and traditional method of reimbursement for services rendered.
A traditional method of paying for medical services. A doctor charges a fee for each service provided, and the insurer or patient pays all or part of that fee.
This is the traditional (indemnity) type of payment to providers, which pays for whatever physician or hospital you choose to utilize. The insurance companies pay the physicians and hospitals the fees they set and charge.
A system for paying for health care services based on an insurance company paying hospitals and doctors the fees they set and charge.
Financing model of traditional insurance where a provider bills for every service and is paid the amounts he or she charges.
(A) A method of reimbursement based on payment for services rendered. Payment may be made by an insurance company, the patient or a government program such as Medicare or Medicaid. (B) With respect to the physicians or other supplier of service, this refers to payment in specific amounts for specific services rendered -- as opposed to retainer, salary, or other contract arrangements. In relation to the patient, it refers to payment in specific amounts for specific services received, in contrast to the advance payment of an insurance premium or membership fee for coverage, through which the services or payment to the supplier are provided.
A payment system by which doctors, hospitals and other providers are paid a specific amount for each service performed as identified by a claim for payment.
The system of paying physicians for each service they provide, rather than through a contract, salary or capitation. The method of payment associated with traditional insurance.
Indemnity, or traditional, insurance under which patients may choose any doctor, regardless of speciality, at any time. Patients are responsible for all costs beyond those covered by their insurance.
A method of paying for services rendered by physicians or health care practitioners based on each procedure billed.
the payment method where a physician bills the Medical Services Plan for each patient encounter or service rendered, based on the Fee Guide as determined by the Medical Services Commission General Practice Agreement: the Subsidiary Agreement that applies to doctors in general practice.
A method of paying the provider a specific amount for each procedure performed after the service is rendered.
Traditional method of paying for medical services whereby a practitioner bills for each encounter or service rendered. Also known as indemnity insurance. This system contrasts with salary, per capita, or pre-payment systems, in which the payment is not changed with the number of services actually used.
Dental plans are typically freedom-of-choice arrangements under which a dentist is paid for each service rendered according to the full fees established by the dentist.
Health coverage in which doctors and other providers receive a fee for each service such as an office visit, test, or procedure. The health plan will either pay the medical provider directly or reimburse you for covered services after you have paid the bill and filed an insurance claim. When you need medical attention, you visit the doctor or hospital of your choice.
a method of paying practitioners on a service-by-service rather than a "salaried basis" (also see DeltaPremier/USA Network, DeltaPremier/USA Provider).
A method of paying health care providers a fee for each medical service rendered, rather than paying them salaries or capitated payments.
A program design in which the dentist is paid for each service, rather than a fixed amount per patient, which is how many prepaid plans work. The fee-for-service method is the traditional way of delivering dental benefits. DeltaPremier and DeltaPreferred Option are fee-for-service programs.
The traditional method of paying for medical services where doctors and hospitals are paid for each service they provide.
The traditional method of paying for medical services. A doctor charges a fee for each service provided, and the insurer pays all or part of that fee. Sometimes the patient pays a copayment for each visit to the doctor.
The traditional method for financing healthcare in which a provider is paid for each service rendered. Fee-for-service is the system of payment used by conventional indemnity health plans.
a system in which medical providers bill for whatever service they provide. Medicare and/or traditional insurance pay their share, and the patient pays the balance through co-payments, coinsurance and/or deductibles.
The traditional method of paying providers for health care expenses on a service-by-service basis after services are performed. The method used in traditional Medicare is an "approved amount" based on usual, customary and reasonable charges or a set fee based upon a "fee schedule". A similar process may be used by the private fee-for-service plans in Medicare Advantage.
Patients are free to select any dentist and standard charges are based on a fee for each service performed. Some dental programs have contracts with dentists who will agree to accept a pre-determined payment as full fee for covered services and the patient is not charged extra. These programs generally do not restrict patients from selecting non-participating providers, though patients will be responsible for paying the difference between the dentist's actual fee and the pre-determined level of coverage. Delta's fee-for-service programs are called DELTA PREMIER. Our national program with centralized processing and other features tailored to multistate companies is known as DELTA USA.
Traditional Health insurance that allows the consumer to choose providers and services often with a deductible and co-payment. Also known as indemnity coverage. Formulary - The list of prescription drugs the managed care organization agrees to cover.
A predetermined charge for a given medical service.
The traditional method used to pay for medical services in which Medicare pays the physician, hospital or long-term care facility for each eligible service they provide. Traditional Medicare is a fee-for-service program.
A method of paying for health care services as they are rendered. Providers receive a fee for each service they provide. Traditional insurance plans pay for care on a fee-for-service basis.
(Also known as "traditional" or "original" Medicare, in which Medicare directly reimburses the cost of care, rather than through a managed care plan.
Traditional method of paying for medical care. You and/or your insurance company pay for each medical service you receive.
A payment system in which payments are made for individual services provided using a preset fee schedule.
When a physician or other practitioner bills a patient for each visit or service at full price, rather than through a negotiated rate through an insurance provider.
Purchase of service agreement whereby a specific amount of money is allocated for a service and paid to the service provider at an agreed upon unit of cost.
The traditional health care payment system under which physicians and other providers receive a payment for each unit of service provided rather than a capitation payment for each recipient.
A payment system for health care where the provider is paid for each service rendered.
A traditional health care payment system in which physicians and other providers receive payment based on each billed charge for a visit or service rendered.
When youre covered by fee-for-service health insurance, you pay your medical bills and file for reimbursement from your insurance company. Most fee-for-service plans pay a percentage often 70% to 80% of the amount they allow for each office visit or medical treatment.
The good ole’ way of paying for healthcare: you get sick, you pay; you get sicker, you pay some more.
Traditional health coverage in which you or your insurer pays doctors and hospitals for each visit or service provided.
Settling with providers for each test or procedure as delivered. With a Wellmark fee-for-service plan, you are free to see any provider. You’ll benefit from participating provider negotiated prices and electronic claims filing when your care is coordinated through providers who participate in a network. Classic Blue® is a fee-for-service plan.
Fee-for-service is health care coverage in which doctors and other health care providers receive a fee for each service such as an office visit, test, procedure, or other health care servicehttp://www.opm.gov/insure/health/about/glossary.asp FEHB Glossary. Retrieved May 31, 2006.. Fee-for-service health insurance plans typically allow patients to obtain care from doctors or hospitals of their choosing, but in return for this flexibility they may pay higher copayments or deductibleshttp://www.investorwords.com/5569/fee_for_service.html InvestorWords.com: "fee-for-service".