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Health Insurance
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Summary
Health insurance is a contract that requires an insurer to pay some or all of a person's healthcare costs in exchange for a premium. It provides financial protection against high medical expenses and ensures access to necessary healthcare services.
Concepts
Risk Pooling
Premiums
Deductibles
Copayments
Coinsurance
Policyholder
Provider Network
Coverage Limits
Pre-existing Conditions
Out-of-Pocket Maximum
Actuarial Value
Moral Hazard
Adverse Selection
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Relevant Degrees
Insurance and Risk Sharing 60%
Public Health 30%
Public Revenue 10%
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