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Glossary of Health Insurance Terms

As you explore our site, you may come across an unfamiliar word or term. We've developed a glossary of health care terms we hope will help you.

Select one of the following letters to take you to the part of the alphabet that applies.

F

Family Coverage - The member/member, spouse and their dependent children are included in the benefit. Separate types of patient contracts may have different rules and regulations regarding the age and status when dependent children are no longer covered.

FDA - Food and Drug Administration of the Federal government.

FEP - See "Federal Employee Program."

FEP POS - See "Federal Employee Point of Service Program."

Federal Employee Program -FEP - A benefit program for United States government employees, their families and retirees. BCBSKS administers this program for the employees in the state of Kansas excluding Johnson and Wyandotte counties. This program has different coverage than the FEP POS program. You should call FEP Customer Service for the specific information.

Federal Employee Point of Service Program -FEP POS - A benefit program for United States government employees, their families and retirees. BCBSKS administers this program for the employees in the state of Kansas excluding Johnson and Wyandotte counties. This program has different coverage than the regular FEP Program. You should call FEP Customer Service for the specific information.

Federal Tax Number - See "Employer Identification Number."

FFS - See "Fee for Service."

Fee for Service - A method of payment to providers where there is a set amount for each procedure billed.

Fee Schedule - A listing of allowed charges for given procedures.

Final Level Appeal - The last step in the BCBSKS appeal procedure. A committee designated by the board of directors makes the decision in this step.

First Dollar Coverage - A patient insurance contract where there is no deductible and at the effective date of the contract all covered services are paid at 100 percent of the allowed charge or a percentage of the allowed charge. An example would be when all covered services are paid at 80/20 percent; with the insurer paying the 80 percent and the patient being responsible for 20 percent.

First Level Appeal - See "Initial Appeal."

First-Pass-Pay - When a claim enters into our computer system and processes the initial time through.

Fiscal Agent - See "Medicaid Fiscal Agent."