Provisions contained in each health benefits plan that specify who qualifies for coverage under that plan.
Glossary
As you explore our site, you may come across an unfamiliar word or term. We've developed a glossary that we hope will help you.
Eligible
Emergency medical condition
An illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe harm.
Emergency medical transportation
Ambulance services for an emergency medical condition.
Emergency room care
Emergency services you get in an emergency room.
Emergency services
Evaluation of an emergency medical condition and treatment to keep the condition from getting worse.
Employee Retirement Income Security Act of 1974 (ERISA)
Federal legislation that establishes certain rights and protections to participants of most employer welfare (e.g., health, dental, life) and pension (e.g., 401(k), retirement) benefit plans.
Excluded services
Healthcare services that your health insurance or plan doesn't pay for or cover.
Explanation of Benefits (EOB)
A summary sent to the member showing how much BCBSKS paid, what the member's financial responsibility may be, and any provider write-offs.
Explanation of Medicare benefits
See Medicare Summary Notice.