Referral

Within many managed care plans, transfer to specialty physician or specialty care by a primary care physician.

Reimbursement

A payment either to you or a health care professional for covered medical services. A fee-for-service plan may reimburse you or your doctor a set amount or maximum amount for specific services. This system can lead to larger out-of-pocket costs for you. For example, your doctor may charge $60 to remove that pesky wart, but your health plan pays just $40. You may have to pay the difference. On the other hand, your health plan may negotiate the doctor’s fees in advance, including an agreement that prevents you doctor from billing you for the remaining $20.

Reimbursement Rates

The maximum amount of money which will be paid by way of reimbursement of medical expenses.

Reinsurance

A means by which an insurance company can protect itself through other insurance companies against the risk of losses. Individuals and corporations obtain coverage from insurance companies to provide protection for various risks. Reinsurance companies provide insurance to insurance companies.

Renewal

The automatic or not automatic renewal of an insurance policy as subject to the anniversary date.

Repatriation of Remains

If a covered illness/injury results in a death, expenses for returning of bodily remains or ashes to the country of residence.

Return of Minor Children

If an insured person is hospitalized due to a covered illness/injury and is traveling alone with child(ren) of age 19 or under that otherwise would be left unattended, the cost of one way economy fare to their home country, usually up to some reasonable maximum amount.

Rider

A modification to a Certificate of Insurance policy regarding clauses and provisions of a policy. A rider usually adds or excludes coverage.

Risk

Uncertainty of financial loss.