Guam § 15707 - Definitions.

§ 15707. Definitions.

As used in this Section, the following terms have the

following meanings:

(a) Co-payment is the partial payment of medical

expenses, emergency room services, or prescription drugs

required by an individual who is enrolled in a group health

insurance plan. For example, a co-payment for a visit to a

doctor's office might be Ten Dollars ($10). Co-payments are

in addition to the payment of premiums and deductible

amounts.

(b) Deductible is the amount that must be paid by the

insured out of pocket before benefits will be paid by the

insurer.

(c) Pre-funded deductible is a deductible paid in

increments during the plan year to the insurer by the insured

from his or her post-tax dollars and held by the insurer to pay

provided claims on behalf of the insured under the

deductibles.

(d) Rebate or Refund is the amount of a payment that

has been made or funded that is paid back, credited or

otherwise returnable to a health insured that has completed a

Wellness Program qualified under HIPAA.

(e) Premium is the payment, or one of the regular

periodic payments, that a group employer and/or individual

make to a health insurer to enroll in a health plan or to own

an insurance policy.