We want our members to be informed and empowered.

Use our fact sheet to get comfortable with some commonly used healthcare terms, check back whenever you need a refresher!
A type of Medicare health plan that contracts with Medicare to provide you with all your Part A and Part B benefits. eternalHealth’s Medicare Advantage plan also includes Part D (your prescription drug plan) as well as additional wellness benefits.
If you’re not covered by an employer or qualified for Medicare or Medicaid, then you can apply directly for health insurance. We offer exchange plans that give you all the right benefits for low premiums and out of pocket costs.
Plans that offer a specific network of physicians, provide integrated care and often focus on prevention and wellness.
The health care items or services covered under your insurance plan
A fixed amount that you pay for a covered health service once you’ve paid your deductible.
The percent (for example, 20%) you pay of the allowed amount for covered health care services to your providers.
The maximum amount that your plan covers for that specific service.
The monthly amount that you pay for your health insurance plan

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself.

After you pay your deductible, you’re only responsible for the appropriate co-payment.

A request for payment that you or your health care provider submits to your health insurer when you get items or services
The providers that are included within the plan’s specific network.
The statistical process that takes into account underlying health conditions to provide insurers with information about potential healthcare costs. eternalHealth works closely with your physicians to ensure that these risk adjustments are made to provide you with optimal care.
Ratings of health insurance plans used in the Health Insurance Marketplace, on a scale of 1-5. This helps you pick the best quality plan for you.
Integrated care approach that includes screening, check-ups, and coordinating your care. eternalHealth’s chronic care management programs improve quality of life while reducing future healthcare costs.
Traditional healthcare that focuses on specific medical episodes and lacks the patient and provider engagement that truly improves future health.

This portion of your care includes screenings, check-ups and counseling to prevent health problems before they happen.

To prevent those flare-ups, continuing issues or potential high-cost hospital visits, our at-home tools help you take the medication you need, when you need it. And our value-based care ensures you get the prescriptions you need, no more, no less.

Our platform lets your different healthcare providers organize your treatment. We take on the logistics, so you don’t have to.

Our benefits, including gym memberships, diabetes management programs, and preventative screenings, improve your health and fitness, even before the doctor’s office.

This page is also available in: Español (Spanish)

Page Last Updated On: May 19, 2021