Base Capitation
The total amount which covers the cost of health care per person, minus any mental health or substance abuse services, pharmacy, and administrative charges.

Basic Hospital Expense Insurance
Hospital coverage providing benefits for room and board and miscellaneous hospital expenses for a specified number of days during hospital confinement.

Basic Medical Insurance:
Insurance covering the typical hospital, surgical, and physician expenses including hospital room and board, cost of x-rays, anesthesia, operating room, additional lab charges, surgeon fees, and routine doctor visits

Basic Premium:
A percentage of the standard premium that covers the initial administrative expenses the insurance company incurs while designing your policy.

Bed Days/1,000
The number of inpatient hospital days per 1,000 members of the health plan.

Benefit
Amount payable by the insurance company to a claimant, assignee, or beneficiary when the insured suffers a loss.

Benefit Levels
The maximum amount a person is entitled to receive for a particular service or services as spelled out in the contract with a health plan or insurer.

Benefit Package
A description of what services the insurer or health plan offers to those covered under the terms of a health insurance contract.

Benefit Period:
The interval in which you are able to receive benefits. Typically, the benefit period begins with the first medical service received for an illness and ends after you have not been hospitalized due to the condition for 60 consecutive days. Billed Claims
The amounts submitted by a health care provider for services provided to a covered individual.

Binding Receipt
See Conditional Binding Receipt. (LI,H)

Birthday Rule
One method of determining which parent's medical coverage will be primary for dependent children: the parent whose birthday falls earliest in the year will be considered as having the primary plan.

Blanket Insurance
A contract of Health Insurance that covers all of a class of persons not individually identified in the contract.

Blanket Medical Expense
A policy or provision in a Health Insurance contract that pays all medical costs, including hospitalization, drugs, and treatments, without limitation on any item except possibly for a maximum aggregate benefit under the policy. It is often written with an initial deductible amount.

Blue Cross
An independent membership association operating on a service basis and providing protection against the costs of hospital care. Benefit payments are made directly to the hospital. Benefits vary among various Blue Cross associations. Blue Cross plans are usually established on a group basis. However, individual enrollment is sometimes permitted, and plans of community enrollment are undertaken in some localities. Blue Cross plans are usually (but not always) organized under special state legislation.

Blue Plan
A generic designation for those companies, usually writing a service rather than a reimbursement contract, who are authorized to use the designation Blue Cross or Blue Shield and the insignia of either.

Blue Shield
An independent membership association operating on a service basis and providing protection against the costs of hospital care. Benefit payments are made directly to the hospital. Benefits vary among various Blue Cross associations. Blue Cross plans are usually established on a group basis. However, individual enrollment is sometimes permitted, and plans of community enrollment are undertaken in some localities. Blue Cross plans are usually (but not always) organized under special state legislation.

Board Certified
A physician or other professional who has passed an examination which certifies him or her as a specialist in a particular medical area.

Board Eligible
A professional person or physician who is eligible to take a specialty examination.

Business Overhead Expense
A disability income policy which indemnifies the business for certain overhead expenses incurred when the business owner is totally disabled.