glossary-splash.jpg Get a free health insurance quote

Shop now for
2016 coverage.

Coverage gap?

Inexpensive plans, for up to a year.

Shop Short Term plans

Qualifying event?

You can still shop for ACA plans.

Shop Obamacare plans

Health Insurance Glossary

Definitions for common health insurance terms

reasonable and customary fees

DEFINITION: The average fee charged by a particular type of health care practitioner within a geographic area. The term is often used by medical plans as the amount of money they will approve for a specific test or procedure. If the fees are higher than the approved amount, the individual receiving the service is responsible for paying the difference. Sometimes, however, if an individual questions his or her physician about the fee, the provider will reduce the charge to the amount that the insurance company has defined as reasonable and customary.