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F
- Federal Employee Health Benefits Program (FEHBP)
- A voluntary health insurance program for federal employees, retirees, and their dependents and survivors.
- fee schedule
- The fee determined by an MCO to be acceptable for a procedure or service, which the physician agrees to accept as payment in full. Also known as a fee allowance, fee maximum or capped fee.
- fee-for-service (FFS) payment system
- A benefit payment system in which an insurer reimburses the group member or pays the provider directly for each covered medical expense after the expense has been incurred.
- Flexible Spending Account (FSA)
- Allows members to use pre-tax dollars for certain eligible medical and dependent care expenses. Members fund their FSAs with contributions that come out of their paycheck.
- formulary
- A listing of drugs, classified by therapeutic category or disease class, that are considered preferred therapy for a given managed population and that are to be used by an MCO's providers in prescribing medications.
