The Medical Loss Ratio (MLR) is a guideline for your health insurance.
In essence, the MLR is the amount of your health insurance premiums that go towards paying for actual health benefits and care. This is opposed to money spent on marketing, salaries, and other overhead costs.
Weirdly enough, the acronym “Medical Loss Ratio” was coined by the insurance companies themselves. The “loss” part refers to the money the insurer loses when they have to pay out for medical care.
Wait, what?
Why is that a loss? Isn’t that a service?
Semantics aside, the MLR took center-stage with Obama’s Affordable Care Act. Here’s what you should know about the Medical Loss Ratio.
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