What does the term "Member" refer to in the context of insurance coverage?

Prepare for the Highmark Exam 1 with comprehensive study materials. Answer multiple choice questions, each with hints and explanations, to get ready for your examination!

In the context of insurance coverage, the term "Member" specifically refers to an individual who is enrolled in a health insurance plan. This designation encompasses anyone who has signed up for coverage and holds a policy or plan issued by the insurer. Members are typically entitled to receive various health services, benefits, and protections as outlined in their insurance agreement.

This concept is foundational in understanding how health insurance operates, as members rely on their plans for access to medical care and financial support during health-related events. The definition emphasizes the importance of enrollment in the insurance system and the rights and obligations that accompany membership.

In contrast, the other options represent different aspects of the insurance landscape but do not accurately capture the meaning of "Member." For instance, an insurance policy is a contract rather than a person, and a company that provides insurance services refers to the insurer itself, not the individuals covered under the policy. Additionally, health professionals working for Highmark are part of the provider network and have a different role than the members who utilize their services.

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