Medical Reimbursement: A Contextualized Method helps students navigate through the ins and outs of medical billing. An understanding of medical insurance and related terms is essential to the medical billing process. Healthcare is very expensive for a variety of reasons and, to remain profitable, medical providers must manage their business with the help of qualified employees who understand insurance benefits and the responsibility of reimbursement. Simply having medical insurance coverage does not necessarily mean that insurance will pay for all, or even part, of healthcare expenses. Some individuals by their own choice or by unforeseen circumstances, do not have insurance and are considered to be self-insured (or self-pay patients) and are, therefore, responsible for the entire cost of their own healthcare expenses.