Browse Medical Terms
- Accident-only coverage
- Accountable care organizations (ACOs)
- Actuarial equivalence
- Adverse selection
- Affordable Care Act
- Affordable health insurance
- Allowed amount
- Ambulatory patient services, also called outpatient care
- Appeal
- Benchmark formulary
- Benchmark health plan
- Breast and cervical cancer prevention and treatment program (BCCPT)
- Bronze plan
- Care coordinator
- Catastrophic limit
- Catastrophic plan
- Categorically eligible
- Certified application counselor
- Chronic condition, also called long-term condition
- Claim
- Co-op plan
- COBRA (The Consolidated Omnibus Budget Reconciliation Act)
- Coinsurance
- Consumer assistance program, also called CAP
- Copay or copayment
- Cost sharing
- Cover or covered
- Deductible
- Denial of claim
- Discount plans
- Donut hole
- Eligibility
- Enrollment
- Essential health benefits, also called essential benefits
- Exchange
- Exclusions, also called limitations
- Expanded coverage/expanded Medicaid
- Explanation of benefits, also called an EOB
- Extra Help for Medicare
- Federal poverty level
- Fee-for-service (FFS)
- Flexible spending account (FSA)
- Formulary
- Gold plan
- Grandfathered plans
- Habilitation services
- Health care reform
- Health maintenance organizations (HMO)
- Health plan
- Health reimbursement arrangement (HRA)
- Health savings account (HSA)
- HEDIS
- High-deductible health plan (HDHP)
- HIPAA, also called the privacy rule
- Hospital-confinement indemnity coverage
- In-Network, also called in-plan
- Lifetime limits
- Marketplace, also called Exchange
- Medicaid
- Medicaid expansion
- Medicare Advantage, also called Part C
- Medicare Cost Plan
- Medicare Extra Help Program
- Medicare Part A (hospital insurance)
- Medicare Part B
- Medicare Part C
- Medicare Part D, also called the Medicare prescription drug benefit
- Medicare supplemental policies (Medigap)
- Medicare, also called original Medicare or traditional Medicare
- Navigators
- NCQA
- Non-licensed risk-sharing plans
- Non-preferred provider
- Open enrollment
- Out-of-network, also called out-of-plan or non-preferred provider
- Out-of-pocket costs, sometimes called OOP
- PCP (primary care physician or primary care provider)
- Point-of-service plan (POS)
- Poverty level
- PPACA
- Pre-existing condition
- Preferred Provider Organizations
- Premium
- Private insurance
- Providers
- Public insurance
- Qualified Disabled & Working Individual Program (QDWI)
- Qualified health plan (QHP)
- Qualified Medicare Beneficiary Program (QMB)
- Qualifying Individual Program (QI)
- Silver plan
- Special needs plan (SNP)
- Specified low-income Medicare beneficiary (SLMB)
- Subsidy
- Summary of benefits or benefits package
- Tax credit