Healthcare, insurance and medical terms can be very confusing, and as always, the devil is in the details. To know whether you qualify for a subsidy, deduction, plan or exception, you need to read and understand the terms that apply carefully. Below is a dictionary of ACA, Obamacare, medical / dental insurance plan terms.
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
A
- Accountable Care Organization
- Accreditation
- Actuarial Value
- Adjusted Gross Income (AGI)
- Advance Premium Tax Credit (APTC)
- Affordable Care Act (ACA)
- Affordable coverage
- Agent and Broker (Health Insurance)
- Alimony
- Allowed Amount
- Annual Deductible Combined
- Annual Limit
- Appeal
- Application ID
- Attest/Attestation
- Authorized Representative
B
C
- COBRA
- Canceled Debts
- Capital Gains
- Care Coordination
- Catastrophic Health Plan
- Centers for Medicare & Medicaid Services (CMS)
- Certified Application Counselor
- Children’s Health Insurance Program (CHIP)
- Chronic Disease Management
- Claim
- Co-op
- Coinsurance
- Community Rating
- Competitive Bidding
- Complication of Pregnancy
- Conversion
- Coordination of Benefits
- Copayment
- Cost Sharing
- Cost Sharing Reduction (CSR)
- Court Awards
- Creditable Coverage
D
E
- Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT)
- Eligibility Assessment
- Eligible Immigration Status
- Emergency Medical Condition
- Emergency Medical Transportation
- Emergency Room Care
- Emergency Services
- Employer Shared Responsibility Payment (ESRP)
- Employer or Union Retiree Plans
- Essential Health Benefits
- Exchange
- Excluded Services
- Exclusive Provider Organization (EPO) Plan
- Exemption
- Exemption Certificate Number (ECN)
- External Review
F
G
H
- HIPAA Eligible Individual
- Habilitative/Habilitation Services
- Hardship Exemption
- Health Care Workforce Incentive
- Health Coverage
- Health Insurance
- Health Insurance Marketplace
- Health Maintenance Organization (HMO)
- Health Plan Categories
- Health Reimbursement Account (HRA)
- Health Savings Account (HSA)
- Health Status
- High Deductible Health Plan (HDHP)
- High-Cost Excise Tax
- High-Risk Pool Plan (State)
- Home Health Care
- Home and Community-Based Services (HCBS)
- Hospice Services
- Hospital Outpatient Care
- Hospital Readmissions
- Hospitalization
- Household
I
M
- Marketplace
- Medicaid
- Medical Loss Ratio (MLR)
- Medical Underwriting
- Medically Necessary
- Medicare
- Medicare Advantage (Medicare Part C)
- Medicare Hospital Insurance Tax
- Medicare Part D
- Medicare Prescription Drug Donut Hole
- Member Survey Results
- Minimum Essential Coverage (MEC)
- Minimum value
- Modified Adjusted Gross Income (MAGI)
- Multi-Employer Plan
- Multi-State Plan
N
O
P
- Patient Protection and Affordable Care Act
- Patient-Centered Outcomes Research
- Payment Bundling
- Penalty
- Pension (Retirement Benefit)
- Physician Services
- Plan
- Plan ID
- Plan Year
- Platinum Health Plan
- Point of Service (POS) Plans
- Policy Year
- Pre-Existing Condition
- Pre-Existing Condition (Job-based Coverage)
- Pre-Existing Condition Exclusion Period (Individual Policy)
- Pre-Existing Condition Exclusion Period (Job-based Coverage)
- Pre-existing Condition Insurance Plan (PCIP)
- Preauthorization
- Preferred Provider
- Preferred Provider Organization (PPO)
- Premium
- Premium Tax Credit
- Prescription Drug Coverage
- Prescription Drugs
- Prevention
- Preventive Services
- Primary Care
- Primary Care Physician
- Primary Care Provider
- Prior Authorization
- Public Health
Q
R
S
- SHOP (Small Business Health Options Program) Marketplace
- Same-Sex Marriage
- Second lowest cost Silver plan (SLCSP)
- Self-Employment Income
- Self-Employment Ledger
- Self-Insured Plan
- Service Area
- Silver Health Plan
- Skilled Nursing Care
- Skilled Nursing Facility Care
- Social Security
- Social Security Benefits
- Social Security Survivors Benefits
- Special Enrollment Period (SEP)
- Special Health Care Need
- Specialist
- Spousal Abandonment
- Stand-alone dental plan
- State Continuation Coverage
- State Health Insurance Assistance Program (SHIP)
- State Insurance Department
- State Medical Assistance Office
- Subsidized Coverage
- Summary of Benefits and Coverage (SBC)
- Supplemental Security Income (SSI)