Glossary
Tags
- ACA
- ACA Marketplace
- ACA subsidies
- CHIP
- CMS
- ESRD
- Extra Help
- FMAP
- FPL
- FQHC
- FSA
- HCBS
- HMO
- HRA
- HSA
- IEP
- IRMAA
- Joint Commision
- KFF
- LCD
- LIS
- Marketplace
- Medicaid
- Medicaid (rare)
- Medicaid expansion
- Medicare
- Medicare Advantage
- Medicare Part A
- Medicare Part B
- Medicare Part D
- Medicare coordination
- Medigap
- NCD
- NEMT
- NOMNC
- Original Medicare
- PCP
- Part A
- Part B
- Part C
- Part D
- QLE
- QMB
- SEP
- SNF
- SNP
- SSI
- Section 1115
- Silver Plan
- Silver plan
Income-Related Monthly Adjustment Amount (IRMAA)
An additional charge added to Medicare Part B and Part D premiums for beneficiaries with higher incomes. IRMAA is determined based on the beneficiary’s modified adjusted gross income (MAGI).
An additional charge added to Medicare Part B and Part D premiums for beneficiaries with higher incomes. IRMAA is determined based on the beneficiary’s modified adjusted gross income (MAGI).
Medicare Part B
The medical insurance component of Medicare that covers outpatient services, doctor visits, preventive services, and some home health care. Part B requires a monthly premium, which is based on income, and there are cost-sharing requirements for services.
The medical insurance component of Medicare that covers outpatient services, doctor visits, preventive services, and some home health care. Part B requires a monthly premium, which is based on income, and there are cost-sharing requirements for services.
Outpatient Care
Medical services or treatments that do not require an overnight hospital stay. Medicare Part B, Medicaid, and CHIP cover outpatient care, which includes doctor visits, diagnostic tests, and certain surgeries.
Medical services or treatments that do not require an overnight hospital stay. Medicare Part B, Medicaid, and CHIP cover outpatient care, which includes doctor visits, diagnostic tests, and certain surgeries.
Part B (Medicare)
The medical insurance part of Medicare, which covers outpatient services, doctor visits, preventive care, and certain home health services. Part B requires a monthly premium, which is income-based.
The medical insurance part of Medicare, which covers outpatient services, doctor visits, preventive care, and certain home health services. Part B requires a monthly premium, which is income-based.
X-Ray Services
Diagnostic imaging services used to visualize internal structures of the body. Medicare Part B, Medicaid, and CHIP cover X-rays when deemed medically necessary, while ACA Marketplace plans also cover diagnostic services, including X-rays, as part of essential health benefits.
Diagnostic imaging services used to visualize internal structures of the body. Medicare Part B, Medicaid, and CHIP cover X-rays when deemed medically necessary, while ACA Marketplace plans also cover diagnostic services, including X-rays, as part of essential health benefits.