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
Community Health Center
A nonprofit clinic that provides primary care and preventive services to low-income individuals, often funded by federal programs such as Medicaid and CHIP. These centers serve uninsured, underinsured, and Medicaid-eligible populations.
A nonprofit clinic that provides primary care and preventive services to low-income individuals, often funded by federal programs such as Medicaid and CHIP. These centers serve uninsured, underinsured, and Medicaid-eligible populations.
Federally Qualified Health Center (FQHC)
A community-based health clinic that provides comprehensive primary and preventive care services, including dental, mental health, and substance use services. Medicaid, Medicare, and CHIP typically cover services received at FQHCs, which serve low-income, uninsured, and underserved populations.
A community-based health clinic that provides comprehensive primary and preventive care services, including dental, mental health, and substance use services. Medicaid, Medicare, and CHIP typically cover services received at FQHCs, which serve low-income, uninsured, and underserved populations.
Low-Income Subsidy (LIS)
A federal program that helps Medicare Part D beneficiaries with limited income and resources pay for prescription drug costs. The LIS program covers premiums, deductibles, and copayments for eligible individuals, reducing out-of-pocket expenses.
A federal program that helps Medicare Part D beneficiaries with limited income and resources pay for prescription drug costs. The LIS program covers premiums, deductibles, and copayments for eligible individuals, reducing out-of-pocket expenses.
Medicaid
A joint federal and state program that provides healthcare coverage to low-income individuals, families, seniors, and people with disabilities. Medicaid covers a wide range of services, including doctor visits, hospital stays, long-term care, and preventive care.
A joint federal and state program that provides healthcare coverage to low-income individuals, families, seniors, and people with disabilities. Medicaid covers a wide range of services, including doctor visits, hospital stays, long-term care, and preventive care.
Medicaid Expansion
A provision of the ACA that allows states to expand Medicaid eligibility to adults with incomes up to 138% of the Federal Poverty Level (FPL). Expansion states offer coverage to a broader range of low-income adults, including those without children.
A provision of the ACA that allows states to expand Medicaid eligibility to adults with incomes up to 138% of the Federal Poverty Level (FPL). Expansion states offer coverage to a broader range of low-income adults, including those without children.
Qualified Medicare Beneficiary (QMB) Program
A Medicaid program that helps low-income Medicare beneficiaries pay for Medicare Part A and Part B premiums, deductibles, copayments, and coinsurance. Beneficiaries must meet specific income and resource limits to qualify.
A Medicaid program that helps low-income Medicare beneficiaries pay for Medicare Part A and Part B premiums, deductibles, copayments, and coinsurance. Beneficiaries must meet specific income and resource limits to qualify.
Supplemental Security Income (SSI)
A federal income program that provides financial assistance to low-income individuals who are aged, blind, or disabled. SSI recipients often qualify for Medicaid automatically to help cover healthcare costs.
A federal income program that provides financial assistance to low-income individuals who are aged, blind, or disabled. SSI recipients often qualify for Medicaid automatically to help cover healthcare costs.
Uncompensated Care
Medical services provided to patients who are unable to pay and do not have insurance coverage. Medicaid expansion under the ACA has helped reduce the amount of uncompensated care provided by hospitals by covering more low-income individuals.
Medical services provided to patients who are unable to pay and do not have insurance coverage. Medicaid expansion under the ACA has helped reduce the amount of uncompensated care provided by hospitals by covering more low-income individuals.
Zero-Cost Sharing Plans
Health insurance plans available under the ACA for certain low-income individuals who qualify for cost-sharing reductions. These plans eliminate out-of-pocket costs like copayments, deductibles, and coinsurance for eligible enrollees, ensuring affordable access to medical services.
Health insurance plans available under the ACA for certain low-income individuals who qualify for cost-sharing reductions. These plans eliminate out-of-pocket costs like copayments, deductibles, and coinsurance for eligible enrollees, ensuring affordable access to medical services.