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
Catastrophic Coverage (Medicare Part D)
The phase of Medicare Part D coverage that begins after a beneficiary has spent a specified amount on prescription drugs during the year. During this phase, Medicare covers most prescription drug costs, and the beneficiary pays only a small copayment or coinsurance.
The phase of Medicare Part D coverage that begins after a beneficiary has spent a specified amount on prescription drugs during the year. During this phase, Medicare covers most prescription drug costs, and the beneficiary pays only a small copayment or coinsurance.
Extra Help (Medicare Part D)
A federal program that helps individuals with limited income and resources pay for the costs of prescription drugs under Medicare Part D. Extra Help covers premiums, deductibles, and copayments for eligible beneficiaries.
A federal program that helps individuals with limited income and resources pay for the costs of prescription drugs under Medicare Part D. Extra Help covers premiums, deductibles, and copayments for eligible beneficiaries.
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.
Prescription Drug Coverage
Health insurance coverage that helps pay for the cost of prescription medications. Medicare Part D, Medicaid, CHIP, and many ACA Marketplace plans offer prescription drug coverage.
Health insurance coverage that helps pay for the cost of prescription medications. Medicare Part D, Medicaid, CHIP, and many ACA Marketplace plans offer prescription drug coverage.
Tiered Drug Formulary
A system used by health insurance plans to categorize prescription drugs into different cost tiers, with generic drugs typically in the lowest tier and specialty or brand-name drugs in higher tiers. Medicare Part D and ACA plans often use a tiered formulary system.
A system used by health insurance plans to categorize prescription drugs into different cost tiers, with generic drugs typically in the lowest tier and specialty or brand-name drugs in higher tiers. Medicare Part D and ACA plans often use a tiered formulary system.