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.
Health Maintenance Organization (HMO)
A type of health insurance plan that provides coverage through a network of doctors, hospitals, and other healthcare providers. Enrollees must typically choose a primary care physician and get referrals to see specialists. ACA, Medicaid, and CHIP offer HMO options.
A type of health insurance plan that provides coverage through a network of doctors, hospitals, and other healthcare providers. Enrollees must typically choose a primary care physician and get referrals to see specialists. ACA, Medicaid, and CHIP offer HMO options.
Primary Care Physician (PCP)
A healthcare provider who acts as the first point of contact for an individual’s healthcare needs and coordinates further specialist care if necessary. Many Medicare Advantage, Medicaid, and ACA plans require enrollees to choose a PCP.
A healthcare provider who acts as the first point of contact for an individual’s healthcare needs and coordinates further specialist care if necessary. Many Medicare Advantage, Medicaid, and ACA plans require enrollees to choose a PCP.
Referral
A written order from a primary care doctor for a patient to see a specialist or receive certain medical services. Many Medicare Advantage, Medicaid, and ACA plans require a referral before seeing a specialist or undergoing specialized tests.
A written order from a primary care doctor for a patient to see a specialist or receive certain medical services. Many Medicare Advantage, Medicaid, and ACA plans require a referral before seeing a specialist or undergoing specialized tests.