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
ACA (Affordable Care Act)
A comprehensive healthcare reform law enacted in 2010, aimed at increasing health insurance coverage, reducing healthcare costs, and improving healthcare outcomes. It established the Health Insurance Marketplace and expanded Medicaid in many states.
A comprehensive healthcare reform law enacted in 2010, aimed at increasing health insurance coverage, reducing healthcare costs, and improving healthcare outcomes. It established the Health Insurance Marketplace and expanded Medicaid in many states.
Exchange (Health Insurance Marketplace)
Also known as the Health Insurance Marketplace, the exchange is an online platform where individuals can compare and purchase ACA-compliant health insurance plans. The Marketplace also provides information on subsidies and tax credits for eligible individuals.
Also known as the Health Insurance Marketplace, the exchange is an online platform where individuals can compare and purchase ACA-compliant health insurance plans. The Marketplace also provides information on subsidies and tax credits for eligible individuals.
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.
Federal Poverty Level (FPL)
A measure of income issued annually by the Department of Health and Human Services (HHS) to determine eligibility for various government assistance programs, including Medicaid, CHIP, and ACA subsidies. The FPL varies based on household size and geographic location.
A measure of income issued annually by the Department of Health and Human Services (HHS) to determine eligibility for various government assistance programs, including Medicaid, CHIP, and ACA subsidies. The FPL varies based on household size and geographic location.
Financial Assistance (ACA)
Subsidies provided through the ACA Marketplace to help eligible individuals and families pay for health insurance premiums and out-of-pocket costs. There are two main types of financial assistance: premium tax credits and cost-sharing reductions.
Subsidies provided through the ACA Marketplace to help eligible individuals and families pay for health insurance premiums and out-of-pocket costs. There are two main types of financial assistance: premium tax credits and cost-sharing reductions.
Health Insurance Marketplace
An online platform established by the ACA where individuals and small businesses can compare and purchase health insurance plans. It also provides information on eligibility for subsidies and cost-sharing reductions.
An online platform established by the ACA where individuals and small businesses can compare and purchase health insurance plans. It also provides information on eligibility for subsidies and cost-sharing reductions.
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.
Premium Tax Credit
A subsidy provided under the ACA to help eligible individuals and families pay for health insurance premiums. Premium tax credits are based on income and are available to those purchasing coverage through the ACA Marketplace.
A subsidy provided under the ACA to help eligible individuals and families pay for health insurance premiums. Premium tax credits are based on income and are available to those purchasing coverage through the ACA Marketplace.
Silver Plan (ACA)
A mid-level health plan available through the ACA Marketplace that covers approximately 70% of healthcare costs, with the enrollee paying the remaining 30%. Cost-sharing reductions are only available for those who select a Silver plan and meet income requirements.
A mid-level health plan available through the ACA Marketplace that covers approximately 70% of healthcare costs, with the enrollee paying the remaining 30%. Cost-sharing reductions are only available for those who select a Silver plan and meet income requirements.