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Glossary

  • A
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  • W
  • X
  • Y
  • Z

A

  • Affordable Care Act
  • Agent
  • Ambulance Services

B

  • Benefit Level
  • Benefit Year
  • Benefits

C

  • Claim
  • Clinical Research
  • Coinsurance
  • Copay
  • Cost-Sharing Reduction (CSR)

D

  • Deductible
  • Dependent Coverage
  • Durable Medical Equipment

E

  • Effective Date
  • Employee Contributions
  • Employer
  • Employer Contribution
  • Employer Mandate
  • Employer Shared Responsibility Payment
  • Enrollment
  • Exclusions
  • Extended Bronze Plan
  • Extra Help

F

  • Flexible Spending Account (FSA)
  • Formulary
  • Full-Time Equivalent (FTE)

G

  • Guaranteed Issue

H

  • Health Care Provider
  • Health Plan Categories
  • Health Savings Account
  • HIPAA
  • Home Health Care
  • Hospice Care

I

  • Individual Mandate
  • Initial Coverage Election Period
  • Inpatient Care

L

  • Long-Term Care
  • Low-Income Subsidy (LIS)

M

  • Maternity Coverage
  • Medical Underwriting
  • Medically Necessary Services or Supplies
  • Mental Health Services
  • Minimum Essential Coverage (MEC)
  • Minimum Value

N

  • Network

O

  • Open Enrollment Period
  • Optional Supplemental Benefits
  • Out-of-Pocket Costs
  • Out-of-Pocket Maximum

P

  • Pre-existing Condition
  • Premium
  • Preventive Services
  • Primary Care Physician
  • Private Insurance

Q

  • Qualified Small Employer Health Reimbursement Arrangement (QSEHRA)
  • Qualifying Life Event

R

  • Referral

S

  • Schedule C
  • Schedule K-1
  • Skilled Nursing Facility Care
  • Small Business Health Options Program (SHOP)
  • Special Enrollment Period (SEP)
  • Specialist
  • Subsidized Coverage
  • Summary of Benefits and Coverage

T

  • Tax Penalty
  • Tiers

V

  • Vision Coverage

W

  • Waiting Period

X

  • X-ray

Y

  • Year of Exhaustion

Z

  • Zero Cost Sharing Plan
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© 2023 HealthMarkets Insurance Agency. All rights reserved.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1- 877-486-2048) 24 hours a day/ 7 days a week to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in a health plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled.

HealthMarkets Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

Sources:
Kaiser Family Foundation (2019). Average Single Premium per Enrolled Employee For Employer-Based Health Insurance.

46513-HM-1020

  • HealthMarkets Insurance Agency BBB Business Review
  • HealthMarkets
  • HealthMarkets HealthMarkets
  • Medicare Eligibility by State

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  • Dental Insurance Plans by State

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  • Life Insurance Plans by State

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    • ID
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    • MD
    • ME
    • MI
    • MO
    • MS
    • MT
    • NC
    • NE
    • NH
    • NJ
    • NM
    • NV
    • OH
    • OK
    • OR
    • PA
    • RI
    • SC
    • TN
    • TX
    • VA
    • WA
    • WI
    • WV
    • WY

© 2023 HealthMarkets Insurance Agency. All rights reserved.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1- 877-486-2048) 24 hours a day/ 7 days a week to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in a health plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled.

HealthMarkets Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

Sources:
Kaiser Family Foundation (2019). Average Single Premium per Enrolled Employee For Employer-Based Health Insurance.

46513-HM-1020

  • HealthMarkets Insurance Agency BBB Business Review
  • HealthMarkets
  • HealthMarkets HealthMarkets

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