Glossary

• A
• B
• C
• D
• E
• F
• G
• H
• I
• J
• K
• L
• M
• N
• O
• P
• Q
• R
• S
• T
• U
• V
• W
• X
• Y
• Z

A

• Affordable Care Act
• Agent
• Ambulance Services

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B

• Benefit Level
• Benefit Year
• Benefits

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C

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

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D

• Deductible
• Dependent Coverage
• Durable Medical Equipment

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E

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

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F

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

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G

• Guaranteed Issue

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H

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

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I

• Individual Mandate
• Initial Coverage Election Period
• Inpatient Care

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L

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

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M

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

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N

• Network

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O

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

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P

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

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Q

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

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R

• Referral

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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

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T

• Tax Penalty
• Tiers

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V

• Vision Coverage

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W

• Waiting Period

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X

• X-ray

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Y

• Year of Exhaustion

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Z

• Zero Cost Sharing Plan