Glossary: Medicare Terms

• 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

• Ambulance services

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B

• Benefit year
• Benefits

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C

• Claim
• Clinical research
• Coinsurance
• Copay

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D

• Deductible
• Durable medical equipment

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E

• Enrollment
• Excluded services
• Extra Help

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F

• Formulary

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G

• Guaranteed issue

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H

• Health care provider
• Health insurance agent
• Home health care
• Hospice services

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I

• Initial Coverage Election Period (ICEP)
• Inpatient care

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J

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K

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L

• Long-term care
• Low Income Subsidy (LIS)

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M

• 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

• Optional supplemental benefits
• Out-of-pocket costs
• Out-of-pocket maximum

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P

• Pre-existing condition
• Preventive services
• Primary care physician
• Private health insurance

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Q

• Qualifying life event

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R

• Referral

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S

• Skilled nursing facility care
• Special Enrollment Period (SEP)
• Specialist

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T

• Tiers

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U

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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

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Z

• Zero cost sharing plan

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