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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

ACA Health Insurance
ACA
Affordable Care Act
Aggregate Deductible
Allowed Amount
Ambulatory Center
Appeal
Average Cost of Health Insurance
Average Health Insurance Cost

B

Balance Billing

C

Coinsurance
Co-insurance
Copayment
Co-payment
CT Scan
Computed Tomography Scan
COBRA
Consolidated Omnibus Budget Reconciliation Act

D

Deductible
Disability Insurance
Disability Health Insurance
DME
Durable Medical Equipment

E

Effective Date
Eligible Employee
Eligible Dependent
Emergency Medical Condition
Emergency Medical Transportation
Emergency Room Care
Emergency Services
Employee Benefits
ERISA
Employee Retirement Income Security Act of 1974
Essential Community Provider
EHBs
Essential Health Benefits
EOC
Evidence of Coverage
EPO
Exclusive Provider Organization
EOB
Explanation of Benefits

F

Family Health Insurance
Family and Medical Leave Act of 1993
FMLA

G

Global Billing
Grandfathered Health Plan
Grandfathered Plan
Grievance
Group Health Insurance
Group Health Plan

H

Habilitative Services
Habilitation Services
High Deductible Health Plan
HDHP
Health Insurance
Health Insurance Broker
Health Insurance Agent
Health Insurance Exchange
Health Insurance Marketplace
Health Insurance Penalty
HMO
Health Maintenance Organization
Health Plan
HSA
Health Savings Account
Health Insurance Portability and Accountability Act
HIPAA
Home Health Care
Hospice Services
Hospital Outpatient Care
Hospitalization

I

In-network Co-insurance
In-network Coinsurance
In-network Co-payment
In-network Copayment
IMR Program
Independent Medical Review
Individual Health Insurance

L

Late Entrant
Late Enrollee

M

MRI
Magnetic Resonance Imaging (MRI)
Managed Care Plan
Medi-Cal in California
Medicaid
Medically Necessary
Medicare Health Insurance

N

Network
Non-Grandfathered Health Plan
Non-Grandfathered Plan
Non-Preferred Provider

O

OEP
Open Enrollment Period
OON Co-payment
Out-of-network Co-payment
Out-of-network Co-insurance
Out-of-network Coinsurance
Out-of-Pocket Maximum
Out-of-Pocket Limit

P

Pet Health Insurance
Physician Services
Preauthorization
Preferred Provider
PPO
Preferred Provider Organization
Premium
Prescription Drugs and Related Terms
Preventive Services
Primary Care Physician
Prior Deductible Credit
Private Health Insurance
Private Health Insurance Exchange
Provider

Q

QLE
Qualifying Life Event

R

Adjusted Community Rating
Rating Factor
Reconstructive Surgery
Referral
Rehabilitative Services
Rehabilitation Services

S

Self-Employed Health Insurance
Short-Term Health Insurance
Skilled Nursing Care
Small Business Group Health Insurance
Small Business Health Insurance
Specialist
SBC
Summary of Benefits and Coverage
Supplemental Health Insurance

T

Tiered Provider Network
Tiered Network
Travel Health Insurance

U

Ultrasound
Ultrasound
Urgent Care
UCR
Usual, Customary, and Reasonable

Hey!
Here's the Word of the Day

Medically Necessary

Health care services or supplies needed to prevent, diagnose, or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.

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Categories

Affordable Care Act13
Copayment1
Health Insurance26
HSA1
Compliance5
Group Health Insurance64
Medical68
Ancillary/Supplemental Health36

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