Glossary

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

A
Access
Accident
Accountable Care Organization
Accreditation
Accumulation Period
Actively-at-work
Actual Charge
Actuarial Value
Actuary
Adjusted Gross Income (AGI)
Administrative Services Only (ASO) Agreement
Admissions/1,000
Admits
Advance Premium Tax Credit (APTC)
Adverse Selection
Affordable Care Act (ACA)
Affordable coverage
Age Change
Age Limits
Age/Sex Factor
Agent
Agent and Broker (Health Insurance)
Allied Health Personnel
Allowable Charge
Allowable Costs
Allowed Amount
Alternate Delivery System
Alternative Medicine
Ambulatory Care
Ambulatory Setting
Ancillary Fee
Ancillary Products
Ancillary Services
Annual Deductible Combined
Annual Limit
Appeal
Application Fee
Approved Health Care Facility or Program
Assignment of Benefits
Attending Physician Statement (APS)
Attest/Attestation
Authorized Representative
E
Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT)
Effective Date
Eligibility Assessment
Eligibility Date
Eligibility Requirements
Eligible Dependent
Eligible Employee
Eligible Expenses
Eligible Immigration Status
Eligible Person
Emergency Medical Condition
Emergency Medical Transportation
Emergency Room
Emergency Services
Employee Contribution
Employer Contribution
Employer or Union Retiree Plans
Employer Shared Responsibility Payment (ESRP)
Enrollee
Enrollment
Enrollment Period
EPO(Exclusive Provider Organization)
ERISA (Employment Retiree Income Security Act of 1974)
Essential Health Benefits
Estimated Cost
Evidence of Insurability
Examination
Exchange
Exclusions
Exclusive Provider Organization (EPO) Plan
Exemption Certificate Number (ECN)
Exemption
Experimental or Investigational Procedures
Explanation of Benefits (EOB)
Extended Coverage
Extension of Benefits
External Review
P
Partial Disability
Partial Disability
Partial Hospitalization Services
Part-Time Employee
Patient Protection and Affordable Care Act
Patient Protection and Affordable Care Act
Patient Protection and Affordable Care Act (PPACA)
Patient-Centered Outcomes Research
Payment Bundling
Penalty
Periodic Health Exam
Periodic Health Exam
Periodic OB-GYN Exam
Physician Services
Place of Service
Place of Service
Plan
Plan Year
Platinum Health Plan
Platinum Health Plan
Point of Service (POS) Plans
Policy Term
Policy Year
Policy Year
Practical Nurse
Pre-existing Condition
Pre-existing Condition
Pre-existing Condition Exclusion
Pre-existing Condition Insurance Plan (PCIP)
Preferred Provider Organization (PPO)
Preferred Provider
Premium Tax Credit
Premium
Prescription Drug Coverage
Prescription Medication
Preventive Care
Primary Care Physician (PCP)
Primary Care
Primary Coverage
Prior Authorization
Probationary Period
Provider
Provider Write-off