A

• Accountable Care Organization
• Accreditation
• Actuarial Value
• Advanced Premium Tax Credit
• Affordable Care Act
• Affordable Insurance Exchange
• Affordable coverage (as it relates to APTC)
• Agent
• Alimony
• Allowed Amount
• Annual Deductible Combined
• Annual Limit
• Appeal
• Attest/Attestation
• Authorized Representative

B

• Balance Billing
• Benefits
• Biosimilar Biological Products
• Brand Name (Drugs)
• Broker
• Bronze Health Plan

C

• COBRA
• Cancelled Debts
• Capital Gains
• Care Coordination
• Catastrophic Health Plan
• Centers for Medicare & Medicaid Services (CMS)
• Certified Applicant Counselor
• Children's Health Insurance Program (CHIP)
• Chronic Disease Management
• Claim
• Co-op
• Coinsurance
• Community Rating
• Competitive Bidding
• Complication of Pregnancy
• Conversion
• Coordination of Benefits
• Copayment
• Cost Sharing
• Cost Sharing Reduction
• Court Awards
• Creditable Coverage

D

• Deductible
• Dental Coverage
• Department of Health and Human Services (HHS)
• Dependent
• Dependent Coverage
• Disability
• Dividend
• Domestic Partnership
• Donut Hole, Medicare Prescription Drug
• Drug List
• Durable Medical Equipment (DME)

E

• Early and Periodic Screening, Diagnostic, and Treatment Services, EPSDT
• Eligibility Assessment
• Eligible Immigration Status
• Emergency Medical Condition
• Emergency Medical Transportation
• Emergency Room Care
• Emergency Services
• Employer Shared Responsibility Payment
• Employer or Union Retiree Plans
• Essential Health Benefits
• Exchange
• Excluded Services
• Exclusive Provider Organization (EPO) Plan
• External Review

F

• Family and Medical Leave Act (FMLA)
• Federal Poverty Level (FPL)
• Federally Qualified Health Center (FQHC)
• Federally Recognized Tribe
• Fee
• Fee For Service
• Flexible Benefits Plan
• Flexible Spending Account (FSA)
• Formulary
• Full-Time Employee
• Fully Insured Job-based Plan

G

• Generic Drugs
• Gold Health Plan
• Grandfathered
• Grandfathered Health Plan
• Grievance
• Group Health Plan
• Guaranteed Issue
• Guaranteed Renewal

H

• HIPAA Eligible Individual
• Habilitative/Habilitation Services
• Hardship Exemption
• Health Care Workforce Incentive
• Health Coverage
• Health Insurance
• Health Insurance Marketplace
• Health Maintenance Organization (HMO)
• Health Plan Categories
• Health Reimbursement Account (HRA)
• Health Savings Account (HSA)
• Health Status
• High Deductible Health Plan (HDHP)
• High Risk Pool Plan (State)
• High-Cost Excise Tax
• Home Health Care
• Home and Community-Based Services (HCBS)
• Hospice Services
• Hospital Outpatient Care
• Hospital Readmissions
• Hospitalization

I

• In Person Assistance Personnel Program
• In-network Coinsurance
• In-network Copayment
• Individual Health Insurance Policy
• Inpatient Care
• Insurance Co-Op
• Interest
• Investment Income

J

• Job-based Health Plan

L

• Large Group Health Plan
• Lifetime Limit
• Long-Term Care

M

• Marketplace
• Medicaid
• Medical Loss Ratio (MLR)
• Medical Underwriting
• Medically Necessary
• Medicare
• Medicare Advantage (Medicare Part C)
• Medicare Hospital Insurance Tax
• Medicare Part D
• Medicare Prescription Drug Donut Hole
• Member Survey Results
• Minimum Essential Coverage
• Minimum value
• Modified Adjusted Gross Income (MAGI)
• Multi-Employer Plan

N

• Navigator
• Net Capital Gains
• Net Rental Income
• Network
• New Plan
• Non-preferred provider
• Nondiscrimination
• Not Yet Accredited (Health Plan)
• Notice

O

• Open Enrollment Period
• Original Medicare
• Out-of-Network Coinsurance
• Out-of-Network Copayment
• Out-of-Pocket Costs
• Out-of-Pocket Estimate
• Out-of-pocket maximum/limit

P

• Patient Protection and Affordable Care Act
• Patient-Centered Outcomes Research
• Payment Bundling
• Penalty
• Pension (Retirement Benefit)
• Physician Services
• Plan
• Plan Year
• Platinum Health Plan
• Point of Service (POS) Plans
• Policy Year
• Pre-Existing Condition
• Pre-Existing Condition (Job-based Coverage)
• Pre-Existing Condition Exclusion Period (Individual Policy)
• Pre-Existing Condition Exclusion Period (Job-based Coverage)
• Pre-existing Condition Insurance Plan (PCIP)
• Preauthorization
• Preferred Provider
• Preferred Provider Organization (PPO)
• Premium
• Premium Tax Credit
• Prescription Drug Coverage
• Prescription Drugs
• Prevention
• Preventive Services
• Primary Care
• Primary Care Physician
• Primary Care Provider
• Prior Authorization
• Public Health

Q

• Qualified Health Plan
• Qualifying Life Event

R

• Rate Review
• Reconstructive Surgery
• Referral
• Rehabilitative/Rehabilitation Services
• Reinsurance
• Rental or Royalty Income
• Rescission
• Retirement Benefit (Pension)
• Rider (exclusionary rider)
• Risk Adjustment

S

• Self-Employment Income
• Self-Insured Plan
• Service Area
• Silver Health Plan
• Skilled Nursing Care
• Skilled Nursing Facility Care
• Social Security
• Social Security Benefits
• Social Security Survivors Benefits
• Special Enrollment Period
• Special Health Care Need
• Specialist
• State Continuation Coverage
• State Health Insurance Assistance Program (SHIP)
• State Insurance Department
• State Medical Assistance Office
• Subsidized Coverage
• Summary of Benefits and Coverage (SBC)
• Supplemental Security Income (SSI)

T

• TRICARE
• TTY
• Tax Household
• Total Cost Estimate (for health coverage)

U

• UCR (Usual, Customary, and Reasonable)
• Uncompensated Care
• Urgent Care

V

• Value-Based Purchasing (VBP)
• Vision or Vision Coverage

W

• Waiting Period (Job-based coverage)
• Well-baby and Well-child Visits
• Wellness Programs
• Worker's Compensation