Glossary
Tags
- ACA
- ACA Marketplace
- ACA subsidies
- CHIP
- CMS
- ESRD
- Extra Help
- FMAP
- FPL
- FQHC
- FSA
- HCBS
- HMO
- HRA
- HSA
- IEP
- IRMAA
- Joint Commision
- KFF
- LCD
- LIS
- Marketplace
- Medicaid
- Medicaid (rare)
- Medicaid expansion
- Medicare
- Medicare Advantage
- Medicare Part A
- Medicare Part B
- Medicare Part D
- Medicare coordination
- Medigap
- NCD
- NEMT
- NOMNC
- Original Medicare
- PCP
- Part A
- Part B
- Part C
- Part D
- QLE
- QMB
- SEP
- SNF
- SNP
- SSI
- Section 1115
- Silver Plan
- Silver plan
X-Ray Services
Diagnostic imaging services used to visualize internal structures of the body. Medicare Part B, Medicaid, and CHIP cover X-rays when deemed medically necessary, while ACA Marketplace plans also cover diagnostic services, including X-rays, as part of essential health benefits.
Diagnostic imaging services used to visualize internal structures of the body. Medicare Part B, Medicaid, and CHIP cover X-rays when deemed medically necessary, while ACA Marketplace plans also cover diagnostic services, including X-rays, as part of essential health benefits.
Yearly Out-of-Pocket Maximum
The maximum amount an individual must pay for covered services in a calendar year before their health insurance plan covers 100% of additional costs. This applies to ACA Marketplace, Medicare Advantage, and some Medicaid plans. Once the yearly out-of-pocket maximum is reached, the insurer pays all remaining covered expenses.
The maximum amount an individual must pay for covered services in a calendar year before their health insurance plan covers 100% of additional costs. This applies to ACA Marketplace, Medicare Advantage, and some Medicaid plans. Once the yearly out-of-pocket maximum is reached, the insurer pays all remaining covered expenses.
Youth Health Coverage
Healthcare benefits available to children and young adults, primarily through programs like CHIP, Medicaid, and dependent coverage under ACA Marketplace plans. These plans provide comprehensive coverage, including doctor visits, preventive care, vaccinations, and dental services.
Healthcare benefits available to children and young adults, primarily through programs like CHIP, Medicaid, and dependent coverage under ACA Marketplace plans. These plans provide comprehensive coverage, including doctor visits, preventive care, vaccinations, and dental services.
Zero-Cost Sharing Plans
Health insurance plans available under the ACA for certain low-income individuals who qualify for cost-sharing reductions. These plans eliminate out-of-pocket costs like copayments, deductibles, and coinsurance for eligible enrollees, ensuring affordable access to medical services.
Health insurance plans available under the ACA for certain low-income individuals who qualify for cost-sharing reductions. These plans eliminate out-of-pocket costs like copayments, deductibles, and coinsurance for eligible enrollees, ensuring affordable access to medical services.
Zoster (Shingles) Vaccine
A vaccination to protect against shingles, a painful rash caused by the reactivation of the chickenpox virus. Medicare Part D and some Medicaid programs cover the shingles vaccine, while ACA Marketplace plans include vaccinations as part of preventive services.