| Term |
Anchor Label |
Anchor Absolute Path |
| Link to full page |
|
https://www.healthcare.gov/sbc-glossary/ |
| Allowed Amount |
allowed-amount |
https://www.healthcare.gov/sbc-glossary/#allowed-amount |
| Appeal |
appeal |
https://www.healthcare.gov/sbc-glossary/#appeal |
| Balance Billing |
balance-billing |
https://www.healthcare.gov/sbc-glossary/#balance-billing |
| Claim |
claim |
https://www.healthcare.gov/sbc-glossary/#claim |
| Coinsurance |
coinsurance |
https://www.healthcare.gov/sbc-glossary/#coinsurance |
| Complications of Pregnancy |
complications-pregnancy |
https://www.healthcare.gov/sbc-glossary/#complications-pregnancy |
| Copayment |
copayment |
https://www.healthcare.gov/sbc-glossary/#copayment |
| Cost Sharing |
cost-sharing |
https://www.healthcare.gov/sbc-glossary/#cost-sharing |
| Cost Sharing Reductions |
cost-sharing-reductions |
https://www.healthcare.gov/sbc-glossary/#cost-sharing-reductions |
| Deductible |
deductible |
https://www.healthcare.gov/sbc-glossary/#deductible |
| Diagnostic Test |
diagnostic-test |
https://www.healthcare.gov/sbc-glossary/#diagnostic-test |
| Durable Medical Equipment (DME) |
durable-medical-equipment |
https://www.healthcare.gov/sbc-glossary/#durable-medical-equipment |
| Emergency Medical Condition |
emergency-medical-condition |
https://www.healthcare.gov/sbc-glossary/#emergency-medical-condition |
| Emergency Medical Transportation |
emergency-medical-transportation |
https://www.healthcare.gov/sbc-glossary/#emergency-medical-transportation |
| Emergency Room Care / Emergency Services |
emergency-room-care-emergency-services |
https://www.healthcare.gov/sbc-glossary/#emergency-room-care-emergency-services |
| Excluded Services |
excluded-services |
https://www.healthcare.gov/sbc-glossary/#excluded-services |
| Formulary |
formulary |
https://www.healthcare.gov/sbc-glossary/#formulary |
| Grievance |
grievance |
https://www.healthcare.gov/sbc-glossary/#grievance |
| Habiliation Services |
habilitation-services |
https://www.healthcare.gov/sbc-glossary/#habilitation-services |
| Health Insurance |
health-insurance |
https://www.healthcare.gov/sbc-glossary/#health-insurance |
| Home Health Care |
home-health-care |
https://www.healthcare.gov/sbc-glossary/#home-health-care |
| Hospice Services |
hospice-services |
https://www.healthcare.gov/sbc-glossary/#hospice-services |
| Hospitalization |
hospitalization |
https://www.healthcare.gov/sbc-glossary/#hospitalization |
| Hospital Outpatient Care |
hospital-outpatient-care |
https://www.healthcare.gov/sbc-glossary/#hospital-outpatient-care |
| In-network Coinsurance |
in-network-coinsurance |
https://www.healthcare.gov/sbc-glossary/#in-network-coinsurance |
| In-network Copayment |
in-network-copayment |
https://www.healthcare.gov/sbc-glossary/#in-network-copayment |
| Marketplace |
marketplace |
https://www.healthcare.gov/sbc-glossary/#marketplace |
| Maximum Out-of-Pocket Limit |
maximum-out-of-pocket-limit |
https://www.healthcare.gov/sbc-glossary/#maximum-out-of-pocket-limit |
| Medically Necessary |
medically-necessary |
https://www.healthcare.gov/sbc-glossary/#medically-necessary |
| Minimum Essential Coverage |
minimum-essential-coverage |
https://www.healthcare.gov/sbc-glossary/#minimum-essential-coverage |
| Minimum Value Standard |
minimum-value-standard |
https://www.healthcare.gov/sbc-glossary/#minimum-value-standard |
| Network |
network |
https://www.healthcare.gov/sbc-glossary/#network |
| Network Provider (Preferred Provider) |
network-provider |
https://www.healthcare.gov/sbc-glossary/#network-provider |
| Orthotics and Prosthetics |
orthotics-prosthetics |
https://www.healthcare.gov/sbc-glossary/#orthotics-prosthetics |
| Out-of-network Coinsurance |
out-of-network-coinsurance |
https://www.healthcare.gov/sbc-glossary/#out-of-network-coinsurance |
| Out-of-network Copayment |
out-of-network-copayment |
https://www.healthcare.gov/sbc-glossary/#out-of-network-copayment |
| Out-of-network Provider (Non-Preferred Provider) |
out-of-network-provider |
https://www.healthcare.gov/sbc-glossary/#out-of-network-provider |
| Out-of-pocket Limit |
out-of-pocket-limit |
https://www.healthcare.gov/sbc-glossary/#out-of-pocket-limit |
| Physician Services |
physician-services |
https://www.healthcare.gov/sbc-glossary/#physician-services |
| Plan |
plan |
https://www.healthcare.gov/sbc-glossary/#plan |
| Preauthorization |
preauthorization |
https://www.healthcare.gov/sbc-glossary/#preauthorization |
| Premium |
premium |
https://www.healthcare.gov/sbc-glossary/#premium |
| Premium Tax Credits |
premium-tax-credits |
https://www.healthcare.gov/sbc-glossary/#premium-tax-credits |
| Prescription Drug Coverage |
prescription-drug-coverage |
https://www.healthcare.gov/sbc-glossary/#prescription-drug-coverage |
| Prescription Drugs |
prescription-drugs |
https://www.healthcare.gov/sbc-glossary/#prescription-drugs |
| Preventive Care |
preventive-care |
https://www.healthcare.gov/sbc-glossary/#preventive-care |
| Primary Care Physician |
primary-care-physician |
https://www.healthcare.gov/sbc-glossary/#primary-care-physician |
| Primary Care Provider |
primary-care-provider |
https://www.healthcare.gov/sbc-glossary/#primary-care-provider |
| Provider |
provider |
https://www.healthcare.gov/sbc-glossary/#provider |
| Reconstructive Surgery |
reconstructive-surgery |
https://www.healthcare.gov/sbc-glossary/#reconstructive-surgery |
| Referral |
referral |
https://www.healthcare.gov/sbc-glossary/#referral |
| Rehabilitation Services |
rehabilitation-services |
https://www.healthcare.gov/sbc-glossary/#rehabilitation-services |
| Screening |
screening |
https://www.healthcare.gov/sbc-glossary/#screening |
| Skilled Nursing Care |
skilled-nursing-care |
https://www.healthcare.gov/sbc-glossary/#skilled-nursing-care |
| Specialist |
specialist |
https://www.healthcare.gov/sbc-glossary/#specialist |
| Specialty Drug |
specialty-drug |
https://www.healthcare.gov/sbc-glossary/#specialty-drug |
| UCR (Usual, Customary and Reasonable) |
ucr |
https://www.healthcare.gov/sbc-glossary/#ucr |
| Urgent Care |
urgent-care |
https://www.healthcare.gov/sbc-glossary/#urgent-care |
| How You and Your Insurer Share Costs - Example |
share-costs-example |
https://www.healthcare.gov/sbc-glossary/#share-costs-example |
| PRA Disclosure Statement: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control numberThe valid OMB control number for this information collection is 0938-1146. The time required to complete this information collection is estimated to average 0.08 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. |
(DT - OMB control number: 1545-0047/Expiration Date: 12/31/2019)(DOL - OMB control number: 1210-0147/Expiration date: 5/31/2022)(HHS - OMB control number: 0938-1146/Expiration date: 10/31/2022)
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