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association health plan
appeal
annual maximum
ancillary benefits
agent
Affordable Care Act
adjusted gross income
advance premium tax credit
actuarial value
bronze (metal level) health plan
broker
brand name drugs
benefits
beneficiary
benchmark plan
covered expenses
cost-sharing reduction
cost sharing
copay
community rating
coinsurance
COBRA
claim
Children’s Health Insurance Program
certified application counselor
certificate of insurance
certificate of creditable coverage
Catastrophic health plan
carrier
drug formulary
dependent
deductible
explanation of benefits
exemption
exclusive provider organization plan
exclusions
exchange
essential health benefits
employer-sponsored health insurance
employer shared responsibility payment
effective date
fixed benefit (fixed indemnity)
flexible spending account
first-dollar coverage
federal poverty level
Family and Medical Leave Act
guaranteed renewal
guaranteed issue
group health insurance
grandfathered health plan
grace period
gold (metal level) health plan
generic drugs
household
hospitalization
high-deductible health plan
health savings account
health reimbursement account
health maintenance organization
hardship exemption
insurer
inpatient
individual shared responsibility payment
individual mandate
individual health insurance
indemnity plan
lump sum benefit
lifetime maximum
modified adjusted gross income
minimum essential coverage
metal levels
Medicare
medically necessary
medical underwriting
Medicaid
Marketplace
managed care plans
non-preferred provider
network
navigator
narrow network (health plans)
outpatient
out-of-pocket maximum
out-of-pocket costs
out-of-network care
open enrollment
Obamacare
producer
primary care provider
preventive care
prescription drug coverage
prescription drugs
premium tax credits
premium
preferred provider organizations
preauthorization
pre-existing condition
policyholder
policy
point of service plan
platium (metal level) health plan
qualifying life event
qualifying health coverage
qualified health plan
rider (exclusionary rider)
rescission
rate review
subsidy
state high risk pool
specialty drugs
special enrollment period
silver (metal level) health plan
self-insured plan
schedule of benefits
TRICARE
third-party administrator
usual customary and reasonable rate
waiting period
