A health insurance plan already in effect before the provisions of the ACA were implemented that is allowed to continue being offered to enrollees under specific circumstances.
Complaints filed by individuals regarding coverage denial which they believe to be unreasonable.
Group Health Insurance
Health insurance purchased by a group of people (or on their behalf) rather than by an individual or family. Employer Sponsored Insurance is the most common form of group health insurance but associations and unions are other examples of entities that purchase and provide group health insurance.
Group Purchasing Organization (GPO)
When individual companies or providers join together to secure discounts from vendors.
Guaranteed Availability of Insurance Requirement
Requires insurance companies to issue individuals health insurance regardless of current or previous health issues. Ensures coverage will not be denied for any reason. Also known as Guaranteed Issue.
Requires insurance companies to issue individuals health insurance regardless of the current or previous health issues. Ensures coverage will not be denied for any reason. Also known as the guaranteed availability of insurance requirement.
A component of some insurance plans allowing enrollees to visit out of network doctors if they are temporarily away from home.