Word of the day

Thursday, September 4

Accident Supplement Insurance

Additional insurance consumers can purchase if their current plan does not cover injuries resulting from accidents. Such supplements are general only needed for high-deductible, low-cost plans.

Wednesday, September 3

Tertiary Care

The level of care, usually on referral from primary or secondary medical care personnel, performed by specialists that consist of complex procedures and advanced technology, often delivered in a medical facility.

Tuesday, September 2

Explanation of Benefits

A statement sent to the covered individual from the health insurance company that explains the benefits they are receiving from their plan.

Friday, August 29

Sunset Date

The expiration date of a law or government program.

Thursday, August 28

Dual Eligibles

Medicare Part A and/or B recipients who either qualify for Medicare Savings Program or qualify for Medicaid benefits.

Wednesday, August 27

Percent of Poverty

A term for the income of an individual as it relates to the federal poverty line; it is often used to determine if an individual qualifies for a government program.

Tuesday, August 26

Preferred Provider Organization (PPO)

A form of health insurance in which the enrollee pays a smaller portion of health care costs when they use pre-approved health care providers.

Monday, August 25

Mental Health Parity Act (MHPA)

Legislation which requires that mental health benefits be on par with medical and surgical benefits offered by a group health plan.

Thursday, August 21

Disproportionate Share Hospital (DSH) Payments

Program that allows hospitals to receive additional funding if they treat a large number of Medicaid-covered or uninsured patients.

Wednesday, August 20

Medicare Part A

Section of Medicare that includes medically necessary hospital, skilled nursing facility, home health and hospice care.

Discrimination Based on Health Status

The practice of limiting or denying coverage to individuals with pre-existing conditions.