Wednesday, May 7
Redetermination
The process wherein individuals that are currently enrolled in an exchange plan (either state or federal) must re-establish their eligibility on an annual basis.
Tuesday, May 6
Board-certified
A title for physicians who have completed all preparatory work (medical school, residency, etc.) and have been approved to practice by a group of their peers.
Monday, May 5
Beneficiary
Any individual who is eligible to receive health coverage under an insurance plan. This includes any dependents or others who are covered by who are not primary policy holders.
Thursday, May 1
Advance Directive
Patients and their doctors occasionally craft plans for future care in the event that the patient is unable to direct their care (in case of incapacitation or advanced illness).
Wednesday, April 30
Open Enrollment
Time period during which employees or individual market consumers can change their insurance plans or enroll in new ones.
Tuesday, April 29
Grievance
Complaints filed by individuals regarding coverage denial which they believe to be unreasonable.
Monday, April 28
Navigator
A third-party agent assigned to conduct public education about the availability of qualified health plans and help eligible consumers with the exchange enrollment process.
Friday, April 25
Benchmark Coverage
An alternative definition of basic care standards, found in the Social Security Act, that states may follow instead of Medicaid mandatory benefits requirements.
Thursday, April 24
Underinsured
Individuals who have health insurance but cannot access needed providers or cannot afford the cost sharing requirements.