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The enrollment deadline for ACA coverage that will take effect January 1 has been extended through Wednesday, December 18.

Glossary

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actuarial value

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Affordable Care Act

agent

ancillary benefits

annual maximum

appeal

association health plan

benchmark plan

beneficiary

benefits

brand name drugs

broker

bronze (metal level) health plan

carrier

Catastrophic health plan

certificate of creditable coverage

certificate of insurance

certified application counselor

Children’s Health Insurance Program

claim

COBRA

coinsurance

community rating

copay

cost sharing

cost-sharing reduction

covered expenses

deductible

dependent

drug formulary

effective date

employer shared responsibility payment

employer-sponsored health insurance

essential health benefits

exchange

exclusions

exclusive provider organization plan

exemption

explanation of benefits

Family and Medical Leave Act

federal poverty level

first-dollar coverage

fixed benefit (fixed indemnity)

flexible spending account

generic drugs

gold (metal level) health plan

grace period

grandfathered health plan

group health insurance

guaranteed issue

guaranteed renewal

hardship exemption

health maintenance organization

health reimbursement account

health savings account

high-deductible health plan

hospitalization

household

indemnity plan

individual health insurance

individual mandate

individual shared responsibility payment

inpatient

insurer

lifetime maximum

lump sum benefit

managed care plans

Marketplace

Medicaid

medical underwriting

medically necessary

Medicare

metal levels

minimum essential coverage

modified adjusted gross income

narrow network (health plans)

navigator

network

non-preferred provider

Obamacare

open enrollment

out-of-network care

out-of-pocket costs

out-of-pocket maximum

outpatient

platinum (metal level) health plan

point of service plan

policy

policyholder

pre-existing condition

preauthorization

preferred provider organizations

premium

premium tax credits

prescription drug coverage

prescription drugs

preventive care

primary care provider

producer

qualified health plan

qualifying health coverage

qualifying life event

rate review

rescission

rider (exclusionary rider)

schedule of benefits

self-insured plan

silver (metal level) health plan

special enrollment period

specialty drugs

state high risk pool

subsidy

third-party administrator

TRICARE

usual customary and reasonable rate

waiting period

IHC Specialty Benefits, Inc., 5353 Wayzata Blvd, Ste. 300, St. Louis Park, MN, 55416 (IHCSB), is an independent licensed insurance agency. THIS IS A SOLICITATION OF INSURANCE BY IHCSB. Contact may be made by an insurance agent/producer or insurance company. Product availability may vary based on state. IHCSB is not affiliated with, connected to, or endorsed by Centers for Medicare and Medicaid Services, including the federal Medicare program. For a complete listing of products, contact 1-800-MEDICARE or visit Medicare.gov. This website is operated by IHCSB and is not the Health Insurance Marketplace (HealthCare.gov). In offering this website, IHCSB is required to comply with all applicable federal laws.

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