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Glossary:
Terms G-M

All Terms      A-F     N-Z

Generic Drug

Duplicates of brand-name drugs made after the patent expires of the company who developed the drug. Typically, generic drugs are much less expensive than brand-name drugs. And they're just as safe and effective.

Group Insurance
Health insurance coverage offered for employees of a business.

Guaranteed Issue
Law, varying by state, requiring all insurance applicants to be accepted regardless of health condition, health history, age, or any other factor.

Health Insurance Quote
Health plan options provided by an automated quoting service, an agent, or an insurance company.

Health Maintenance Organization (HMO)
A managed care plan in which members must receive care from the network of doctors, hospitals, and other care providers. They must also choose a Primary Care Physician (PCP) from the network to be their 'first-line-of-defense' doctor, and to provide referrals to specialist care.

Health Reimbursement Arrangement
A designated amount of money determined by an employer to spend on their employees' health care expenses.

Health Savings Account (HSA)
A bank account where tax-free income can be saved for health care expenses. Each year unused HSA funds grow in interest. To be eligible to open an HSA, you must first enroll in a high-deductible health plan.

High-Deductible Health Plan (HDHP)
Plans with a deductible of at least $1,100 for individuals ($2,200 for families). Enrollment in an HDHP makes you eligible to open a Health Savings Account (HSA).

HIPAA (Health Insurance Portability and Accountability Act)
Legislation that allows people to change jobs and be accepted into their new company's group health insurance plan regardless of pre-existing conditions or health history.

In-Network Care Providers
Any health care professional that agrees with a health plan to discount their medical services in exchange for patient referrals.

Indemnity Health Plan
See Fee For Service (FFS) plan.

Individual Health Insurance
A health plan purchased by an individual from an insurance company, not through an employer. Individual coverage can include your spouse and dependent children.

Individual Retirement Account (IRA)
An account to save money for retirement. Funds from an IRA can be moved to a Health Savings Account (HSA).

Inpatient Care
Care in which patients must stay overnight in a medical facility.

Insurability
The factors that determine if an applicant will be accepted into a health plan, including age, health history, and current health conditions.

Limitations
A specified limit on the benefits paid for a certain medical cost.

Long-Term Care
Care intended to nurse a patient back to health over an extended period of time. Can include unskilled care, skilled nursing care, and custodial care.

Major Medical Insurance
Insurance that provides coverage for major and catastrophic medical care.

Managed Care
A type of health insurance that creates an agreement with a 'network' of doctors, hospitals, and other care providers. The health plan provides patient referrals in exchange for discounted medical services.

Maximum Dollar Limit
The maximum dollar amount of benefits and claims that an insurance company will pay in a certain period of time.

Maximum Lifetime Benefit
The maximum dollar amount of benefits and claims an insurance company will pay in the insured's lifetime.

Medicaid
A government-sponsored program that provides health care for low-income Americans.

Medicare
A government-sponsored program that provides health care for Americans over the age of 65 and those with end-stage renal disease.

Medicare Advantage Plans
These plans provide Medicare benefits that can be purchased and received through private companies. They can also include prescription drug coverage.

Medicare Supplement (Medigap) Insurance Plans
Extra insurance coverage purchased through private insurance companies to cover some of the health care costs regular Medicare does not.

Mutual Insurance Company
Insurance companies that have no public stock and are owned by the wholly by the policyholders.

 


Frequently Asked Questions :: Glossary of Common Terms

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