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Home Dictionary M Medical Cost Ratio (MCR) Medical Cost Ratio (MCR) is a metric used to evaluate the profitability of health insurance companies. It consists of the claims they pay out divided by the premiums they collect. The ACA requires insurers to spend at least 80% of premiums on healthcare, with any excess being refunded to consumers. CoInsurance
September 25, 2022 Co-payment plans can make it easier for insurers to plan their out-of-pocket costs as it is a fixed amount. Consolidated Omnibus Budget Reconciliation Act (COBRA)
September 25, 2022 The Consolidated Comprehensive Budget Reconciliation Act (COBRA) allows many employees to remain in their employers’ group health plans for a specified period of time after losing their job. Gatekeeper
September 25, 2022 Gatekeepers are used in health insurance as well as long term care plans. Group Health Insurance
September 25, 2022 Members of the group receive insurance at a reduced cost, since the risk of the insurer is shared among the group of insurers. HSA Custodian
September 25, 2022 An HSA custodian is any bank, credit union, insurance company, brokerage, or other approved organization that offers an HSA. Hardship Exemption
September 25, 2022 Hardship relief was granted to individuals under certain circumstances when they could not afford to purchase health insurance. Health Insurance
September 25, 2022 Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred by the insured person. Health Insurance Marketplace
September 25, 2022 The health insurance marketplace is the gateway for individuals, families and small businesses to access health insurance. Health Insurance Portability and Accountability Act (HIPAA)
September 25, 2022 HIPAA affects policy, technology, and record keeping in healthcare facilities, health insurance companies, health insurance companies, and health care billing services. Health Maintenance Organizations (HMOs)
September 25, 2022 A health maintenance organization (HMO) is a network or organization that provides health insurance for a monthly or annual fee. Health Plan Categories
September 25, 2022 In the US, health insurance plans are offered at four actuarial levels: Bronze, Silver, Gold and Platinum. Health Reimbursement Arrangement (HRA)
September 25, 2022 HRA reimburses employees for certain medical expenses and sometimes insurance premiums. Health Savings Account (HSA)
September 25, 2022 A Health Savings Account (HSA) is a tax-advantage account that helps people save on medical expenses that are not covered by high deductible health insurance plans. High-Deductible Health Plan (HDHP)
September 25, 2022 A high deductible health plan is a health plan with a significant deductible and lower monthly premiums. Hospital Insurance Trust Fund
September 25, 2022 The Federal Hospital Insurance Trust is part A of Medicare and covers hospital stays, hospices, and skilled care facilities. Investigational New Drug (IND)
September 25, 2022 New indications refer to news indicating that an existing drug may have a wider range of medical applications. Long-Term Care (LTC) Insurance
September 25, 2022 Long-term care insurance typically covers all or part of nursing facilities and home care for people aged 65 or older or with a chronic condition requiring ongoing care.
“This is private insurance available to anyone who can afford to pay for it. Medicaid
September 25, 2022 Medicaid is a joint federal and state program that provides health insurance to the poor. New Drug Application (NDA)
September 25, 2022 New indications refer to news indicating that an existing drug may have a wider range of medical applications. New Indications
September 25, 2022 New indications refer to news indicating that an existing drug may have a wider range of medical applications. Preferred Provider Organizations (PPO)
September 25, 2022 Preferred Provider Organization is a type of managed care health plan. QSEHRA
September 25, 2022 QSEHRA is a health care reimbursement plan that may be offered by small business employers. U.S. Department of Health and Human Services (HHS)
September 25, 2022 The Department of Health and Human Services is a federal department dedicated to promoting the health and well-being of US citizens. Uniform Policy Provisions, Health Insurance
September 25, 2022 Uniform policy provisions are a set of mandatory and optional provisions included in health insurance policies. Vision Care Insurance
September 25, 2022 Vision insurance usually covers preventive and routine eye care.