The US Department of Health and Human Services (HHS) issued a final rule that implements five key consumer protections from the Affordable Care Act, and makes the health insurance market work better for individuals, families, and small businesses. Under these reforms,...
Glossary of Health Coverage and Medical Terms (continued) Plan – A benefit your employer, union or other group sponsor provides to you to pay for your health care services. Preauthorization – A decision by your health insurer or plan that a health care...
Excluded Services – Health care services that your health insurance or plan doesn’t pay for or cover. Grievance – A complaint that you communicate to your health insurer or plan. Habilitation Services – Health care services that help a person...
This glossary has many commonly used terms, but isn’t a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan. Some of these terms also might not have exactly the same...
A health plan may also be defined by the payment structure, such as the amount of the deductible. High Deductible Health Plan – (HDHP) – a deductible is a fixed amount of money you must first pay before your health insurer will cover the costs of most of...
Health insurance plans are often based on a network of doctors and other health care providers. Different plan types offer different levels of access to providers outside of a plan’s network. Below are some terms and their acronyms in an effort to help you...
The health care law Increases support for community health centers – The Affordable Care Act increases the funding available to community health centers nationwide. In New York, 61 health centers operate 582 sites, providing preventive and primary health care...
Continuing with the theme of how the Health Care Law is making a difference: Creating New Coverage Options for Individuals with Pre-existing Conditions – as of August 2012, 4,134 previously uninsured residents of New York who were locked out of the coverage...
Health reform is already making a difference by: Providing better value for your premium dollar through the 80/20 Rule – Under the new health care law, insurance companies must provide consumers greater value by spending generally at least 80 percent of premium...
Health reform is already making a difference for the people of New York by: Providing new coverage options for young adults – Health plans are now required to allow parents to keep their children under age 26 without job-based coverage on their family coverage,...
