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Health insurance and Obamacare terms

What does health reform mean to you? Start with these definitions.

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ACA-compliant coverage

ACA-compliant coverage refers to a major medical health insurance policy that conforms to the regulations set forth in the Affordable… Read more

accident supplement

An accident supplement is a policy that reimburses an insured in the event of a claim arising from an accident… Read more

accidental death and dismemberment insurance (AD&D)

Accidental death and dismemberment insurance (AD&D) is also known as personal accident insurance (PAI). An AD&D policy provides a lump-sum… Read more

accountable care organization (ACO)

An accountable care organization (ACO) is a health care delivery model envisioned by the Affordable Care Act (ACA) in which… Read more

actuary

An actuary is a health insurance carrier number cruncher responsible for determining what premiums the company needs to charge based… Read more

admitting privilege

Admitting privilege is the right granted to a doctor to admit patients to a particular hospital.

advance care planning consultations

A controversial provision of H.R. 3200 would have paid physicians to provide counseling to elderly or terminally ill patients who… Read more

advance directive

An advance directive indicates the person designated to make medical decisions for you if you are unable physically or mentally… Read more

adverse selection

Adverse selection refers to a situation in which the buyers and sellers of an insurance product do not have the… Read more

Affordable Care Act (ACA)

The Patient Protection and Affordable Care Act (PPACA) – also known as the Affordable Care Act or ACA, and generally… Read more

agent

An agent is a licensed salesperson who represents one or more health insurance companies and presents their products to consumers.

annual limit

Some health plans have traditionally had caps on the amount that they would pay in any given year. Even if… Read more

association

Associations can offer group health insurance plans specially designed for their members and that give their members purchasing power because… Read more

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