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Health Insurance Glossary

Definitions for common health insurance terms

qualifying coverage

DEFINITION: Qualifying coverage, defined by HIPAA, refers to individual or employer-sponsored comprehensive group health coverage, but also includes, Medicare, medical assistance, the Indian Health Service and other coverage.

Qualifying coverage does NOT include health benefits for a specific illness, such as cancer, or limited need such as no-fault automobile, disability coverage, dental coverage or other limited-coverage plans.