Elder Law Glossary
Elder Law Resources
Related Practice Areas
- A "Tier"
- Abuse (Personal)
- Access
- Accessibility of Services
- Accessory Dwelling Unit (Adu)
- Accredited (Accreditation)
- Act/Law/Statute
- Actual Charge
- Additional Benefits
- Adjusted Average Per Capita Cost (AAPCC)
- Adjusted Community Rating (ACR)
- Administrative Law Judge (ALJ)
- Admitting Physician
- Advance Beneficiary Notice (ABN)
- Advance Coverage Decision
- Advance Directive (Health Care)
- Advance Directives
- Advocate
- Affiliated Provider
- Ambulatory Care
- Ambulatory Surgical Center
- Ancillary Services
- Anesthesia
- Annual Election Period
- Appeal
- Appeal Process
- Approved Amount
- Area Agency on Aging (AAA)
- Assessment
- Assigned Claim
- Assignment
- Assisted Living
- Authorization
- Balance Billing
- Basic Benefits
- Basic Benefits (Medigap Policy)
- Beneficiary
- Benefit Period
- Benefits
- Benefits Description (Plan)
- Biologicals
- Board and Care Home
- Board-Certified
- Capitation
- Capped Rental Item
- Care Plan
- Caregiver
- Carrier
- Case Management
- Case Manager
- Catastrophic Illness
- Catastrophic Limit
- Centers For Medicare & Medicaid Services (CMS)
- Certificate of Medical Necessity
- Certified (Certification)
- Certified Nursing Assistant (CNA)
- Certified Registered Nurse Anesthetist
- Civilian Health and Medical Program (CHAMPUS)
- Claim
- Clinical Breast Exam
- Clinical Practice Guidelines
- Clinical Trials
- Cognitive Impairment
- Coinsurance (Medicare Private Fee-For-Service Plan)
- Coinsurance (Outpatient Prospective Payment System)
- Community Mental Health Center
- Complaint
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Conditional Payment
- Confidentiality
- Consumer Assessment of Health Plans Study (CAHPS)
- Continuation of Enrollment
- Continuing Care Retirement Community (CCRC)
- Coordination of Benefits
- Coordination Period
- Cost Sharing
- Coverage Basis
- Covered Benefit
- Covered Charges
- Creditable Coverage
- Critical Access Hospital
- Custodial Care
- Deductible (Medicare)
- Deemed
- Deficiency (Nursing Home)
- Dehydration
- Diabetic Durable Medical Equipment
- Diagnosis
- Diagnosis-Related Groups
- Dialysis
- Diethylstilbestrol (DES)
- Discharge Planning
- Discount Drug List
- Disenroll
- Drug Tiers
- Dual Eligibles
- Durable Medical Equipment
- Durable Medical Equipment (DME)
- Durable Medical Equipment Regional Carrier (DMERC)
- Durable Power of Attorney
- Eldercare
- Election
- Election Periods
- Eligibility/Medicare Part A
- Eligibility/Medicare Part B
- Emergency Care
- Employer Group Health Plan (GHP)
- End-Stage Renal Disease (ESRD)
- End-Stage Renal Disease Network
- Enhanced Benefits
- Enroll
- Enrollment Fee
- Enrollment Period
- Enrollment/Part A
- Episode of Care
- Evidence
- Excess Charges
- Exclusions (Medicare)
- Expedited Appeal
- Expedited Organization Determination
- Facility Charge
- Federally Qualified Health Center (FQHC)
- Fee Schedule
- Fiscal Intermediary
- Fiscal Year
- Formulary
- Formulary Drugs
- Fraud and Abuse
- Freedom of Information Act (FOIA)
- Gaps
- Gatekeeper
- General Enrollment Period (GEP)
- Generic Drug
- Grievance
- Group Health Plan
- Group or Network HMO
- Guaranteed Issue Rights (Also Called "Medigap Protections")
- Guaranteed Renewable
- Health Care Provider
- Health Employer Data and Information Set (HEDIS)
- Health Insurance Portability & Accountability Act (HIPAA)
- Health Maintenance Organizations (HMO)
- Hemodialysis (HD)
- Home and Community-Based Service Waiver Programs (HCBS)
- Home Health Agency
- Home Health Care
- Homebound
- Hospice
- Hospice Care
- Hospital Indemnity Insurance
- Hospital Insurance (Part A)
- Hospitalist
- Hydration
- Immunosuppressive Drugs
- Information, Counseling, and Assistance Program
- Infusion Pumps
- Initial Coverage Election Period
- Initial Enrollment Period
- Initial Enrollment Questionnaire (IEQ)
- Inpatient Care
- Insolvency
- Intermediary
- Internist
- Large Group Health plan
- Liability Insurance
- Licensed (licensure)
- Lifetime Reserve Days
- Lifetime Reserve Days (Medicare)
- Limiting Charge
- Living Wills
- Long-Term Care
- Long-Term Care Insurance
- Long-Term Care Ombudsman
- Malnutrition
- Mammogram
- Managed Care Plan
- Managed Care Plan with a Point of Service Option (POS)
- Mandatory Supplemental Benefits
- Maximum Enrollee Out-of-Pocket Costs
- Maximum Plan Benefit coverage
- Mediate
- Medicaid
- Medical Insurance (Part B)
- Medical Underwriting
- Medically Necessary
- Medicare
- Medicare Advantage Plan
- Medicare Benefits
- Medicare Benefits Notice
- Medicare Carrier
- Medicare Coordination of Benefits Contractor
- Medicare Coverage
- Medicare Managed Care Plan
- Medicare Medical Savings Account Plan (MSA)
- Medicare Part A (Hospital Insurance)
- Medicare Part B (Medical Insurance)
- Medicare Part B Premium Reduction Amount
- Medicare Preferred Provider Organization (PPO) Plan
- Medicare Premium Collection Center (MPCC)
- Medicare Private Fee-For-Service Plan
- Medicare Savings Program
- Medicare Savings Programs
- Medicare Secondary Payer
- Medicare Select
- Medicare Summary Notice (MSN)
- Medicare Supplement Insurance
- Medicare-approved Amount
- Medicare+Choice
- Medicare+Choice Plan
- Medigap Policy
- Multi-employer Group Health plan
- Multi-employer Plan
- National Committee For Quality Assurance (NCQA)
- National Median Charge
- Nebulizers
- Neglect
- Network
- No-fault Insurance
- Non-formulary Drugs
- Nonparticipating Physician
- Nurse Practitioner
- Nursing Facility
- Nursing Home
- Nutrition
- Occupational Therapy
- Ombudsman
- Open Enrollment Period
- Optional Supplemental Benefits
- Organizational Determination
- Original Medicare Plan
- Out Of Area
- Out Of Network benefit
- Out-of-pocket Costs
- Outpatient Care
- Outpatient Prospective Payment System
- Outpatient Services
- Pap Test
- Part a (Hospital Insurance)
- Part a (Medicare)
- Part B (Medical Insurance)
- Part B (Medicare)
- Partial Hospitalization
- Participating Physician or Supplier
- Patient Advocate
- Patient Lifts
- Payment Rate
- Pelvic Exam
- Performance Measure
- Periods of Care (Hospice)
- Peritoneal Dialysis (PD)
- Personal Care
- Physical Therapy
- Physician Assistant (PA)
- Physician Services
- Plan of Care
- Point of Service (POS)
- Power of Attorney
- Pre-Existing Condition
- Preferred Provider Organization (PPO)
- Preferred Provider Organization (PPO) Plan
- Premium Surcharge
- Preventive Services
- Primary Care
- Primary Care Doctor
- Primary Payer
- Private Contract
- Private Fee-For-Service Plan
- Procedure
- Programs of All-Inclusive Care for the Elderly (PACE)
- Pros And Cons
- Provider
- Provider Network
- Provider Sponsored Organization (PSO)
- Qualified Medicare Beneficiary (QMB)
- Qualifying Individuals (1) (QI-1s)
- Qualifying Individuals (2) (QI-2s)
- Quality
- Quality Assurance
- Quality Improvement Organization
- Referral
- Regional Home Health Intermediary (RHHI)
- Rehabilitation
- Report Card
- Respite Care
- Restraints
- Risk Adjustment
- Second Opinion
- Secondary Payer
- Service Area
- Service Area (Private Fee-For-Service)
- Service Category Definition
- Side Effect
- Skilled Care
- Skilled Nursing Care
- Skilled Nursing Facility (SNF)
- Skilled Nursing Facility Care
- Social Health Maintenance Organization (SHMO)
- Special Election Period
- Special Enrollment Period
- Specialist
- Specialty Plan
- Specified Disease Insurance
- Specified Low-Income Medicare Beneficiaries (SLMB)
- Speech-Language Therapy
- State Children's Health Insurance Program
- State Health Insurance Assistance Program
- State Insurance Department
- State Medical Assistance Office
- State Survey Agency
- Subsidized Senior Housing
- Supplier
- Telemedicine
- Treatment
- Treatment Options
- Tricare
- Tricare For Life (TFL)
- TTY
- Unassigned Claim
- Urgently Needed Care
- Validation
- Waiting Period
- Workers Compensation