Health Insurance Terms
The amount you owe for covered health care services before your health insurance or plan begins to pay.
A program that helps lower income individuals pay for the cost of health care.
What is Medicaid?
He is the CEO of Excellus Health Plan.
Who is Chris Booth?
Otherwise known as self-insured insurance, this is a plan in which the employer takes on the financial risk of providing certain healthcare benefits to his or her employees.
What is a self-funded arrangement?
The Affordable Care Act was signed into law by this US president.
Who is Barak Obama?
The doctors, hospitals, and suppliers your health insurer has contracted with to deliver health care services to their members.
What is a network?
A government program that helps elderly Americans pay their health care costs.
Medicare
He is the CIO of Excellus Health Plan.
Who is Bruce Jones?
Premiums based on a this type of rating allocate risks evenly across a community. This means that everyone pays the same, regardless of age, gender or health and wellness.
What is community rating?
Under ACA, individuals whose household incomes are between 100% and 400% of the federal poverty level are eligible to receive this form of aid for health care costs.
An amount you pay as your share of the cost for a medical service or item, like a doctor's visit.
What is a Copay?
New York State's health insurance plan for kids.
What is Child Health Plus (CHP)?
He is the Chief Marketing Officer of Excellus Health Plan?
Who is Nick Kompare?
Premiums based this type of rating are adjusted based on the health history of those covered in the group.
What is experience rating?
Regulated, largely online marketplaces, administered by either federal or state government, where individuals and small business can purchase private insurance plans.
What are health care exchanges?
The amount you pay for your health insurance or plan each month.
What is a Premium?
The collection of Medicaid plans that Excellus and Univera offer to members.
What are SafetyNet Plans?
She is the Senior Vice President of Strategic Enterprise Programs (overseeing the EPMO).
Who is Melissa Gardner?
An arrangement by employers to allow employees to set aside pre-tax money for medical expenses.
What is a Flexible-Spending Account (FSA) or Health Savings Account (HSA)?
This is a type of universal healthcare financed by taxes that covers the costs of essential healthcare for all residents.
What is a Single Payer Health System?
Your share of the cost for a covered health care service, usually calculated as a percentage (like 20%) of the allowed amount for the service.
What is Co-Insurance?
The name given to prescription drug coverage that is an optional benefit offered to everyone who has Medicare.
What is Medicare Part D?
She is the President of Lifetime Benefits Solutions (LBS).
Who is Lori Florak?
An agent who can help members or employer groups purchase and enroll in plans from specific health insurers.
What is a broker?
She is a 2020 presidential candidate that supports the concept of "Medicare-for-all".
Who is Senator Elizabeth Warren?