This term refers to the amount of money an individual has to pay out of pocket before, health insurance will pay for covered services.
What is a deductible?
These levels of government are responsible for offering Medicaid
What are federal and state governments?
CHIP covers this population
What is children? or What is low income children?
Medicare covers adults with 10 years of work history and over this age
What is age 65?
This is the name of the health insurance payment model that arose out of the need to control healthcare costs.
What is Managed Care (MCO)?
This is the name of the process where state governments can experiment with different types of Medicaid plans
What is a "1115" waiver?
These are the three ways states can set up their CHIP programs
What is as an add on, separate, or hybrid?
The alternative to traditional Medicare that individuals can enroll in
What is Part C or Medicare Advantage?
In the US, health insurance began as this
What is an employment benefit?
This requirement for Medicaid eligiblity is based on the FPL
What is income?
The ACA changed this eligibility criteria for CHIP
What is income?
The other major source of Medicare funding besides payroll taxes and premiums
What is general (tax) revenue?
Enrollment in this type of health insurance plan with low premiums has grown tremendous over the past 20 years
What is a high Deductible Health Plan (HDHP)?
Under Medicaid, poorer states get a higher level of this from the federal government
What is Federal Medical Assistance Percentages (FMAP)?
This federal rate is higher for CHIP populations
What is Federal Medical Assistance Percentage (FMAP)?
These individuals have both Medicaid and Medicare
What are dual eligibles?
When this type of medical underwriting is used everyone in the insured group has access to the same level of health insurance.
What is community rating?
Because it is this type of program, Medicaid must cover all medically necessary services for each enrollee
What is an entitlement program?
Because CHIP is this type of government program, benefits can be denied if the program funding runs out
What is block grant?
Part D provides this benefit
What is drug coverage?