Affordable Care Act:
The Affordable Care Act (ACA) is a United States federal statute signed into law on March 23, 2010, and is designed to make health care more affordable, accessible and of a higher quality.
An affordable way to protect yourself. Only adults under 30 and individuals exempted from the individual mandate because they cannot find affordable insurance are allowed to purchase catastrophic plans.
The percentage of the bill you pay after your deductible has been met.
A fixed amount you pay when you get a covered health service.
The amount you pay for health services each calendar year before your insurance begins to pay.
Care you receive that requires admission to a hospital.
Open Enrollment Period:
The window of time from November 1 - January 31 when you can purchase health insurance.
A term for providers that aren’t contracting with your insurance company. (Tend to be more expensive than in-network providers.)
Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance, and copayments for covered services, plus all costs for services that aren’t covered.
Care you receive at a hospital without being admitted.
Health care for kids, including dental care and vision care.
If you can afford health insurance but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.
The amount you pay to your health insurance company each month.
Routine health care that includes screenings, check-ups and patient counseling to prevent illness, disease, or other health problems.
Services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
Substance Abuse Disorder Services:
Includes behavioral health treatment, counseling, and psychotherapy.
Special Enrollment Period:
The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).