Health Insurance terms starting with C

43 terms

  1. Calendar Day Every day of the calendar month, which includes Saturday, Sunday, and state and federal holidays.
  2. Cancelled Debts If you incurred a debt from a loan or from buying something on credit and a portion of the amount you owe is discharged or forgiven ("cancelled"), the…
  3. Capital Gains A capital gain is the amount you get from selling property, like stock or a house.
  4. Capitation A flat per patient fee paid to providers no matter how many services they have provided.
  5. Care Coordination The organization of your treatment across several health care providers. Medical homes and Accountable Care Organizations are two common ways to…
  6. Carriers A company that provides health insurance plans.
  7. Catastrophic Health Insurance Catastrophic health insurance is a type of health insurance that typically has very high deductibles.
  8. Catastrophic Health Plan Health plans that meet all of the requirements applicable to other Qualified Health Plans (QHPs) but that don't cover any benefits other than 3 primary…
  9. Catastrophic Plan A catastrophic plan covers an individual or family in the event of a major medical emergency.
  10. Centers for Medicare & Medicaid Services (CMS) The federal agency that runs the Medicare, Medicaid, and Children's Health Insurance Programs, and the federally facilitated Marketplace.
  11. Certificate of Coverage A document issued to a member of a group health insurance plan showing evidence of participation in the insurance.
  12. Certificate of Creditable Coverage A written statement from your prior insurance company or health plan documenting the length of time you were covered.
  13. Certified Applicant Counselor An individual (affiliated with a designated organization) who is trained and able to help consumers, small businesses, and their employees as they look…
  14. Children's Health Insurance Program (CHIP) Insurance program jointly funded by state and federal government that provides health coverage to low-income children and, in some states, pregnant women…
  15. Chronic Condition A medical condition or disease that goes on for a long period of time. Examples are diabetes and cystic fibrosis.
  16. Chronic Disease Management An integrated care approach to managing illness which includes screenings, check-ups, monitoring and coordinating treatment, and patient education.
  17. Claim Your request for the insurance company to pay you an amount under the terms of your policy.
  18. Co-Insurance After you have met the deductible for the covered period of time, your health policy may have a “co-insurance” that provides the patient will be…
  19. Co-op A non-profit organization in which the same people who own the company are insured by the company.
  20. Co-pay A “co-pay” is a fixed payment amount that is the responsibility of the patient.
  21. Co-payment The portion of charges you pay to your provider for covered health care services in addition to any deductible.
  22. COBRA A Federal law that may allow you to temporarily keep health coverage after your employment ends, you lose coverage as a dependent of the covered employee…
  23. COBRA coverage Congress passed the Consolidated Omnibus Budget Reconciliation Act (COBRA) health benefit provisions in 1986.
  24. Coinsurance When your healthcare insurance has a coinsurance provision, you and your insurer divide the responsibility for paying doctor and hospital bills by…
  25. Community Rating A rule that prevents health insurers from varying premiums within a geographic area based on age, gender, health status or other factors.
  26. Competitive Bidding Open bidding for federal contracts between independent groups that compete for the contract by providing the best bid.
  27. Complication of Pregnancy Conditions due to pregnancy, labor and delivery that require medical care to prevent serious harm to the health of the mother or the fetus.
  28. Complications of Pregnancy Conditions due to pregnancy, labor and delivery that require medical care to prevent serious harm to the health of the mother or the fetus.
  29. Connector Organizations The Connector Organizations will help uninsured individuals and small businesses learn about, apply for and enroll in health plans, including Medicaid…
  30. Consumer Assistance Program The consumer assistance program for Maryland Health Connection consists of a consumer support center (call center), the website MarylandHealthConnection.
  31. Consumer Assistance Workers This is a broad term that refers to all who assist with education, applications and enrollment, for example, case workers, navigators and assisters.
  32. Consumer Operated and Oriented Plans A qualified non-profit health insurance company that must use profit to lower premiums, increase benefits and increase the quality of health care to be…
  33. Consumer Support Center The consumer support center (CSC) provides live personal help with finding, applying for and enrolling in health plans.
  34. Contestability An individual health insurance policy may have a defined contestability period, so if the insured person becomes seriously ill during that time the health…
  35. Conversion The ability, in some states, to switch your job-based coverage to an individual policy when you lose eligibility for job-based coverage.
  36. Coordination of Benefits A way to figure out who pays first when 2 or more health insurance plans are responsible for paying the same medical claim.
  37. Copayment If you have a managed-care health insurance plan, your copayment is the fixed amount you pay - often $10 to $25 - for each in-network doctor's office…
  38. Cost Sharing The share of costs covered by your insurance that you pay out of your own pocket.
  39. Cost Sharing Reduction A discount that lowers the amount you have to pay out-of-pocket for deductibles, coinsurance, and copayments.
  40. Court Awards Money that's due to you as the result of a lawsuit. This money may be taxable. Examples of lawsuit proceeds that aren't taxable are amounts awarded to you…
  41. coverage The scope of protection provided by an insurance contract which includes any of the listed benefits in an insurance policy.
  42. Creditable Coverage Health insurance coverage under any of the following: a group health plan; individual health insurance; student health insurance; Medicare; Medicaid…
  43. Creditable Coverage or Prior Qualifying Coverage The number of months you had health insurance in place before your current or new policy became effective.