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Wednesday, November 26

Anniversary Date

The first day of a new plan year, generally the same date as the plan went into effect the previous year.

Tuesday, November 25

First Dollar Coverage

A health insurance plan that pays covered medical claims without any deductible amount paid first by the plan enrollee, can also be referred to as Zero-Deductible Health plans.

Monday, November 24

Gatekeeper

A colloquial term for a primary care physician who is responsible for coordinating patient care and referring the patient to specialists. Many insurance programs, particularly HMOs, require a referral from a "gatekeeper" before covering visits to specialists.

Friday, November 21

Medicare Part D

A program within Medicare to offer private prescription drug coverage plans to beneficiaries. Plan premiums are subsidized and the coverage is optional.

Tuesday, November 18

Sole Community Hospital (SCH)

A designation for certain hospitals that allows them to command higher reimbursement.

Point-of-service Plan (POS)

Insurance plans that allow enrollees to choose between in-network or out-of-network care providers, though the enrollee will generally pay less for in-network care.