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Friday, October 31

Grievance

Complaints filed by individuals regarding coverage denial which they believe to be unreasonable.

Thursday, October 30

Premium

Refers to the amount paid for health insurance, usually on a monthly basis.

Wednesday, October 29

Guest Privileges

A component of some insurance plans allowing enrollees to visit out of network doctors if they are temporarily away from home.

Tuesday, October 28

Medicare Part B

Section of Medicare that includes medically necessary doctors' services, preventive care, durable medical equipment, hospital outpatient services, laboratory tests, x-rays, mental health and some home health and ambulance services.

Monday, October 27

Grandfathered Plan

A health insurance plan already in effect before the provisions of the ACA were implemented that is allowed to continue being offered to enrollees under specific circumstances.

Precertification

Preapproval from an insurance plan before an enrollee undergoes routine care.