Get Started
MENU

Glossary

Please note that the definitions included in this Glossary reflect the manner in which these terms are used on Medicare in general.

Letter icon
When a hospital or doctor bills a patient for a service in excess of what is permitted. Take notice that this practice is also known as inappropriate invoicing.
A radiographic examination that can spot changes or anomalies in the large intestine (colon).
A radiographic examination that can spot changes or anomalies in the large intestine (colon).
Services that link mental health and medical health providers so they can work together with patients to treat mental or behavioral health problems that affect health and well-being.
The sum that a Part D plan with basic coverage monthly premium will cost with full Extra Help. State-specific benchmarks exist, and you will be responsible for making up the difference if you enroll in a Part D plan with a monthly premium that is higher than your state's benchmark amount.
Someone who is entitled to receive benefits from Original Medicare or is eligible for Medicaid.
Organizations that support Medicare recipients with their worries about the standard of treatment they get from a Medicare provider. The Quality Improvement Organization (QIO) is a team of consumers, providers, and health quality professionals assembled to raise the standard of care given to Medicare beneficiaries.
The period of time that Medicare will cover hospital and skilled nursing facility (SNF) services. A benefit period starts on the day you are admitted as an inpatient to a hospital or SNF and concludes on the day you are discharged from the facility after a continuous 60-day stay.
A that combines the processes that support the acquisition, administration, and reporting of additional insurance for Medicare enrollees.
The Medicare hospice benefit covers this service, which includes counseling for the family for up to a year after the beneficiary dies.

Disclaimer

This glossary explains terms in the Medicare program, but it isn't a legal document. The official Medicare program provisions are found in the relevant laws, regulations, and rulings.

(855) 922-5051 TTY 711

We’re here Monday - Friday, 9am - 6pm Central.

Calling will connect you with a licensed insurance agent. Note that our agents are not commissioned sales people.

Need Help? Call Customer Support.

1-855-922-5051  |  TTY 711

We’re here Monday - Friday, 9am - 6pm Central.