Glossary
Please note that the definitions included in this Glossary reflect the manner in which these terms are used on Medicare in general.
An individual or facility that offers health care products, services, or both, such as but not limited to a doctor, hospital, or durable medical equipment (DME) supplier.
A legal document that you appoint to a trusted individual to communicate your preferences and make healthcare choices on your behalf in the event that you are unable to do so.
A contract with a health insurer to pay some or all of your healthcare costs by means of a premium. Health insurance may be Government-sponsored public health insurance plans such as Medicare and Medicaid. Private companies may also handle the management of employer health insurance.
The Affordable Care Act (ACA) established a marketplace in every state where people and small business owners may compare and buy health insurance coverage.
A type of health insurance plan that typically requires care or medical services from a network of providers under a specific plan. Exceptions include cases when emergency care, out-of-network urgent care or temporary out-of-area dialysis are needed.
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.