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

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When a provider accepts the Medicare-approved amount for a service or item as full payment, this is called "full payment."
A form that taxpayers fill out every year to report their income and personal circumstances. The tax authorities use this information to figure out how much tax they need to pay.
The use and exchange of medical information with a healthcare professional through telephonic communication to diagnose, treat or improve a patient’s health.
When an illness or disease is expected to worsen and eventually cause death within 6 months or less.
Diagnostic measure healthcare progressions use to help identify a problem, illness or condition and then develop a care plan to see if the treatment is working or keep an eye on the problem over time.
A request to your health plan to obtain a non-preferred Part D drug with a higher co-pay or co-insurance to be approved at a lower cost sharing at a preferred tier.
A set level of Part D drug coverage depending on the type of drug to determine your copayment. Tiers and medications within each tier may vary from Medicare plans and are subject to change with advance notice of change explanations.


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.

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