Medicare

2. Offer coverage only when you use in-network healthcare providers
5. Typically have lower premiums but require referrals.
7. Health Insurance Portability and Accountability Act
8. A set amount you pay at the time of visit
9. Offer the most freedom, does not need referral. Costs more for out-of-network
10. Once you hit a certain limit, the rest is covered by health insurance
12. Personally identifiable information.
13. Allow you to set aside a portion of your pre-tax earnings for eligible healthcare expenses, money must be used within the year.
15. A Dual Eligible Special Needs Plan is a type of Medicare Advantage plan designed specifically for people who qualify for both Medicare and Medicaid. These plans integrate your Medicare Part A (hospital), Part B (outpatient), and Part D (prescription drug) coverage with your Medicaid benefits, creating a single, coordinated healthcare plan.
17. State funded program for low income families
18. The amount you pay before health insurance plan pays on your behalf

1. work as intermediaries between health plans and providers. They translate non-standard transactions to standard transactions or vice versa
3. The amount you pay per month for your health plan
4. Offers private health insurance plans with federal standards to individuals and families. Prohibits denial of coverage for pre-existing conditions and mandates essential health benefits coverage.
6. For people 65 and older, some younger with certain disabilities are given it.
7. A savings account tied to high-deductible plan, tax exempt when you save and spend.
8. A percentage of the total cost of the service
11. Allow you to pay less for in-network and require referrals for specialists
14. provides affordable health coverage for children above Medicaid income limits but below private insurance affordability. Includes routine checkups, immunizations, hospital care, prescriptions, dental and vision. Funded by federal and state governments. Allows year-round enrollment and coordinates with Medicaid and marketplace to ensure continuous coverage for children
16. Protected health Information