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Definitions (174)
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Initial coverage limit
Once you've met your yearly deductible, you'll pay a copayment or coinsurance for each covered drug until you reach your plan's out-of-pocket maximum (or initial coverage limit [..]
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Accreditation
A process where external organizations (or "accrediting bodies") evaluate health care facilities' policies, procedures, and performance to make sure they are meeting predeter [..]
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Advance coverage decision
A notice you get from a Medicare Advantage Plan letting you know in advance whether it will cover a particular service.
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advance directive
A written document stating how you want medical decisions to be made if you lose the ability to make them for yourself. It may include a living will and a durable power of attorney for health care.
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ALS
Amyotrophic lateral sclerosis, also known as Lou Gehrig's disease.
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Ambulatory surgical center
A facility where certain surgeries may be performed for patients who aren’t expected to need more than 24 hours of care.
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Angioplasty
A medical procedure used to open a blocked artery.
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appeal
An appeal is the action you can take if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or your Medicare Prescription Drug Plan. You can appeal if Medicar [..]
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ASSIGNMENT
An agreement by your doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill you for any more than the Medicare d [..]
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