A

• Annual Coordinated Election Period (AEP)

• Appeal
• Appointment of Representative

B

• Benefit Period
• Brand Name Drug

C

• Catastrophic Coverage Stage
• Centers for Medicare & Medicaid Services (CMS)
• Cost Sharing
• Coverage Determination
• Covered Drugs
• Covered Services
• Creditable Prescription Drug Coverage
• Custodial Care

D

• Deductible
• Disenroll or Disenrollment
• Durable Medical Equipment

E

• Emergency Care
• Evidence of Coverage (EOC) and Disclosure Information
• Exception

F

• Formulary

G

• Generic Drug
• Grievance

H

• Home Health Aide
• Home Healthcare
• Hospice Care

I

• Initial Coverage Limit
• Initial Coverage Stage
• Initial Enrollment Period (IEP)
• Inpatient Care

L

• Late Enrollment Penalty
• Lock-In Period

M

• Member
• Member Services
• Medical Status Visit
• Medically Necessary
• Medicare
• Medicare Advantage Disenrollment Period (MADP)
• Medicare Advantage (MA) Plan
• Medicare Original Plan
• Medicare Prescription Drug Coverage (Medicare Part D)
• "Medigap" (Medicare Supplement Insurance) Policy

N

• Network Pharmacy
• Network Provider
• Non Preferred Network

O

• Organization Determination
• Out-of-network Pharmacy
• Out-of-network Provider or Out-of-Network Facility

P

• Part C
• Part D
• Part D Drugs
• Preauthorization
• Preferred Network
• Preferred Provider Organization Plan
• Primary Care Physician (PCP)
• PHI Authorization

Q

• Quality Improvement Organization (QIO)
• Quantity Limits

R

• Rehabilitation Services

S

• Service Area
• Skilled Nursing Facility Care (SNF)
• Special Enrollment Period (SEP)
• Step Therapy
• Supplemental Security Income (SSI)

U

• Urgently Needed Care