Medicare Glossary

Medicare Supplements (Medigap)

Medicare Supplements are additional insurance policies that Medicare beneficiaries can purchase to cover the gaps in their Original Medicare (Medicare...

Medicare Advantage

Medicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part...

What is Original Medicare Coverage?

Original Medicare, sometimes called traditional Medicare, is the federal government’s health insurance system for people ages 65 and up. Individuals...

Federal Medicare Program

Medicare is a federal health insurance program for people ages 65 and older and people with certain disabilities. The Medicare...

Centers for Medicare & Medicaid Services (CMS)

What are the Centers for Medicare & Medicaid Services? The Centers for Medicare & Medicaid Services (CMS) is the U.S....

Copayment

What is a Medicare Copayment? A copayment, also known as a copay, is a set dollar amount you are required...

Coinsurance

What is Coinsurance in Medicare? Coinsurance is a percentage of the total you must pay for a medical service. In...

Advance Beneficiary Notice (ABN)

What is a Medicare Advance Beneficiary Notice? An Advance Beneficiary Notice (ABN), a waiver of liability, is a notice that...

Advance Directive

What is an Advance Directive? An advance directive is a legal document that details how a person wants their medical...

Premium

What is a Medicare Premium? A premium is an amount that an insurance policyholder must pay for coverage. Premiums are...

Open Enrollment

In health insurance, open enrollment is a period during which a person may enroll in or change their selection of...

Out-of-Pocket Costs

What are Out-of-Pocket Costs? Most health insurance, including Medicare, has deductibles, copayments, and/or coinsurance that are paid when healthcare services...

Deductible

What are the Medicare Deductibles? A deductible is an amount a beneficiary must pay for their health care expenses before...

Medicaid

What is Medicaid? Medicaid is a public health insurance program that provides health care coverage to low-income families and individuals...

Medicare SELECT

What is a Medicare SELECT policy? Medicare SELECT is a Medigap policy (Medicare supplement plan) requiring its members to get their...

Excess Charges

What are Medicare Part B Excess Charges? A Medicare Part B excess charge is the difference between a healthcare provider’s...

Trial Rights

What are Medicare Advantage Trial Rights? Medicare Advantage trial rights are similar to Medicare Supplement free look period rights. However,...

MedicareWire

MedicareWire is a Medicare insurance consulting agency. We founded MedicareWire in 2012 after seeing and hearing how confusing and frustrating...

Advance Coverage Decision

What is an Advance Coverage Decision? An Advance Coverage Decision is a notice from a Medicare Advantage Plan letting you...

Appeal

What is a Medicare Appeal? An appeal is an action you can take if you disagree with a coverage or...