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Medicare Glossary
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...
Assignment
What is Medicare Assignment? An agreement by your doctor (or other healthcare providers) to be paid directly by Medicare, to...
Beneficiary
What is a Beneficiary? A person who has health care insurance through the Medicare or Medicaid programs.
Benefit Period
What is a Medicare Benefit Period? A benefit period is a method used in Original Medicare to measure a beneficiary’s...
Claim
What is a Medicare Claim? A claim is a request for payment that you submit to Medicare (or other health...
Comprehensive Outpatient Rehabilitation Facility
What is a Comprehensive Outpatient Rehabilitation Facility? A Comprehensive Outpatient Rehabilitation Facility is a facility that provides a variety of...
Coordination of Benefits
What is Coordination of Benefits in Medicare? Coordination of Benefits is a way to determine who pays first when two...
Cost Sharing
What is Medicare Cost Sharing? Medicare’s cost-sharing is the out-of-pocket costs that beneficiaries pay to receive medical services or supplies,...
Coverage Determination
What is a Medicare Part D Coverage Determination? A coverage determination is the first decision made by a Medicare Part...
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