A contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium.
Related Articles:
- Glossary: Advance Premium Tax Credit [APTC]A tax credit you can take in advance to lower your monthly health insurance payment (or “premium”). When you apply for coverage in the Health Insurance Marketplace®, you estimate your expected income for the year. If you qualify for a premium tax credit based on your estimate, you can use any amount of the credit in advance to lower your premium.
- Glossary: Centers for Medicare and Medicaid Services [CMS]Centers for Medicare and Medicaid Services, a federally funded program that provides funding to states for individuals that meet the income and level of care requirements for the Affordable Care Act Health Insurance Program, Medicare, Medicaid, SCHIP (state children’s health insurance) and several other health related programs. ARM Administrative Rules of Montana, the rules which govern the programs authorized by the Montana legislature.
- Glossary: Diagnostic and Statistical Manual of Mental Disorders [DSM]Published by the American Psychiatric Association. The manual offers a common language and standard criteria for the classification of mental disorders. It is used by clinicians, researchers, psychiatric drug regulation agencies, health insurance companies, pharmaceutical companies, the legal system, and policy makers. The DSM is now in its fifth edition, DSM-5, published on May 18, 2013.
- Glossary: Exemption Certificate Number [ECN]A number the Marketplace provides when you qualify for a health insurance exemption. When you fill out an exemption application, the Marketplace will review it and determine if you qualify. The Marketplace will mail you a notice of the exemption eligibility result. If you qualify for an exemption, the notice will include your unique identifier, called the exemption certificate number (ECN). Each member of your household who qualifies for the exemption will get their own ECN. You’ll need your ECN when you file your federal taxes for the year you don’t have coverage.
- Glossary: Employer Shared Responsibility Payment [ESRP]The Affordable Care Act requires certain employers with at least 50 full-time employees (or equivalents) to offer health insurance coverage to its full-time employees (and their dependents) that meets certain minimum standards set by the Affordable Care Act or to make a tax payment called the ESRP.