Health Insurance Marketplace: Glossary of Terms

Affordable Care Act: 

The comprehensive health care reform law enacted in March 2010. 

Application Assistance: 

There are people available in every state to help consumers understand the enrollment process, their health plan options and the application. These helpers have many different names, but the important thing is that they are there to help consumers. Depending on the state, they may be called navigators, in-person assisters, certified application counselors or something else. No matter what they are called, they are there to provide unbiased assistance. 

Children’s Health Insurance Program (CHIP): 

This program provides health coverage to nearly 8 million children in families with incomes too high to qualify for Medicaid, but too low to afford private coverage. 

Financial Assistance: 

Financial assistance is available to help people pay for health insurance if they enroll in a plan through the Health Insurance Marketplace. For those who qualify for financial assistance, the government pays a portion of health insurance premiums directly to the health insurance companies every month. This lowers the amount of money qualifying people have to pay for health insurance premiums every month. 

Health Insurance Marketplace (Exchange): 

The Health Insurance Marketplace (Exchange) is a way to compare and purchase health insurance plans. Every state has one, and it provides people with choices of insurers and plans that are affordable and in a way that makes it easy to understand and compare them. 

Health Insurance Requirement: 

As part of the health care law, most Americans need to have health insurance. People without health insurance may need to pay a penalty. Uninsured people do not have to pay a penalty if they have very low income and coverage is unaffordable, or for other reasons including religious beliefs. People can apply for a waiver asking not to pay a penalty if they are not automatically exempt. 

Medicaid: 

A state-administered health insurance program for low-income families and children, pregnant women, the elderly, people with disabilities and, in some states, other adults. In January 2014, many states started allowing more people to enroll in Medicaid. A number of states are expanding Medicaid coverage, while several states are not moving forward at this time. To see which states have expanded Medicaid, visit: KFF.org/Medicaid

Medicare: 

A federal health insurance program for people who are age 65 or older and certain younger people with disabilities. 

Open Enrollment Period: 

The period of time when people can enroll in coverage in the Health Insurance Marketplace. The 2016 open enrollment period runs from November 1, 2015, through January 31, 2016. 

 

 

Source: Centers for Medicare & Medicaid Services

Blog Posts From

St. Vincent Charity Medical Center awarded chest pain certification from The Joint Commission

St. Vincent Charity Medical Center has earned The Joint Commission’s Gold Seal of Approval for Chest Pain Certification. The Gold Seal of Approval is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient care.[More]

tags: Sisters of Charity Health System, health care

Early Childhood Resource Center highlights SPARK success story

SPARK, which stands for Supporting Partnerships to Assure Ready Kids, is a parent-focused intervention program that gets kids ready for kindergarten. The Early Childhood Resource Center, which handles SPARK management and operations, featured the story of one family who is taking full advantage of the program in its “ECRC Impact” electronic newsletter.[More]

tags: Early Childhood Resource Center, Outreach

Sisters of Charity Foundation of Cleveland celebrating Catholic sisters in Northeast Ohio

National Catholic Sisters Week (NCSW) runs from March 8-14 and the Sisters of Charity Foundation of Cleveland is helping celebrate through involvement with “A Sister to All” event March 12 from 1:00 to 3:30 p.m. at Mount Augustine at 5232 Broadview Road in Richfield, Ohio. The intergenerational event is open the public and is around the topic “Race & Grace – Let’s Talk About It.”[More]

tags: Sisters of Charity Foundation of Cleveland, Foundations

Sisters of Charity Foundation of South Carolina continues to support HALOS kinship care program

The Sisters of Charity Foundation of South Carolina, in partnership with The Duke Endowment, enters into a second year of funding to continue supporting Helping and Lending Outreach Support (HALOS) in its work to improve outcomes for children in the foundation’s Kinship Care program.[More]

tags: Sisters of Charity Foundation of South Carolina, Foundations

St. Vincent Charity Medical Center’s Rosary Hall leader featured on WKSU series “Opiods: Turning the Tide in the Crisis”

In a recent installment of its series, “Opioids: Turning the Tide in the Crisis,” WKSU interviewed Ted Parrin, M.D., associate medical director of St. Vincent Charity Medical Center’s Rosary Hall and St. Vincent Charity Medical Center medical resident Elliot Schwartz, M.D., about the role pain management has played in the deadly epidemic and how it is changing the way medical students are being taught.[More]

tags: St. Vincent Charity Medical Center, health care