Glossary - Page 14

A copayment, often referred to as a “copay,” is a fixed amount that an insured individual is required to pay at the

Coordination of Benefits (COB) is a process used by insurance companies to determine how multiple health insurance plans should work together to

Coinsurance is a cost-sharing mechanism in healthcare where the insured individual is responsible for paying a percentage of covered medical expenses, while

COBRA, or the Consolidated Omnibus Budget Reconciliation Act, is a federal law that allows eligible individuals to continue their group health insurance

The CMS Star Rating is a quality rating system implemented by the Centers for Medicare & Medicaid Services (CMS) to assess and

In the healthcare context, a claim is a formal request submitted by a healthcare provider to an insurance company, Medicare, or Medicaid

A Certificate of Medical Necessity (CMN) is an official document used in the healthcare system to justify the need for specific medical

The Centers for Medicare & Medicaid Services (CMS) is a crucial federal agency within the U.S. Department of Health and Human Services

A caregiver is an individual who provides compassionate and essential support to individuals with physical, emotional, or medical needs. Caregivers play a

A benefit period refers to a specific time frame during which an individual’s healthcare expenses are eligible for coverage under insurance policies