Knowledge - Page 16

The General Enrollment Period (GEP) is a specific period designated by the Centers for Medicare & Medicaid Services (CMS) during which individuals

Gaps in Coverage refer to the periods or circumstances in health insurance plans when certain medical services or expenses are not fully

Formulary Restrictions refer to the limitations or criteria set by health insurance plans on the coverage of certain medications listed in their

A Formulary is a list of prescription drugs covered by a health insurance plan or a pharmacy benefit management program. It serves

A Foreign Travel Emergency refers to a sudden and unexpected medical situation that occurs while an individual is traveling or temporarily residing

Fitness Benefits are wellness-oriented perks offered by some health insurance plans to encourage policyholders to adopt and maintain a healthy and active

Fee-for-Service (FFS) is a traditional payment model in healthcare where healthcare providers are reimbursed based on the services they deliver to patients.

The Federal Employees Health Benefits (FEHB) program is a comprehensive healthcare benefits program offered to current and retired federal employees, as well

Extra Help, also known as the Low-Income Subsidy (LIS) program, is a valuable financial assistance program provided by the government to help

Extra Benefits, also known as supplemental benefits or value-added services, are additional perks offered by some health insurance plans beyond the standard