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Medicare Stack #1
Key Terms
| Term | Definition |
|---|---|
| AEP | Annual Enrollment Period ($) |
| AIM | 1) Acknowledge & Agree 2) Inform 3) Move on |
| BD | birthdate |
| ESRD | End-Stage Renal Disease |
| FOCA | find online call center answers |
| HMO | health maintenance organization |
| ICEP | Initial Coverage Election Period |
| IEP | Initial Election Period |
| IHS | Indian Health Services (Tribal Care) |
| LEC | Loss of Employer Coverage |
| LIS (also known as?) | Low Income Subsidy aka Extra Help |
| LOC | Loss of Creditable Coverage |
| MAO | Medicare Advantage Only |
| MAPD | Medicare adv with drug coverage |
| MAQL | the qualifying team |
| MCD ! | Medicaid |
| MOV | Move Election |
| OEP | open enrollment period |
| PDC | Proportion of Days Covered |
| PDP | Medicare Prescription Drug Plan |
| PFFS | Private Fee-For-Service plan |
| PPO | preferred provider organization |
| SPAP | State Pharmaceutical Assistance Program |
| SSDI | social security disability insurance |
| TCPA | Telephone consumer protection act |
| TRS | teacher retirement system |
| VA | Veteran Affairs |
| QMB | Qualified Medicare Beneficiary |
| SNP | Special Needs Plan |
| D-SNP | dual eligible special needs plan |
| I-SNP | institutional special needs plan |
| EGWP | Employer Group Waiver Plan |
| MSA | Medicare Savings Account |
| SLMB | Specified Low-Income Medicare Beneficiary Program |
| QI | Qualifying Individual Program |
| QDWI | Qualified Disabled Working Ind Program |
| FBDEs | full benefit dual eligibles |
| TrOOp | True Out-of-Pocket costs |
| Rx | Drugs (not course material, just something I use to abbreviate) |
| CARA | Comprehensive Addiction and Recovery Act |
| FPL | Federal Poverty Level |
| FEHB or FEHBP | The Federal Employees Health Benefits (FEHB) Program |
| MMP | Medicare-Medicaid Plans |
| CMS | Centers for Medicare & Medicaid Services |
| POS | Point of Scope (for meeting with client) |
| PHI | Protected Health Information |
| HIPAA | regulates the use and disclosure of PHI |
| ICF/MR | intermediate care for the mentally retarded |
| OEPI | open enrollment period for institutional individuals |
| V/T | visitor/traveler optional benefit |