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['glossary'] | ['glossary'] | [] | Canceled Debts | Deudas canceladas | /glossary/cancelled-debts/ | Si usted tuvo una deuda por un préstamo o al comprar algo a crédito, y una parte de la cantidad que debe se descuenta o es perdonada ("cancelada"), la cantid... | [] | [] | [] | [] | [] | If you incurred a debt from a loan or from buying something on credit and a portion of the amount you owe is discharged or forgiven ("canceled"), the amount ... |
['glossary'] | ['glossary'] | [] | Bronze Health Plan | Plan médico de categoría Bronce | /glossary/bronze-health-plan/ | Una de las 4 categorías de plan (también conocidas como “nivel de metal”) en el Mercado de Seguros Médicos. Los planes Bronce por lo general tienen primas me... | [] | [] | [] | [] | [] | One of 4 plan categories (also known as “metal levels”) in the Health Insurance Marketplace®. Bronze plans usually have the lowest monthly premiums but the h... |
['glossary'] | ['glossary'] | [] | Broker | Corredor (de seguros) | /glossary/broker/ | Un agente o corredor de seguros es una persona o empresa que puede ayudarle a solicitar ayuda para pagar por su cobertura, e inscribirse en un Plan Médico Ca... | [] | [] | [] | [] | [] | An agent or broker is a person or business who can help you apply for help paying for coverage and enroll in a Qualified Health Plan (QHP) through the Market... |
['glossary'] | ['glossary'] | [] | Brand Name (Drugs) | Medicamentos de marca | /glossary/brand-name-drugs/ | Un medicamento vendido por una compañía farmacéutica con un nombre o marca comercial específica y que se encuentra protegido por una patente. Los medicamento... | [] | [] | [] | [] | [] | A drug sold by a drug company under a specific name or trademark and that is protected by a patent. Brand name drugs may be available by prescription or over... |
['glossary'] | ['glossary'] | [] | Authorized Representative | Representante autorizado | /glossary/authorized-representative/ | Una persona que usted escoja para actuar en su nombre en el Mercado de seguros, tal como un miembro de su familia u otra persona de confianza. Algunos repres... | [] | [] | [] | [] | [] | Someone who you choose to act on your behalf with the Marketplace, like a family member or other trusted person. Some authorized representatives may have leg... |
['glossary'] | ['glossary'] | [] | Attest/Attestation | Atestiguar/Certificación | /glossary/attest-attestation/ | Cuando usted solicita cobertura médica a través del Mercado de seguros, está obligado a dar fe de (o "certificar") la veracidad de la información proveída al... | [] | [] | [] | [] | [] | When you apply for health coverage through the Marketplace, you're required to agree (or "attest") to the truth of the information provided by signing the ap... |
['glossary'] | ['glossary'] | [] | Annual Deductible Combined | Deducible anual combinado | /glossary/annual-deductible-combined/ | Por lo general, en los planes elegibles de Cuentas de Ahorros Médicos (HSA en inglés), es la cantidad total que los miembros de la familia en un plan deben g... | [] | [] | [] | [] | [] | Usually in Health Savings Account (HSA) eligible plans, the total amount that family members on a plan must pay out-of-pocket for health care or prescription... |
['glossary'] | ['glossary'] | [] | Alimony | Pensión alimenticia | /glossary/alimony/ | La pensión alimenticia es el dinero que obtiene de un cónyuge con quien uno ya no vive, o un ex cónyuge, si se paga como parte de un acuerdo de divorcio, acu... | [] | [] | [] | [] | [] | Alimony is money you get from a spouse with whom you no longer live, or a former spouse, if paid to you as part of a divorce agreement, separation agreement,... |
['glossary'] | ['glossary'] | [] | Agent and Broker (Health Insurance) | Agente y Corredor (Seguro Médico) | /glossary/agent/ | Un profesional de seguro entrenado que puede ayudarlo a inscribirse en un seguro médico. Los agentes pueden trabajar para una sola compañía de seguros médico... | [] | [] | [] | [] | [] | A trained insurance professional who can help you enroll in a health insurance plan. Agents may work for a single health insurance company; brokers may repre... |
['glossary'] | ['glossary'] | [] | Advance Premium Tax Credit (APTC) | Crédito fiscal anticipado para las primas | /glossary/advanced-premium-tax-credit/ | Un crédito fiscal que puede recibir por adelantado para reducir su pago mensual de seguro médico (o “prima”). Cuando solicita la cobertura en el Mercado de S... | [] | [] | [] | [] | [] | 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 Marke... |
['glossary'] | ['glossary'] | [] | Accreditation | Acreditación | /glossary/accreditation/ | Si un plan de salud del Mercado de seguros es aprobado, significa que una organización independiente le ha dado el "sello de aprobación" para demostrar que e... | [] | [] | [] | [] | [] | If a Marketplace health plan is approved, this is the “seal of approval” given to the plan by an independent organization to show that the plan meets nationa... |
['glossary'] | ['glossary'] | [] | Wellness Programs | Programas de bienestar | /glossary/wellness-programs/ | Un programa diseñado para mejorar y promover la salud y el buen estado físico que generalmente se ofrece a través del lugar de trabajo, aunque los planes de ... | [] | [] | [] | [] | [] | A program intended to improve and promote health and fitness that's usually offered through the work place, although insurance plans can offer them directly ... |
['glossary'] | ['glossary'] | [] | Well-baby and Well-child Visits | Consultas de prevención para bebés y niños | /glossary/well-baby-and-well-child-visits/ | Visitas médicas de rutina por servicios médicos preventivos que se hacen cuando un bebé es joven, así como visitas anuales hasta que el niño cumpla 21 años. ... | [] | [] | [] | [] | [] | Routine doctor visits for comprehensive preventive health services that occur when a baby is young and annual visits until a child reaches age 21. Services i... |
['glossary'] | ['glossary'] | [] | Waiting Period (Job-based coverage) | Periodo de espera (cobertura a través de un empleador) | /glossary/waiting-period-job-based-coverage/ | El periodo de tiempo que debe transcurrir hasta que sea efectiva la cobertura de un empleado o dependiente, el cual de cualquier otro modo, sea elegible para... | [] | [] | [] | [] | [] | The time that must pass before coverage can become effective for an employee or dependent who is otherwise eligible for coverage under a job-based health plan. |
['glossary'] | ['glossary'] | [] | Value-Based Purchasing (VBP) | Compra basada en la calidad (VBP en inglés) | /glossary/value-based-purchasing-vbp/ | Conexión de los pagos a los proveedores con las mejoras en su rendimiento. Esta forma de pago responsabiliza a los proveedores de cuidados médicos en cuanto ... | [] | [] | [] | [] | [] | Linking provider payments to improved performance by health care providers. This form of payment holds health care providers accountable for both the cost an... |
['glossary'] | ['glossary'] | [] | Urgent Care | Cuidados de urgencia | /glossary/urgent-care/ | Cuidados de una enfermedad, lesión, o condición tan grave, que cualquier persona razonable buscaría atención de inmediato, pero no tan graves como para neces... | [] | [] | [] | [] | [] | Care for an illness, injury or condition serious enough that a reasonable person would seek care right away, but not so severe it requires emergency room care. |
['glossary'] | ['glossary'] | [] | Uncompensated Care | Cuidados no compensados | /glossary/uncompensated-care/ | Cuidados o servicios médicos facilitados por hospitales o proveedores de cuidados médicos, que no son reembolsados. A menudo, los cuidados no compensados sur... | [] | [] | [] | [] | [] | Health care or services provided by hospitals or health care providers that don't get reimbursed. Often uncompensated care arises when people don't have insu... |
['glossary'] | ['glossary'] | [] | UCR (Usual, Customary, and Reasonable) | Usual, acostumbrado, y razonable (UCR en inglés) | /glossary/ucr-usual-customary-and-reasonable/ | La cantidad pagada por un servicio médico en un área geográfica en base a lo que los proveedores de esa área cobran usualmente por ese servicio médico o por ... | [] | [] | [] | [] | [] | The amount paid for a medical service in a geographic area based on what providers in the area usually charge for the same or similar medical service. The UC... |
['glossary'] | ['glossary'] | [] | State Continuation Coverage | Continuidad de la cobertura por el estado | /glossary/state-continuation-coverage/ | Un requisito estatal similar a COBRA que se aplica a las pólizas de seguro médico de grupo de aquellos empleadores con menos de 20 empleados. En algunos esta... | [] | [] | [] | [] | [] | A state-based requirement similar to COBRA that applies to group health insurance policies of employers with fewer than 20 employees. In some states, state c... |
['glossary'] | ['glossary'] | [] | Specialist | Especialista | /glossary/specialist/ | Un médico especialista que se dedica en una área específica de la medicina o en un grupo específico de pacientes, para diagnosticar, administrar, prevenir, o... | [] | [] | [] | [] | [] | A physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent or treat certain types of symptoms and cond... |
['glossary'] | ['glossary'] | [] | Special Health Care Need | Necesidades de cuidado médico especial | /glossary/special-health-care-need/ | Las necesidades de cuidado médico y asuntos relacionados, de niños que tienen enfermedades crónicas de tipo físicas, del desarrollo, del comportamiento o emo... | [] | [] | [] | [] | [] | The health care and related needs of children who have chronic physical, developmental, behavioral or emotional conditions. Such needs are of a type or amoun... |
['glossary'] | ['glossary'] | [] | Special Enrollment Period (SEP) | Período especial de inscripción (SEP) | /glossary/special-enrollment-period/ | Fuera del Período de Inscripción Abierta anual en el que puede inscribirse en un seguro médico. Usted califica para un Período Especial de Inscripción si ha ... | [] | [] | [] | [] | [] | A time outside the yearly Open Enrollment Period when you can sign up for health insurance. You qualify for a Special Enrollment Period if you’ve had certain... |
['glossary'] | ['glossary'] | [] | Skilled Nursing Facility Care | Cuidados en centros de enfermería especializada | /glossary/skilled-nursing-facility-care/ | Servicios de atención y rehabilitación de enfermería especializada ofrecidos de manera continua y diaria en un centro de enfermería especializada. Ejemplos d... | [] | [] | [] | [] | [] | Skilled nursing care and rehabilitation services provided on a continuous, daily basis in a skilled nursing facility. Examples of skilled nursing facility ca... |
['glossary'] | ['glossary'] | [] | Skilled Nursing Care | Cuidados de enfermería especializada | /glossary/skilled-nursing-care/ | Servicios que son recibidos de enfermeras registradas en su hogar o en una residencia para ancianos. Los servicios de cuidados especializados son los recibid... | [] | [] | [] | [] | [] | Services from licensed nurses in your own home or in a nursing home. Skilled care services are from technicians and therapists in your own home or in a nursi... |
['glossary'] | ['glossary'] | [] | Self-Insured Plan | Plan de seguro propio | /glossary/self-insured-plan/ | Tipo de plan que generalmente existe en las compañías más grandes, donde el propio empleador recolecta las primas de los afiliados y asume la responsabilidad... | [] | [] | [] | [] | [] | Type of plan usually present in larger companies where the employer itself collects premiums from enrollees and takes on the responsibility of paying employe... |
['glossary'] | ['glossary'] | [] | Risk Adjustment | Ajuste de riesgos | /glossary/risk-adjustment/ | Proceso estadístico que tiene en cuenta el estado de salud subyacente y el gasto en salud de los afiliados en un plan de seguro, a la hora de calcular los re... | [] | [] | [] | [] | [] | A statistical process that takes into account the underlying health status and health spending of the enrollees in an insurance plan when looking at their he... |
['glossary'] | ['glossary'] | [] | Rider (exclusionary rider) | Enmienda (enmienda excluyente) | /glossary/rider-exclusionary-rider/ | Una cláusula adicional es una enmienda a una póliza de seguro. Algunas cláusulas adicionales agregan cobertura (por ejemplo, si compra una cláusula adicional... | [] | [] | [] | [] | [] | A rider is an amendment to an insurance policy. Some riders add coverage (for example, if you buy a maternity rider to add coverage for pregnancy to your pol... |
['glossary'] | ['glossary'] | [] | Rescission | Rescisión | /glossary/rescission/ | Cancelación retroactiva de una póliza de seguro médico. En ciertas ocasiones, las compañías de seguros pueden cancelar retroactivamente la totalidad de su pó... | [] | [] | [] | [] | [] | The retroactive cancellation of a health insurance policy. Insurance companies will sometimes retroactively cancel your entire policy if you made a mistake o... |
['glossary'] | ['glossary'] | [] | Reinsurance | Reaseguro | /glossary/reinsurance/ | Sistema de reembolso que protege a las compañías de seguros de reclamaciones muy altas. En general, involucra a un tercero que paga parte de las reclamacione... | [] | [] | [] | [] | [] | A reimbursement system that protects insurers from very high claims. It usually involves a third party paying part of an insurance company’s claims once they... |
['glossary'] | ['glossary'] | [] | Rehabilitative/Rehabilitation Services | Servicios de rehabilitación | /glossary/rehabilitative-rehabilitation-services/ | Servicios de cuidado médico que ayudan a una persona a mantener, recobrar, o mejorar habilidades y funciones de la vida diaria que se han perdido o son defic... | [] | [] | [] | [] | [] | Health care services that help you keep, get back, or improve skills and functioning for daily living that have been lost or impaired because you were sick, ... |
['glossary'] | ['glossary'] | [] | Reconstructive Surgery | Cirugía reconstructiva | /glossary/reconstructive-surgery/ | Cirugía y tratamiento de seguimiento necesarios para corregir o mejorar una parte del cuerpo debido a defectos de nacimiento, accidentes, lesiones, o condici... | [] | [] | [] | [] | [] | Surgery and follow-up treatment needed to correct or improve a part of the body because of birth defects, accidents, injuries or medical conditions. |
['glossary'] | ['glossary'] | [] | Rate Review | Revisión de tasas | /glossary/rate-review/ | Proceso que permite a los departamentos estatales de seguros revisar los aumentos en las tarifas antes de que las compañías de seguros se los apliquen a uste... | [] | [] | [] | [] | [] | A process that allows state insurance departments to review rate increases before insurance companies can apply them to you.Related contentLook up your ... |
['glossary'] | ['glossary'] | [] | Qualified Health Plan | Plan de salud autorizado (QHP en inglés) | /glossary/qualified-health-plan/ | Un plan de seguro médico que está certificado por el Mercado de seguros, ofrece beneficios de salud esenciales, cumple los límites establecidos en cuanto a c... | [] | [] | [] | [] | [] | An insurance plan that’s certified by the Health Insurance Marketplace®, provides essential health benefits, follows established limits on cost-sharing (like... |
['glossary'] | ['glossary'] | [] | Public Health | Salud pública | /glossary/public-health/ | Área que tiene como objetivo mejorar la vida y la salud de las comunidades a través de la prevención y el tratamiento de enfermedades, y la promoción de comp... | [] | [] | [] | [] | [] | A field that seeks to improve lives and the health of communities through the prevention and treatment of disease and the promotion of healthy behaviors such... |
['glossary'] | ['glossary'] | [] | Primary Care | Cuidado primario | /glossary/primary-care/ | Servicios de salud que abarcan la prevención, el bienestar y el tratamiento de enfermedades comunes. Los proveedores de servicios de salud primarios incluye... | [] | [] | [] | [] | [] | Health services that cover a range of prevention, wellness, and treatment for common illnesses. Primary care providers include doctors, nurses, nurse practit... |
['glossary'] | ['glossary'] | [] | Primary Care Provider | Proveedor de cuidados primarios | /glossary/primary-care-provider/ | Un médico o doctor en medicina (M.D. en inglés), o doctor en osteopatía (D.O. en inglés), enfermera practicante, enfermera clínica especializada, o asistente... | [] | [] | [] | [] | [] | A physician (M.D. – Medical Doctor or D.O. – Doctor of Osteopathic Medicine), nurse practitioner, clinical nurse specialist or physician assistant, as allowe... |
['glossary'] | ['glossary'] | [] | Primary Care Physician | Médico de cuidados primarios/Médico de cabecera | /glossary/primary-care-physician/ | Un médico o doctor en medicina (M.D. en inglés), o doctor en osteopatía (D.O. en inglés) que facilita o coordina directamente un conjunto de servicios médico... | [] | [] | [] | [] | [] | A physician (M.D. – Medical Doctor or D.O. – Doctor of Osteopathic Medicine) who directly provides or coordinates a range of health care services for a patie... |
['glossary'] | ['glossary'] | [] | Preventive Services | Servicios de prevención | /glossary/preventive-services/ | Servicios de salud de rutina que incluyen exámenes, chequeos, y consejos al paciente, para prevenir enfermedades, condiciones, u otros problemas de salud.C... | [] | [] | [] | [] | [] | Routine health care that includes screenings, check-ups, and patient counseling to prevent illnesses, disease, or other health problems.Related contentP... |
['glossary'] | ['glossary'] | [] | Prevention | Prevención | /glossary/prevention-glossary/ | Una actividad para prevenir una enfermedad, como controles de rutina, inmunizaciones, asesoría y evaluaciones. | [] | [] | [] | [] | [] | Activities to prevent illness such as routine check-ups, immunizations, patient counseling, and screenings. |
['glossary'] | ['glossary'] | [] | Prescription Drugs | Medicamentos recetados | /glossary/prescription-drugs/ | Medicinas y medicamentos que por ley, requieren una receta médica. | [] | [] | [] | [] | [] | Drugs and medications that, by law, require a prescription. |
['glossary'] | ['glossary'] | [] | Prescription Drug Coverage | Cobertura de medicamentos recetados | /glossary/prescription-drug-coverage/ | Seguro o plan médico que ayuda a pagar por las medicinas y medicamentos recetados. Todos los planes del Mercado cubren medicamentos recetados.Contenido rel... | [] | [] | [] | [] | [] | Health insurance or plan that helps pay for prescription drugs and medications. All Marketplace plans cover prescription drugs.Related contentGetting pr... |
['glossary'] | ['glossary'] | [] | Premium | Prima | /glossary/premium/ | La cantidad que paga por su seguro médico cada mes. Además de su prima, por lo general tiene que pagar otros costos para su atención médica, incluyendo un de... | [] | [] | [] | [] | [] | The amount you pay for your health insurance every month. In addition to your premium, you usually have to pay other costs for your health care, including a ... |
['glossary'] | ['glossary'] | [] | Preferred Provider | Proveedor preferido | /glossary/preferred-provider/ | Un proveedor que tiene un contrato con su seguro o plan médico para facilitarle servicios con un descuento. Lea su póliza para averiguar si usted puede visit... | [] | [] | [] | [] | [] | A provider who has a contract with your health insurer or plan to provide services to you at a discount. Check your policy to see if you can see all preferre... |
['glossary'] | ['glossary'] | [] | Preferred Provider Organization (PPO) | Organización de Proveedores Preferidos (PPO en inglés) | /glossary/preferred-provider-organization-ppo/ | Un tipo de plan de salud que contrata proveedores médicos, tales como hospitales y médicos, para crear una red de proveedores participantes. Usted paga menos... | [] | [] | [] | [] | [] | A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if y... |
['glossary'] | ['glossary'] | [] | Preauthorization | Preautorización | /glossary/preauthorization/ | Una decisión de su seguro o plan de que un servicio, tratamiento, receta o equipo médico es necesario por razones médicas. A veces se le conoce como autoriza... | [] | [] | [] | [] | [] | A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. ... |
['glossary'] | ['glossary'] | [] | Pre-Existing Condition | Condición pre-existente | /glossary/pre-existing-condition/ | Un problema de salud, como el asma, la diabetes o el cáncer, que tenía antes de la fecha en que comienza la nueva cobertura de salud. Las compañías de seguro... | [] | [] | [] | [] | [] | A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts. Insurance companies can't refuse to cover treatm... |
['glossary'] | ['glossary'] | [] | Pre-Existing Condition (Job-based Coverage) | Condición preexistente (en la cobertura de empleador) | /glossary/pre-existing-condition-job-based-coverage/ | Cualquier condición (física o mental) o incapacidad para la que se haya recomendado o se haya hecho, un diagnóstico, atención o tratamiento, en los seis mese... | [] | [] | [] | [] | [] | Any condition (either physical or mental) including a disability for which medical advice, diagnosis, care, or treatment was recommended or received within t... |
['glossary'] | ['glossary'] | [] | Pre-existing Condition Insurance Plan (PCIP) | Plan para condiciones preexistentes (PCIP) | /glossary/pre-existing-condition-insurance-plan-pcip/ | Un programa (que ya no existe) creado por la Ley del Cuidado de Salud a Bajo Precio para proporcionar una opción de cobertura médica si no estaba asegurado p... | [] | [] | [] | [] | [] | A program (that no longer exists) created by the Affordable Care Act to provide a health coverage option if you were uninsured for at least 6 months, had a p... |
['glossary'] | ['glossary'] | [] | Pre-Existing Condition Exclusion Period (Job-based Coverage) | Período de exclusión por una condición de salud preexistente (en la cobertura de empleador) | /glossary/pre-existing-condition-exclusion-period-job-based-coverage/ | El período durante el cual su plan no pagará por los servicios para tratar una condición de salud preexistente. En un plan grupal de empleador, este período ... | [] | [] | [] | [] | [] | The time period during which a health plan won't pay for care relating to a pre-existing condition. Under a job-based plan, this cannot exceed 12 months for ... |
['glossary'] | ['glossary'] | [] | Pre-Existing Condition Exclusion Period (Individual Policy) | Período de exclusión por una condición de salud preexistente (póliza de seguro individual) | /glossary/pre-existing-condition-exclusion-period-individual-policy/ | El período durante el cual su póliza no pagará por sus condiciones de salud preexistentes. En una póliza individual, la exclusión puede ser permanente (se le... | [] | [] | [] | [] | [] | The time period during which an individual policy won't pay for care relating to a pre-existing condition. Under an individual policy, conditions may be excl... |
['glossary'] | ['glossary'] | [] | Policy Year | Año de la póliza | /glossary/policy-year/ | Un período de 12 meses de cobertura de beneficios bajo un plan de seguro médico individual. Este período de 12 meses puede no coincidir con el año calendario... | [] | [] | [] | [] | [] | A 12-month period of benefits coverage under an individual health insurance plan. This 12-month period may not be the same as the calendar year. To find out ... |
['glossary'] | ['glossary'] | [] | Point of Service (POS) Plans | Plan de punto de servicio (POS en inglés) | /glossary/point-of-service-plan-pos-plan/ | Un tipo de plan en el cual usted paga menos si usa médicos, hospitales y otros proveedores de servicios de salud que pertenecen a la red del plan. Los planes... | [] | [] | [] | [] | [] | A type of plan in which you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network. POS plans also require... |
['glossary'] | ['glossary'] | [] | Plan | Plan | /glossary/plan/ | Un beneficio que le ofrece su empleador, sindicato, u otro grupo patrocinador para ayudar a pagar por sus servicios de cuidado médico. | [] | [] | [] | [] | [] | A benefit your employer, union or other group sponsor provides to you to pay for your health care services. |
['glossary'] | ['glossary'] | [] | Plan Year | Año del plan | /glossary/plan-year/ | Período de 12 meses de cobertura de beneficios bajo un plan de salud de grupo. Este período de 12 meses puede no coincidir con el año calendario. Para averig... | [] | [] | [] | [] | [] | A 12-month period of benefits coverage under a group health plan. This 12-month period may not be the same as the calendar year. To find out when your plan y... |
['glossary'] | ['glossary'] | [] | Physician Services | Servicios del médico | /glossary/physician-services/ | Servicios de la salud que facilita un médico licenciado o doctor en medicina (M.D. en inglés), o doctor en osteopatía (D.O. en inglés). | [] | [] | [] | [] | [] | Health care services a licensed medical physician (M.D. – Medical Doctor or D.O. – Doctor of Osteopathic Medicine) provides or coordinates. |
['glossary'] | ['glossary'] | [] | Payment Bundling | Combinación de pagos | /glossary/payment-bundling/ | Una plataforma de pago donde diferentes proveedores de servicios de salud que lo tratan a usted por la misma condición(es) relacionadas, reciben una suma tot... | [] | [] | [] | [] | [] | A payment structure in which different health care providers who are treating you for the same or related conditions are paid an overall sum for taking care ... |
['glossary'] | ['glossary'] | [] | Patient Protection and Affordable Care Act | Ley de protección al paciente y del Cuidado de Salud a Bajo Precio | /glossary/patient-protection-and-affordable-care-act/ | La primera parte de la ley de reforma de salud integral fue promulgada el 23 de marzo de 2010.La ley fue modificada por el Cuidado de la Salud y la Ley de ... | [] | [] | [] | [] | [] | The first part of the comprehensive health care reform law enacted on March 23, 2010.The law was amended by the Health Care and Education Reconciliation Ac... |
['glossary'] | ['glossary'] | [] | Patient-Centered Outcomes Research | Estudios de resultados basados en los pacientes | /glossary/patient-centered-outcomes-research/ | Estudios que comparan diferentes intervenciones y tratamientos médicos para proporcionar evidencia sobre qué estrategias son más eficaces en las diferentes p... | [] | [] | [] | [] | [] | Research that compares different medical treatments and interventions to provide evidence on which strategies are most effective in different populations and... |
['glossary'] | ['glossary'] | [] | Out-of-Pocket Costs | Gastos de su bolsillo | /glossary/out-of-pocket-costs/ | Sus gastos de cuidado médico que no son reembolsados por el seguro. Los gastos de su bolsillo incluyen deducibles, coseguros y copagos de los servicios cubie... | [] | [] | [] | [] | [] | Your expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services... |
['glossary'] | ['glossary'] | [] | Open Enrollment Period | Período de Inscripción Abierta | /glossary/open-enrollment-period/ | El período anual en el otoño cuando las personas pueden inscribirse en un plan médico para el próximo año calendario. La Inscripción Abierta para 2022 ha fin... | [] | [] | [] | [] | [] | The yearly period in the fall when people can enroll in a health insurance plan for the next calendar year. Open Enrollment for 2022 is over, but you may sti... |
['glossary'] | ['glossary'] | [] | Nondiscrimination | No discriminación | /glossary/nondiscrimination/ | Un requisito que exige que las coberturas subsidiadas por los empleadores no discriminen en base al estado de salud. La cobertura de los planes subsidiados p... | [] | [] | [] | [] | [] | A requirement that job-based coverage not discriminate based on health status. Coverage under job-based plans cannot be denied or restricted. You also can't ... |
['glossary'] | ['glossary'] | [] | Non-preferred provider | Proveedor no preferido | /glossary/non-preferred-provider/ | Un proveedor que no tiene un contrato con su compañía o plan de seguro médico, a la hora de proveerle servicios. Usted tendrá que pagar más para visitar a un... | [] | [] | [] | [] | [] | A provider who doesn’t have a contract with your health insurer or plan to provide services to you. You’ll pay more to see a non-preferred provider. Check yo... |
['glossary'] | ['glossary'] | [] | New Plan | Nuevo plan | /glossary/new-plan/ | Un plan de salud sin derechos adquiridos y por tanto, sujeto a las reformas de la Ley de atención médica.En el Mercado de seguro médico individual, un plan ... | [] | [] | [] | [] | [] | As used in connection with the Affordable Care Act: A health plan that is not a grandfathered health plan and therefore subject to all of the reforms in the ... |
['glossary'] | ['glossary'] | [] | Network | Red | /glossary/network/ | Los centros, proveedores, y suplidores que ha contratado su seguro o plan médico para facilitar servicios médicos. | [] | [] | [] | [] | [] | The facilities, providers and suppliers your health insurer or plan has contracted with to provide health care services. |
['glossary'] | ['glossary'] | [] | Minimum Essential Coverage (MEC) | Cobertura esencial mínima (MEC en inglés) | /glossary/minimum-essential-coverage/ | Cualquier seguro que cumpla con el requisito de la Ley de Cuidado de Salud Accesible para tener cobertura médica. Para evitar tener que pagar la multa por no... | [] | [] | [] | [] | [] | Any insurance plan that meets the Affordable Care Act requirement for having health coverage. To avoid the penalty for not having insurance for plans 2018 an... |
['glossary'] | ['glossary'] | [] | Medicare | Medicare | /glossary/medicare/ | El programa federal de seguro médico para personas de 65 años o más y para ciertas personas más jóvenes con incapacidades. También cubre a personas que padec... | [] | [] | [] | [] | [] | A federal health insurance program for people 65 and older and certain younger people with disabilities. It also covers people with End-Stage Renal Disease (... |
['glossary'] | ['glossary'] | [] | Medicare Prescription Drug Donut Hole | Interrupción de cobertura de medicamentos recetados de Medicare (“Donut Hole”) | /glossary/medicare-prescription-drug-donut-hole/ | La mayoría de los planes con cobertura de medicamentos recetados de Medicare (Parte D) tienen una interrupción en la cobertura (llamada "Donut Hole"). Esto s... | [] | [] | [] | [] | [] | Most plans with Medicare prescription drug coverage (Part D) have a coverage gap (called a "donut hole"). This means that after you and your drug plan have s... |
['glossary'] | ['glossary'] | [] | Medicare Part D | Medicare Parte D | /glossary/medicare-part-d/ | Un programa que ayuda a pagar los medicamentos recetados de personas con Medicare que compraron un plan que incluye cobertura de medicamentos recetados de Me... | [] | [] | [] | [] | [] | A program that helps pay for prescription drugs for people with Medicare who join a plan that includes Medicare prescription drug coverage. There are two way... |
['glossary'] | ['glossary'] | [] | Medicare Hospital Insurance Tax | Impuesto por seguro de hospital de Medicare | /glossary/medicare-hospital-insurance-tax/ | Un impuesto bajo la Ley de Contribución al Seguro Federal (FICA en inglés); impuesto federal sobre las nóminas pagado por empleados y empleadores para financ... | [] | [] | [] | [] | [] | A tax under the Federal Insurance Contributions Act (FICA) that is a United States payroll tax imposed by the federal government on both employees and employ... |
['glossary'] | ['glossary'] | [] | Medicare Advantage (Medicare Part C) | Medicare Advantage (Medicare Parte C) | /glossary/medicare-advantage-medicare-part-c/ | Un tipo de plan de salud de Medicare ofrecido por una compañía privada que entra en contrato con Medicare para brindarle todos los beneficios de Medicare Par... | [] | [] | [] | [] | [] | A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Ad... |
['glossary'] | ['glossary'] | [] | Medically Necessary | Necesario por razones médicas | /glossary/medically-necessary/ | Servicios o suministros médicos necesarios para diagnosticar o tratar un problema de salud, lesión, condición, enfermedad o sus síntomas, y que cumplen con l... | [] | [] | [] | [] | [] | Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medic... |
['glossary'] | ['glossary'] | [] | Medical Underwriting | Aprobación usando la historia clínica | /glossary/medical-underwriting/ | Un proceso utilizado por las compañías de seguro, cuando usted solicita cobertura médica, para determinar a través de su historia clínica (estado de salud), ... | [] | [] | [] | [] | [] | A process used by insurance companies to try to figure out your health status when you're applying for health insurance coverage to determine whether to offe... |
['glossary'] | ['glossary'] | [] | Medical Loss Ratio (MLR) | Tasa de pérdidas médicas (MLR en inglés) | /glossary/medical-loss-ratio-mlr/ | Una medida financiera básica usada bajo la Ley de atención médica para instar a los planes de salud a ofrecer calidad a sus afiliados. Si un asegurador usa 8... | [] | [] | [] | [] | [] | A basic financial measurement used in the Affordable Care Act to encourage health plans to provide value to enrollees. If an insurer uses 80 cents out of eve... |
['glossary'] | ['glossary'] | [] | Medicaid | Medicaid | /glossary/medicaid/ | Un programa de seguro médico que ofrece cobertura médica gratis o de bajo costo para algunas personas de bajos ingresos, para las familias y niños, mujeres e... | [] | [] | [] | [] | [] | Insurance program that provides free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people wi... |
['glossary'] | ['glossary'] | [] | Long-Term Care | Cuidado a largo plazo | /glossary/long-term-care/ | Servicios que incluyen atención médica y no médica ofrecida a personas que no pueden hacer actividades diarias básicas tales como vestirse o bañarse. Los ser... | [] | [] | [] | [] | [] | Services that include medical and non-medical care provided to people who are unable to perform basic activities of daily living such as dressing or bathing.... |
['glossary'] | ['glossary'] | [] | Lifetime Limit | Límite vitalicio | /glossary/life-time-limit/ | Un límite a los beneficios totales de por vida que puede conseguir de su compañía de seguros. Una compañía de seguros puede imponer un límite total en dólare... | [] | [] | [] | [] | [] | A cap on the total lifetime benefits you may get from your insurance company. An insurance company may impose a total lifetime dollar limit on benefits (like... |
['glossary'] | ['glossary'] | [] | Job-based Health Plan | Plan médico de empleador | /glossary/job-based-health-plan/ | Cobertura ofrecida a un empleado (y a menudo a su familia) por un empleador. | [] | [] | [] | [] | [] | Coverage that is offered to an employee (and often his or her family) by an employer. |
['glossary'] | ['glossary'] | [] | Insurance Co-Op | Cooperativa de seguros | /glossary/insurance-co-op/ | Una entidad sin fines de lucro en la que las mismas personas que son dueños de la compañía, están aseguradas por ésta. Las cooperativas pueden ser formadas a... | [] | [] | [] | [] | [] | A non-profit entity in which the same people who own the company are insured by the company. Cooperatives can be formed at a national, state or local level, ... |
['glossary'] | ['glossary'] | [] | Individual Health Insurance Policy | Póliza de seguro médico individual | /glossary/individual-health-insurance-policy/ | Pólizas diseñadas para las personas que no están afiliadas a ninguna cobertura subsidiada por un empleador. Las pólizas de seguro médico individual están reg... | [] | [] | [] | [] | [] | Policies for people that aren't connected to job-based coverage. Individual health insurance policies are regulated under state law. |
['glossary'] | ['glossary'] | [] | In-network Coinsurance | Coseguro dentro de la red | /glossary/in-network-coinsurance/ | El porcentaje (por ejemplo, el 20%) que usted paga de la cantidad autorizada por servicios de cuidado médico cubiertos para los proveedores que pertenecen a ... | [] | [] | [] | [] | [] | The percent (for example, 20%) you pay of the allowed amount for covered health care services to providers who contract with your health insurance or plan. I... |
['glossary'] | ['glossary'] | [] | In-network Copayment | Copago dentro de la red | /glossary/in-network-co-payment/ | Un cantidad fija (por ejemplo, $15) que usted paga por los servicios de cuidado médico cubiertos a los proveedores que pertenecen a su seguro o plan médico. ... | [] | [] | [] | [] | [] | A fixed amount (for example, $15) you pay for covered health care services to providers who contract with your health insurance or plan. In-network copayment... |
['glossary'] | ['glossary'] | [] | Household | Hogar | /glossary/household/ | Generalmente, el Mercado considera que su hogar se compone de usted, su cónyuge (si está casado) y sus dependientes fiscales. Su elegibilidad para los ahorro... | [] | [] | [] | [] | [] | The Marketplace generally considers your household to be you, your spouse if you’re married, and your tax dependents. Your eligibility for savings is general... |
['glossary'] | ['glossary'] | [] | Hospitalization | Hospitalización | /glossary/hospitalization/ | Cuidados de hospital que requieren ser internado y usualmente requieren pasar una noche hospitalizado. La hospitalización por una noche únicamente para obser... | [] | [] | [] | [] | [] | Care in a hospital that requires admission as an inpatient and usually requires an overnight stay. An overnight stay for observation could be outpatient care. |
['glossary'] | ['glossary'] | [] | Hospital Readmissions | Readmisiones de hospitales | /glossary/hospital-readmissions/ | Una situación en la que usted fue dado de alta del hospital y termina regresando para recibir la misma asistencia u otra relacionada en un plazo de 30, 60 o ... | [] | [] | [] | [] | [] | A situation where you were discharged from the hospital and wind up going back in for the same or related care within 30, 60 or 90 days. The number of hospit... |
['glossary'] | ['glossary'] | [] | Hospital Outpatient Care | Cuidado ambulatorio en el hospital | /glossary/hospital-outpatient-care/ | Cuidado en un hospital que usualmente no requiere quedarse una noche. | [] | [] | [] | [] | [] | Care in a hospital that usually doesn’t require an overnight stay. |
['glossary'] | ['glossary'] | [] | Hospice Services | Servicios de hospicio | /glossary/hospice-services/ | Servicio para de apoyo para mantener cómodas a las personas en las últimas etapas de una enfermedad terminal, así como a sus familias. | [] | [] | [] | [] | [] | Services to provide comfort and support for persons in the last stages of a terminal illness and their families. |
['glossary'] | ['glossary'] | [] | Home Health Care | Cuidados de salud en el hogar | /glossary/home-health-care/ | Servicios de la salud que una persona recibe en su hogar. | [] | [] | [] | [] | [] | Health care services a person receives at home. |
['glossary'] | ['glossary'] | [] | Home and Community-Based Services (HCBS) | Servicios en el hogar y en la comunidad (HCBS en inglés) | /glossary/home-and-community-based-services-hcbs/ | Servicios y asistencia ofrecidos en su hogar o en la comunidad, por la mayoría de los programas estatales de Medicaid, y que ayudan con las tareas diarias ta... | [] | [] | [] | [] | [] | Services and support provided by most state Medicaid programs in your home or community that gives help with such daily tasks as bathing or dressing. This ca... |
['glossary'] | ['glossary'] | [] | HIPAA Eligible Individual | Persona elegible para HIPAA | /glossary/hipaa-eligible-individual/ | Situación en la que usted se encuentra luego de tener 18 meses seguidos de cobertura médica válida. Para ser elegible para HIPAA (Health Insurance Portabilit... | [] | [] | [] | [] | [] | Your status once you have had 18 months of continuous creditable health coverage. To be HIPAA (Health Insurance Portability and Accountability Act) eligible,... |
['glossary'] | ['glossary'] | [] | High-Risk Pool Plan (State) | Plan de fondo común de alto riesgo (del estado) | /glossary/high-risk-pool-plan-state/ | Similar al nuevo Plan de seguro para personas con condiciones preexistentes en virtud de la nueva Ley, durante muchos años, muchos estados han ofrecido plane... | [] | [] | [] | [] | [] | Similar to the Pre-Existing Condition Insurance Plan under the Affordable Care Act, for years many states have offered plans that provide coverage if you hav... |
['glossary'] | ['glossary'] | [] | High Deductible Health Plan (HDHP) | Planes de Salud con Deducibles Altos (HDHP en inglés) | /glossary/high-deductible-health-plan/ | Un plan con un deducible más alto que un plan de seguro tradicional. Por lo general, la prima mensual es más baja, pero tendrá que pagar más por la atención ... | [] | [] | [] | [] | [] | A plan with a higher deductible than a traditional insurance plan. The monthly premium is usually lower, but you pay more health care costs yourself before t... |
['glossary'] | ['glossary'] | [] | High-Cost Excise Tax | Impuesto sobre altos costos | /glossary/high-cost-excise-tax/ | Bajo la Ley de atención médica a partir del 2018, es un impuesto para las compañías de seguros que ofrecen planes de alto costo. Este impuesto insta a la ree... | [] | [] | [] | [] | [] | Under the Affordable Care Act starting in 2018, a tax on insurance companies that provide high-cost plans. This tax encourages streamlining of health plans t... |
['glossary'] | ['glossary'] | [] | Health Status | Estado de salud | /glossary/health-status/ | Se refiere a sus condiciones médicas (salud física y mental), sus experiencias en cuanto a reclamaciones, obtención de cuidados de salud, historia clínica, i... | [] | [] | [] | [] | [] | Refers to your medical conditions (both physical and mental health), claims experience, receipt of health care, medical history, genetic information, evidenc... |
['glossary'] | ['glossary'] | [] | Health Savings Account (HSA) | Cuenta de ahorros para gastos médicos (HSA en inglés) | /glossary/health-savings-account-hsa/ | Un tipo de cuenta de ahorros que le permite ahorrar dinero en una base antes de impuestos para pagar los gastos médicos calificados. Al usar dólares no sujet... | [] | [] | [] | [] | [] | A type of savings account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses. By using untaxed dollars in a Health Saving... |
['glossary'] | ['glossary'] | [] | Health Reimbursement Arrangement (HRA) | Acuerdo de Reembolso de Gastos Médicos (HRA en inglés) | /glossary/health-reimbursement-account-hra/ | Los HRA son planes de salud grupales financiados por el empleador, de los cuales los empleados reciben reembolsos libres de impuestos para gastos médicos cal... | [] | [] | [] | [] | [] | Health Reimbursement Arrangements (HRAs) are employer-funded group health plans from which employees are reimbursed tax-free for qualified medical expenses u... |
['glossary'] | ['glossary'] | [] | Health Maintenance Organization (HMO) | Organización para el Mantenimiento de la Salud (HMO en inglés) | /glossary/health-maintenance-organization-hmo/ | Variante de un plan de seguro médico que por lo general limita la cobertura a la atención que brindan aquellos médicos que trabajan para las HMO o tienen con... | [] | [] | [] | [] | [] | A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-netw... |
['glossary'] | ['glossary'] | [] | Health Insurance | Seguro médico | /glossary/health-insurance/ | Un contrato que requiere que su compañía de seguro médico pague parte de, o todos sus costos médicos a cambio del pago de una prima. | [] | [] | [] | [] | [] | A contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium. |
['glossary'] | ['glossary'] | [] | Health Insurance Marketplace® | Mercado de Seguros Médicos | /glossary/health-insurance-marketplace-glossary/ | Un servicio que ayuda a las personas a comprar e inscribirse en un seguro médico. El gobierno federal administra el Mercado de Seguros Médicos, disponible en... | [] | [] | [] | [] | [] | A service that helps people shop for and enroll in health insurance. The federal government operates the Health Insurance Marketplace®, available at HealthCa... |
['glossary'] | ['glossary'] | [] | Health Care Workforce Incentive | Incentivo para el personal de cuidados de salud | /glossary/health-care-workforce-incentive/ | El uso de incentivos y contratación para alentar a las personas a optar por profesiones de la salud, tales como la cuidado primario e instar a los proveedore... | [] | [] | [] | [] | [] | The use of incentives and recruiting to encourage people to enter into health care professions like primary care and to encourage providers to practice in un... |
['glossary'] | ['glossary'] | [] | Habilitative/Habilitation Services | Servicios de rehabilitación | /glossary/habilitative-habilitation-services/ | Servicios de salud que ayudan a una persona a mantener, aprender o mejorar las habilidades y funcionamiento en su vida diaria. Algunos ejemplos incluyen la t... | [] | [] | [] | [] | [] | Health care services that help you keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who isn't walking or... |