Sometimes called “traditional Medicare,” Original Medicare is the fee-for-service program in which the government pays directly for healthcare costs that beneficiaries incur.| medicareresources.org
Medicare supplement insurance, or Medigap, is insurance that supplements Original Medicare, covering some or all of the out-of-pocket costs that a beneficiary would otherwise have to pay for services covered by Original Medicare.| medicareresources.org
Learn what Medicare Advantage (Medicare Part C) will cover, how much premiums cost, plan eligibility, enrollment windows and benefits.| medicareresources.org
Under the new law, Medicare beneficiaries will see a series of prescription drug-pricing provisions phased in – mostly over the next several years| medicareresources.org
A self-insured health plan (also known as a self-funded health plan) is coverage offered by an employer or association in which the employer (or association) takes on the risk involved with providing coverage, instead of purchasing coverage from an insurance company.| healthinsurance.org
Grandmothered plans are individual and small-group health plans that took effect after the ACA was signed into law in 2010, but before the exchanges opened for business in 2013. (In some states, grandmothered plans include plans that were issued as late as the end of 2013.)| healthinsurance.org
Grandfathered plans are health plans that were already in effect as of March 23, 2010, when the Affordable Care Act was signed into law. In the individual market, they are plans that already covered the policyholder as of that date, and in the employer-sponsored market, they are plans that the employer had already implemented as of that date, and has continuously offered ever since, with at least one covered employee at all times.| healthinsurance.org
Under the Affordable Care Act, individual and small-group health plans that are not grandfathered must cover items and services in 10 health benefit categories.| healthinsurance.org