Medicare Glossary

Agent Health Insurance Medicare Certification (AHIP)

A Certification process that Medicare has established to vet and approve Providers and Professionals.

Beneficiary and Family Centered Care Quality Improvement Organization

The (BFCC-QIO) uses doctors and other health care experts to review complaints and quality of care for people with Medicare.

Benefits Coordination & Recovery Center

Acts on behalf of Medicare to collect, manage information on services benefit's and coordination and recovery

Certified AHIP Medicare Health Insurance Agent

A Certified America's Health Insurance Plan Health Insurance Agent must be licensed by their state to solicit Medicare, Medicare Advantage, Medicare Supplements

CHAMPVA

CHAMPVA stands for the Civilian Health and Medical Program of the Department of Veterans Affairs.

Clinical breast exam

People may want clinical breast exams for a variety of reasons, including:

DHMO

DHMO meaning

Diethylstilbestrol (DES) linked to cancer of the cervix or vagina.

This drug has been linked to cancer of the cervix or vagina in women whose mother took the drug while pregnant.

DSNP

In the context of Medicare, DSNP stands for "Dual Special Needs Plan.

Durable power of attorney (POA)

A POA is a legal document that names someone else to make life and death healthcare decisions for you.

End-Stage Renal Disease (ESRD)

End-Stage Renal Disease means permanent kidney failure that requires a regular course of dialysis or a kidney transplant.

Evidence of Coverage (EOC) meaning

Here are some key elements typically included in an Evidence of Coverage (EOC):

examples of being Medically necessary and its definition are:

Health care services or supplies required to diagnose or treat an illness, injury, condition, disease, or its symptoms and meet accepted medical standards.

Examples of Durable Medical Equipment (DME)

Durable Medical Equipment (DME) is a category of medical equipment that is covered under Medicare Part B.

Excess charges to Medicare

Original Medicare allows a doctor or other health care provider to charge a small percentage more for the Provider services.