Health care services that a licensed medical physician (M.D.–Medical Doctor or D.O –Doctor of Osteopathic Medicine) provides or coordinates.

A benefit your employer, union or other group sponsor provides to you to pay for your health care services.

Health insurance plans offered on Maryland Health Connection are categorized into four metal Levels: Bronze, Silver, Gold, and Platinum. The metal level represents the average portion of your medical expenses

The types of health insurance plans offered through Maryland Health Connection are Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Point-of-Service (POS), Exclusive Provider Organization (EPO), Integrated Delivery System (IDS),

A plan through Maryland Health Connection that covers 90 percent of healthcare costs, and you pay 10 percent.

A type of health insurance plan where you can get medical care from both in-network and out-of-network providers. You’ll pay less if you use in-network doctors, hospitals, and other health

The contract (agreement) between the person buying health insurance and the company providing it, describing specific health care services that are covered, any coverage limitations and any out-of-pocket costs (such

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 treatment for your pre-existing condition or

A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval

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