All plans offered on Maryland Health Connection must cover these health benefits, such as hospitalizations, doctor visits, prescription drugs, rehabilitation and mental health services, maternity and newborn care, as well
State and federal health insurance exchanges that run health insurance marketplaces. Maryland’s state insurance marketplace is called Maryland Health Connection.
Health care services that your health insurance or plan doesn’t pay for or cover.
A type of health insurance plan where services are covered only if you use doctors, specialists or hospitals in the EPO’s network (except in an emergency). Members do not require
A statement from your health insurance plan describing what costs it will cover for medical care. The EOB is generated when your provider submits a claim for the services you
A measure of income level issued annually by the Department of Health and Human Services. Federal Poverty Levels are used to determine your eligibility for certain programs and benefits.
A prescription drug that has the same active-ingredient formula as a brand-name drug. Generic drugs usually cost less than brand-name drugs. The Food and Drug Administration (FDA) rates these drugs
One of 4 health plan categories, or metal levels, in the health insurance marketplace. Gold plans usually have higher monthly premiums, but lower costs when you get care. Gold may
A short period after your monthly health insurance payment is due, usually 90 days for consumers receiving Advance Premium Tax Credits (APTC), and 31 days for consumers not receiving APTC.
A complaint that you communicate to your health insurer or plan.
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