Glossary

As you explore our site, you may come across an unfamiliar word or term. We've developed a glossary that we hope will help you.

A (10) B (6) C (17) D (8) E (9) F (5) G (3) H (10) I (7) L (1) M (5) N (6) O (6) P (20) Q (1) R (3) S (5) T (1) U (2) W (2)
Skilled nursing care

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 nursing home.

Specialist

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 conditions. A non-physician specialist is a provider who has more training in a specific area of healthcare.

Status change

A lifestyle event that may cause a person to modify their health benefits coverage category. Examples include, but are not limited to, the birth of a child, divorce or marriage. See Qualifying Event.

Subscriber

Person who is eligible, enrolled and covered under a self-funded ASO (Administrative Services Only) group benefit plan.

Summary plan description

An ERISA-required summary of plan eligibility, benefits and other information provided by employer groups to anyone participating in an ERISA plan.