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['glossary'] | ['glossary'] | [] | Affordability Exemption | Exención de accesibilidad | /glossary/affordability-exemption/ | Una exención que se necesita al solicitar cobertura catastrófica para personas de 30 años o más cuya cobertura no es accesible. Las exenciones de accesibilid... | [] | [] | [] | [] | [] | An exemption that’s needed when applying for Catastrophic coverage for people 30 years or older whose coverage is unaffordable. Affordability exemptions are ... |
['glossary'] | ['glossary'] | [] | Individual Coverage Health Reimbursement Arrangement | Acuerdo de reembolso de gastos médicos de cobertura individual | /glossary/individual-coverage-hra/ | Un tipo de Acuerdo de Reembolso de Gastos Médicos (HRA en inglés) que reembolsa los gastos médicos, como las primas mensuales, y requiere que los empleados y... | [] | [] | [] | [] | [] | A type of Health Reimbursement Arrangement that reimburses medical expenses, like monthly premiums, and requires eligible employees and dependents to have in... |
['glossary'] | ['glossary'] | [] | Cafeteria Plan | Plan de gastos flexibles | /glossary/cafeteria-plan/ | Un plan de gastos flexibles es un plan escrito separado mantenido por un empleador para empleados que cumple con los requisitos y regulaciones específicos de... | [] | [] | [] | [] | [] | A cafeteria plan is a separate written plan maintained by an employer for employees that meets the specific requirements and regulations of Section 125 of th... |
['glossary'] | ['glossary'] | [] | Urban Indian programs | Programas urbanos para Indios | /glossary/urban-indian-programs/ | Programas de salud disponibles para Indios Americanos y nativos de Alaska que viven en áreas urbanas.Los programas de salud urbana atienden:Miembros o d... | [] | [] | [] | [] | [] | Health programs available to American Indians and Alaska Natives living in urban areas.Urban health programs serve:Members or descendants of federally r... |
['glossary'] | ['glossary'] | [] | QSEHRA | QSEHRA | /glossary/qsehra/ | Los pequeños empleadores que no ofrecen cobertura médica grupal a sus empleados pueden ayudar a los empleados a pagar los gastos médicos a través de un Acuer... | [] | [] | [] | [] | [] | Small employers who don't offer group health coverage to their employees can help employees pay for medical expenses through a Qualified Small Employer Healt... |
['glossary'] | ['glossary'] | [] | Abortion services | Servicios de aborto | /glossary/abortion-services/ | La ley federal prohíbe que los fondos federales, incluidos los créditos fiscales para las primas del Mercado, se utilicen para servicios de aborto, excepto e... | [] | [] | [] | [] | [] | Federal law prohibits federal funds, including Marketplace premium tax credits, from being used for abortion services except in the limited cases of rape, in... |
['glossary'] | ['glossary'] | [] | Small Business Health Options Program (SHOP) | Mercado SHOP (Programa de Opciones de Salud para Pequeños Negocios) | /glossary/shop-small-business-health-options-program/ | Un intercambio de seguro médico que ayuda a los propietarios de pequeños negocios a proporcionar seguro médico y dental a sus empleados. Algunos empleadores ... | [] | [] | [] | [] | [] | The Small Business Health Options Program (SHOP) helps small business owners provide medical and/or dental insurance to their employees. Some smaller employe... |
['glossary'] | ['glossary'] | [] | Tax filing requirement (for dependents) | Requisito de presentación de impuestos (para dependientes) | /glossary/tax-filing-requirement-dependents/ | La cantidad mínima de ingreso que requiere que un dependiente presente una declaración federal de impuestos. Los requisitos para presentar impuestos 2021 par... | [] | [] | [] | [] | [] | The minimum income requiring a dependent to file a federal tax return. 2021 filing requirements for dependents under 65: Earned income of at least $12,550, o... |
['glossary'] | ['glossary'] | [] | Quality Ratings (or 'star' ratings) | Calificación de Calidad (o calificación de 'estrellas') | /glossary/quality-ratings/ | La calificación de calidad del plan médico usado en el Mercado de Seguros Médicos, muestra 1 a 5 estrellas en las páginas de información del plan.Cada plan... | [] | [] | [] | [] | [] | Ratings of health plan quality used in the Health Insurance Marketplace®, shown as 1 to 5 stars on plan information pages.Each health plan has an “Overall”... |
['glossary'] | ['glossary'] | [] | Grace Period | Período de Gracia | /glossary/grace-period/ | Un período corto — generalmente de 90 días — luego de que se haya vencido su pago mensual del seguro médico, puede pagarlo durante su período de gracia y evi... | [] | [] | [] | [] | [] | A short period — usually 90 days — after your monthly health insurance payment is due. If you haven't made your payment, you may do so during the grace perio... |
['glossary'] | ['glossary'] | [] | Adjusted Gross Income (AGI) | Ingreso Bruto Ajustado (AGI en inglés) | /glossary/adjusted-gross-income-agi/ | Su ingreso total (o "bruto") para el año fiscal, menos ciertos ajustes que se le permita tomar. Los ajustes incluyen deducciones por contribuciones de IRA co... | [] | [] | [] | [] | [] | Your total (or “gross”) income for the tax year, minus certain adjustments you’re allowed to take. Adjustments include deductions for conventional IRA contri... |
['glossary'] | ['glossary'] | [] | Tax filing requirement | Requisito de presentación de impuestos | /glossary/tax-filing-requirement/ | La cantidad mínima (o límite) de ingreso que requiere que usted presente una declaración federal de impuestos. Los requisitos de 2021 para presentar impuesto... | [] | [] | [] | [] | [] | The minimum amount (or threshold) of income requiring you to file a federal tax return. 2021 filing requirements for most taxpayers: Gross income of at least... |
['glossary'] | ['glossary'] | [] | Qualifying Health Coverage | Cobertura Calificada | /glossary/qualifying-health-coverage/ | Cualquier seguro médico que cumpla los requisitos de cobertura de la Ley de Cuidado de Salud a bajo precio. Ya no aplica la multa por no tener seguro médico.... | [] | [] | [] | [] | [] | Any health insurance that meets the Affordable Care Act requirement for coverage. The fee for not having health insurance no longer applies. This means you n... |
['glossary'] | ['glossary'] | [] | Inconsistency (Data Matching Issue) | Inconsistencia (problema de datos) | /glossary/inconsistency/ | Una diferencia entre cierta información que puso en su solicitud del Mercado y la información que tenemos de otras fuentes de datos de confianza.Si esto su... | [] | [] | [] | [] | [] | A difference between some information you put on your Marketplace application and information we have from other trusted data sources.If this happens, the ... |
['glossary'] | ['glossary'] | [] | Data Matching Issue (Inconsistency) | Problema con comparación de datos (o inconsistencia) | /glossary/data-matching-issue/ | Una diferencia entre cierta información que puso en su solicitud del Mercado y la información que tenemos de otras fuentes de datos de confianza.Si esto su... | [] | [] | [] | [] | [] | A difference between some information you put on your Marketplace health insurance application and information we have from other trusted data sources.If t... |
['glossary'] | ['glossary'] | [] | Same-Sex Marriage | Matrimonio del Mismo Sexo | /glossary/same-sex-marriage/ | Matrimonio legal entre cónyuges del mismo sexo. El matrimonio entre personas del mismo sexo es legal y está reconocido en todos los estados de Estados Unidos... | [] | [] | [] | [] | [] | Lawful marriage between spouses of the same sex. Same-sex marriage is legal and recognized in every U.S. state and the District of Columbia.As long as a sa... |
['glossary'] | ['glossary'] | [] | Transgender People | Personas Transgénero | /glossary/transgender-people/ | El sexo asignado al nacer de una persona transgénero no coincide con su identidad, expresión o comportamiento de género.Los transgéneros deben considerar de... | [] | [] | [] | [] | [] | A transgender person’s assigned sex at birth doesn’t match their gender identity, expression, or behavior.Transgender people have important details to cons... |
['glossary'] | ['glossary'] | [] | Exemption | Exenciones | /glossary/exemption/ | Si tiene 30 años o más y quiere cobertura catastrófica, debe calificar para una exención por "dificultades" o "accesibilidad".Para los planes de 2018 o ant... | [] | [] | [] | [] | [] | If you’re 30 and older and want Catastrophic coverage, you must qualify for a "hardship" or "affordability" exemption.For plan years 2018 and earlier, othe... |
['glossary'] | ['glossary'] | [] | Stand-alone Dental Plan | Plan dental independiente | /glossary/stand-alone-dental-plan/ | Un tipo de plan dental ofrecido a través del Mercado que no está incluido como parte de un plan médico. Es posible que desee esto si la cobertura que elige n... | [] | [] | [] | [] | [] | A type of dental plan offered through the Marketplace that’s not included as part of a health plan. You may want this if the health coverage you choose doesn... |
['glossary'] | ['glossary'] | [] | Spousal Abandonment | Abandono del cónyuge | /glossary/spousal-abandonment/ | Cuando una persona no puede localizar a su cónyuge después de hacer un intento razonable para encontrarlo. También conocida como deserción. Si es víctima de ... | [] | [] | [] | [] | [] | When an individual can’t locate their spouse after making a reasonable attempt to find them. Also known as desertion. If you’re a victim of spousal abandonme... |
['glossary'] | ['glossary'] | [] | Exemption Certificate Number (ECN) | Número de certificado de exención (ECN en inglés) | /glossary/exemption-certificate-number-ecn/ | El número que el Mercado de seguros le provee cuando califica para una exención de cobertura médica. Cuando llena una solicitud de exención, el Mercado revis... | [] | [] | [] | [] | [] | A number the Marketplace provides when you qualify for a health insurance exemption. When you fill out an exemption application, the Marketplace will review ... |
['glossary'] | ['glossary'] | [] | Second lowest cost Silver plan (SLCSP) | Plan Plata con el segundo costo más bajo (SLCSP en inglés) | /glossary/second-lowest-cost-silver-plan-slcsp/ | El plan del Mercado con el segundo costo más bajo en la categoría del plan Plata que le corresponda. No es necesariamente el plan en el que se inscribió. Ust... | [] | [] | [] | [] | [] | The second-lowest priced Marketplace health insurance plan in the Silver category that applies to you. It may not be the plan you enrolled in. You need to kn... |
['glossary'] | ['glossary'] | [] | Plan ID | Número de Identificación del Plan | /glossary/plan-id/ | Cada plan médico del Mercado tiene un identificador único de 14 caracteres que es una combinación de números y/o letras.Usted puede encontrar el Número de ... | [] | [] | [] | [] | [] | Each Marketplace health plan has a unique 14-character identifier that's a combination of numbers and/or letters.You can find a plan's ID below the plan na... |
['glossary'] | ['glossary'] | [] | Application ID | Número de solicitud | /glossary/application-id/ | Cada solicitud del Mercado tiene un número de identificación único. Luego de que haga su solicitud en el Mercado, usted recibirá una notificación con los res... | [] | [] | [] | [] | [] | Each Marketplace application has a unique identification number, or Application ID. After you apply for Marketplace coverage, you’ll get a notice with your e... |
['glossary'] | ['glossary'] | [] | Multi-State Plan | Plan multi-estatal | /glossary/multi-state-plan/ | Un tipo de plan que se ofrece en el Mercado de Seguros Médicos. A pesar del nombre, "planes multi-estatales" no necesariamente tienen los proveedores de rede... | [] | [] | [] | [] | [] | A type of plan offered in the Health Insurance Marketplace®. Despite the name, “multi-state plans” don’t necessarily have network providers or cover services... |
['glossary'] | ['glossary'] | [] | Modified Adjusted Gross Income (MAGI) | Ingreso Bruto Ajustado Modificado (MAGI en inglés) | /glossary/modified-adjusted-gross-income-magi/ | La cifra utilizada para determinar la elegibilidad para los créditos fiscales para las primas y otros ahorros en los planes médicos del Mercado y para Medica... | [] | [] | [] | [] | [] | The figure used to determine eligibility for premium tax credits and other savings for Marketplace health insurance plans and for Medicaid and the Children's... |
['glossary'] | ['glossary'] | [] | Referral | Referido | /glossary/referral/ | Una orden por escrito de su médico de cuidados primarios para que usted visite un especialista u obtenga ciertos servicios médicos. En muchas Organizaciones ... | [] | [] | [] | [] | [] | A written order from your primary care doctor for you to see a specialist or get certain medical services. In many Health Maintenance Organizations (HMOs), y... |
['glossary'] | ['glossary'] | [] | Penalty | Multa | /glossary/penalty/ | Un pago (también conocido como "penalidad," "multa" o "mandato individual") que hizo cuando declaró los impuestos si no tuvo seguro médico que calificaba com... | [] | [] | [] | [] | [] | A payment ("fee," "fine," "individual mandate") you made when you filed taxes if you didn't have health insurance that counted as qualifying health coverage ... |
['glossary'] | ['glossary'] | [] | Out-of-pocket maximum/limit | Gastos máximos de su bolsillo/límite | /glossary/out-of-pocket-maximum-limit/ | Cantidad máxima que tiene que pagar por los servicios cubiertos en un año del plan. Después de gastar esta cantidad en los deducibles, copagos y coseguros po... | [] | [] | [] | [] | [] | The most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copayments, and coinsurance for in-network care and... |
['glossary'] | ['glossary'] | [] | Out-of-Pocket Estimate | Estimado de los gastos de su bolsillo | /glossary/out-of-pocket-estimate/ | Un estimado de la cantidad que pagaría de su bolsillo por los servicios médico o las medicinas. El estimado se hace antes de que su plan haya enviado el recl... | [] | [] | [] | [] | [] | An estimate of the amount that you may have to pay on your own for health care or prescription drug costs. The estimate is made before your health plan has p... |
['glossary'] | ['glossary'] | [] | Out-of-Network Copayment | Copago fuera de la red | /glossary/out-of-network-copayment/ | Una cantidad fija (por ejemplo, $30) que usted paga por cuidados médicos cubierto facilitados por proveedores que no tienen un contrato con su seguro o plan ... | [] | [] | [] | [] | [] | A fixed amount (for example, $30) you pay for covered health care services from providers who don't contract with your health insurance or plan. Out-of-netwo... |
['glossary'] | ['glossary'] | [] | Out-of-Network Coinsurance | Coseguro fuera de la red | /glossary/out-of-network-coinsurance/ | El porcentaje (por ejemplo, el 40%) que usted paga de la cantidad autorizada por servicios médicos cubiertos facilitados por proveedores que no tienen un con... | [] | [] | [] | [] | [] | The percentage (for example, 40%) you pay of the allowed amount for covered health care services to providers who don't contract with your health insurance o... |
['glossary'] | ['glossary'] | [] | Original Medicare | Medicare Original | /glossary/original-medicare/ | Medicare Original es un plan médico de pago por servicio que tiene dos partes: Parte A (seguro de hospital) y Parte B (seguro médico). Después de pagar un de... | [] | [] | [] | [] | [] | Original Medicare is a fee-for-service health plan that has two parts: Part A (Hospital Insurance) and Part B (Medical Insurance). After you pay a deductible... |
['glossary'] | ['glossary'] | [] | Not Yet Accredited (Health Plan) | Aún no acreditado (plan médico) | /glossary/not-yet-accredited-health-plan/ | Un plan que aún no ha recibido un "sello de aprobación" por parte de una compañía independiente demostrando que cumple con los estándares nacionales de calid... | [] | [] | [] | [] | [] | A plan that hasn't been given a "seal of approval" by an independent company to show it meets national quality standards for health plans. There are many rea... |
['glossary'] | ['glossary'] | [] | Network Plan | Plan de la red | /glossary/network-plan/ | Un plan de salud que tiene contratos con médicos, hospitales, farmacias y otros proveedores de salud para proporcionar a los miembros del plan servicios y su... | [] | [] | [] | [] | [] | A health plan that contracts with doctors, hospitals, pharmacies, and other health care providers to provide members of the plan with services and supplies a... |
['glossary'] | ['glossary'] | [] | Net Rental Income | Ingresos netos por rentas | /glossary/net-rental-income/ | La cantidad que alguien le paga a usted para usar su propiedad, después de restar los gastos relacionados con esa propiedad. Los Ingresos de regalías incluye... | [] | [] | [] | [] | [] | The amount someone pays you to use your property, after you subtract the expenses you have for the property. Royalty income includes any payments you get fro... |
['glossary'] | ['glossary'] | [] | Worker's Compensation | Seguro de accidentes del trabajo/Compensación al trabajador | /glossary/workers-compensation/ | Un plan de seguro que los empleadores están obligados a tener, para cubrir a los empleados que se enferman o sufren lesiones por actividades relacionadas con... | [] | [] | [] | [] | [] | An insurance plan that employers are required to have to cover employees who get sick or injured on the job. |
['glossary'] | ['glossary'] | [] | Vision Coverage | Cobertura de la vista | /glossary/vision-or-vision-coverage/ | Cobertura de la vista es un beneficio médico que por lo menos cubre parcialmente el cuidado de la vista, como exámenes de la vista y anteojos. Todos los plan... | [] | [] | [] | [] | [] | A health benefit that at least partially covers vision care, like eye exams and glasses. All plans in the Health Insurance Marketplace® include vision covera... |
['glossary'] | ['glossary'] | [] | TTY | TTY | /glossary/tty/ | Un TTY es un aparato de comunicación usado por personas sordas, con deficiencias auditivas, o que sufren una incapacidad grave del habla. Las personas que no... | [] | [] | [] | [] | [] | A TTY (teletypewriter) is a communication device used by people who are deaf, hard-of-hearing, or have severe speech impairment. People who don't have a TTY ... |
['glossary'] | ['glossary'] | [] | TRICARE | TRICARE | /glossary/tricare/ | Un programa de cuidado médico para miembros de los servicios uniformados activos y retirados, y sus familias. | [] | [] | [] | [] | [] | A health care program for active-duty and retired uniformed services members and their families. |
['glossary'] | ['glossary'] | [] | Total Cost Estimate (for health coverage) | Estimado total de costos (para cobertura médica) | /glossary/total-cost-estimate/ | La cantidad total estimada que usted quizás tenga que pagar por cobertura médica, el cual es estimado antes de que usted consiga esa cobertura y tenga gastos... | [] | [] | [] | [] | [] | The total amount you may have to pay for health plan coverage, which is estimated before you actually have the coverage and have health expenses under the co... |
['glossary'] | ['glossary'] | [] | Tax Household | Familia a efectos fiscales (unidad familiar) | /glossary/tax-household/ | El contribuyente(s) y todo individuo declarado como dependiente en la declaración de impuestos federales. Una Familia a efectos fiscales puede incluir un cón... | [] | [] | [] | [] | [] | The taxpayer(s) and any individuals who are claimed as dependents on one federal income tax return. A tax household may include a spouse and/or dependents.... |
['glossary'] | ['glossary'] | [] | Supplemental Security Income (SSI) | Seguridad de Ingreso Suplementario (SSI en inglés) | /glossary/supplemental-security-income/ | Un beneficio mensual pagado por el Seguro Social a las personas con ingresos y recursos limitados, que están incapacitadas, ciegas, o tienen 65 años o más. L... | [] | [] | [] | [] | [] | A monthly benefit paid by Social Security to people with limited income and resources who are disabled, blind, or 65 or older. SSI benefits aren't the same a... |
['glossary'] | ['glossary'] | [] | Summary of Benefits and Coverage (SBC) | Resumen de beneficios y cobertura (SBC en inglés) | /glossary/summary-of-benefits-and-coverage/ | Un resumen fácil de leer que le permite comparar lado a lado, los costos y coberturas ofrecidos por los diferentes planes médicos. Usted puede comparar sus o... | [] | [] | [] | [] | [] | An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. You can compare options based on price, b... |
['glossary'] | ['glossary'] | [] | Subsidized Coverage | Cobertura subsidiada | /glossary/subsidized-coverage/ | La cobertura médica está disponibles a menor costo o sin costo para las personas con ingresos por debajo de ciertos niveles.Ejemplos de cobertura subsidiad... | [] | [] | [] | [] | [] | Health coverage available at reduced or no cost for people with incomes below certain levels.Examples of subsidized coverage include Medicaid and the Child... |
['glossary'] | ['glossary'] | [] | State Medical Assistance Office | Oficina estatal de asistencia médica | /glossary/state-medical-assistance-office/ | Una agencia estatal a cargo del programa de Medicaid de ese estado y que puede facilitar información acerca de los programas que ayudan a las personas con in... | [] | [] | [] | [] | [] | A state agency in charge of the state's Medicaid program and can give information about programs in its state that help pay medical bills for people with lim... |
['glossary'] | ['glossary'] | [] | State Insurance Department | Departamento Estatal de Seguros | /glossary/state-insurance-department/ | Una agencia estatal que regula los seguros y facilita información sobre la cobertura médica en su estado. | [] | [] | [] | [] | [] | A state agency that regulates insurance and can provide information about health coverage in its state. |
['glossary'] | ['glossary'] | [] | State Health Insurance Assistance Program (SHIP) | Programa Estatal de Asistencia sobre el Seguro Médico (SHIP en inglés) | /glossary/state-health-insurance-assistance-program/ | Programa estatal que recibe dinero del gobierno federal para ofrecer asesoría local gratis en cuanto a seguros médicos, a personas que tienen Medicare. | [] | [] | [] | [] | [] | A state program that gets funding from the federal government to provide free local health coverage counseling to people with Medicare. |
['glossary'] | ['glossary'] | [] | Social Security | Seguro Social | /glossary/social-security/ | Un sistema que distribuye beneficios financieros a las personas jubiladas o incapacitadas, sus cónyuges, y sus hijos dependientes, basados en los ingresos qu... | [] | [] | [] | [] | [] | A system that distributes financial benefits to retired or disabled people, their spouses, and their dependent children based on their reported earnings. Whi... |
['glossary'] | ['glossary'] | [] | Social Security Survivors Benefits | Beneficios del Seguro Social para sobrevivientes | /glossary/social-security-survivors-benefits/ | Beneficios del Seguro Social (en caso de su muerte) basados en sus declaraciones que son pagados a su:Viuda/viudo con 60 años o más, o 50 años o más si su... | [] | [] | [] | [] | [] | Social Security benefits based on your record (if you should die) that are paid to your:Widow/widower age 60 or older, 50 or older if disabled, or any age... |
['glossary'] | ['glossary'] | [] | Social Security Benefits | Beneficios del Seguro Social | /glossary/social-security-benefits/ | La cantidad que usted recibe mensualmente del Seguro Social por incapacidad, por jubilación (incluyendo el Retiro Ferroviario), o como sobreviviente. | [] | [] | [] | [] | [] | The amount you get from Social Security Disability, Retirement (including Railroad retirement), or Survivor's Benefits each month. |
['glossary'] | ['glossary'] | [] | Silver Health Plan | Plan médico de categoría Plata | /glossary/silver-health-plan/ | Una de las 4 categorías de plan (también conocidas como “nivel de metal”) en el Mercado de Seguros Médicos. Los planes Plata están en el medio: usted paga pr... | [] | [] | [] | [] | [] | One of 4 categories of Health Insurance Marketplace® plans (sometimes called “metal levels”). Silver plans fall about in the middle: You pay moderate monthly... |
['glossary'] | ['glossary'] | [] | Service Area | Área de servicio | /glossary/service-area/ | Un área geográfica donde un plan de seguro médico acepta miembros en caso que limite la inscripción según dónde residan las personas. Para los planes que lim... | [] | [] | [] | [] | [] | A geographic area where a health insurance plan accepts members if it limits membership based on where people live. For plans that limit which doctors and ho... |
['glossary'] | ['glossary'] | [] | Self-Employment Income | Ingresos como trabajador autónomo | /glossary/self-employment-income/ | Los ingresos netos que usted gana por medio de su propio oficio o negocio. Por ejemplo, todo ingreso neto (ganancia) recibido de productos que usted venda o ... | [] | [] | [] | [] | [] | The net income you earn from your own trade or business. For example, any net income (profit) you earn from goods you sell or services you provide to others ... |
['glossary'] | ['glossary'] | [] | Retirement Benefit (Pension) | Beneficios de jubilación (pensión) | /glossary/retirement-benefit/ | Un pago, o serie de pagos recibidos una vez que usted se jubila. Generalmente, la cantidad de sus ingresos por jubilación o distribuciones de pagos de una cu... | [] | [] | [] | [] | [] | A payment or series of payments made to you after you retire from work. Generally, the amount of your income from a pension or retirement account distributio... |
['glossary'] | ['glossary'] | [] | Rental or Royalty Income | Ingresos por rentas y regalías | /glossary/rental-or-royalty-income/ | La cantidad que alguien le paga a usted para usar su propiedad, después de restar los gastos relacionados con esa propiedad. Los Ingresos de regalías incluye... | [] | [] | [] | [] | [] | The amount someone pays you to use your property, after you subtract the expenses you have for the property. Royalty income includes any payments you get fro... |
['glossary'] | ['glossary'] | [] | Qualifying Life Event (QLE) | Eventos calificados | /glossary/qualifying-life-event/ | Un cambio en su situación - como casarse, tener un bebé, o perder la cobertura médica - puede hacerle elegible para un Período Especial de Inscripción, que l... | [] | [] | [] | [] | [] | A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, all... |
['glossary'] | ['glossary'] | [] | Prior Authorization | Autorización previa | /glossary/prior-authorization/ | Aprobación por parte de un plan médico que puede ser requerida antes de que usted consiga un servicio o renueve una receta médica, para que el servicio o la ... | [] | [] | [] | [] | [] | Approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by yo... |
['glossary'] | ['glossary'] | [] | Premium Tax Credit | ¿Qué es un "crédito fiscal para las primas"? | /glossary/premium-tax-credit/ | null | [] | [] | [] | [] | [] | A tax credit you can use to lower your monthly insurance payment (called your “premium”) when you enroll in a plan through the Health Insurance Marketplace®.... |
['glossary'] | ['glossary'] | [] | Platinum Health Plan | Plan médico Platino | /glossary/platinum-health-plan/ | Una de las 4 categorías de plan (también conocidas como “nivel de metal”) en el Mercado de Seguros Médicos. Los planes Platino por lo general tienen las prim... | [] | [] | [] | [] | [] | One of 4 categories (or “metal levels”) of Health Insurance Marketplace® plans. Platinum plans usually have the highest monthly premiums of any plan category... |
['glossary'] | ['glossary'] | [] | Pension (Retirement Benefit) | Pensión (beneficio de jubilación) | /glossary/pension-retirement-benefit/ | Un pago, o serie de pagos recibidos una vez que usted se jubila. Generalmente, la cantidad de sus ingresos por jubilación o distribuciones de pagos de una cu... | [] | [] | [] | [] | [] | A payment or series of payments made to you after you retire from work. Generally, the amount of your income from a pension or retirement account distributio... |
['glossary'] | ['glossary'] | [] | Notice | Aviso | /glossary/notice/ | Un formulario de aviso oficial que informa a los individuos acerca del estatus de sus solicitudes, su elegibilidad para los diversos programas, u otra inform... | [] | [] | [] | [] | [] | An official form of communication that informs individuals about the status of their applications, their eligibility for programs, or other important informa... |
['glossary'] | ['glossary'] | [] | Net Capital Gains | Ganancias netas sobre el capital | /glossary/net-capital-gains/ | La cantidad en que sus ganancias anuales a largo plazo sobre el capital, son superiores a sus pérdidas anuales a corto plazo sobre el capital.Para consegui... | [] | [] | [] | [] | [] | The amount by which your total long-term capital gain for the year is more than your short-term capital loss for the year.For more information, visit http:... |
['glossary'] | ['glossary'] | [] | Navigator | Navegador | /glossary/navigator/ | Individuos u organizaciones capacitados y aptos para facilitar ayuda al consumidor, pequeñas empresas y sus empleados, mientras buscan opciones de cobertura ... | [] | [] | [] | [] | [] | An individual or organization that's trained and able to help consumers, small businesses, and their employees as they look for health coverage options throu... |
['glossary'] | ['glossary'] | [] | Multi-Employer Plan | Plan a través de varios empleadores | /glossary/multi-employer-plan/ | En general, un plan médico grupal patrocinado conjuntamente por dos empleadores o más. | [] | [] | [] | [] | [] | In general, a group health plan that's sponsored jointly by 2 or more employers. |
['glossary'] | ['glossary'] | [] | Member Survey Results | Resultados de la encuesta a los miembros | /glossary/member-survey-results/ | Una encuesta hecha por la Encuesta al Consumidor sobre los Proveedores y Sistemas de Salud (CAHPS en inglés), que pide a los miembros del plan, que valoren ... | [] | [] | [] | [] | [] | A survey conducted by the Consumer Assessment of Healthcare Providers and Systems (CAHPS) which asks health plan members to rate the care their experiences w... |
['glossary'] | ['glossary'] | [] | Marketplace | Mercado de seguros | /glossary/marketplace/ | Palabra corta para decir "Mercado de Seguros Médicos," un servicio de compras e inscripción para el seguro médico creado por la Ley de Cuidado de Salud a Baj... | [] | [] | [] | [] | [] | Shorthand for the “Health Insurance Marketplace®,” a shopping and enrollment service for medical insurance created by the Affordable Care Act in 2010.In mo... |
['glossary'] | ['glossary'] | [] | Large Group Health Plan | Plan médico grupal grande | /glossary/large-group-health-plan/ | En general, un plan grupal que cubre empleados de un empleador con 51 empleados o más. En algunos estados, los grandes grupos se definen como grupos con 101 ... | [] | [] | [] | [] | [] | In general, a group health plan that covers employees of an employer that has 51 or more employees. In some states large groups are defined as 101 or more. |
['glossary'] | ['glossary'] | [] | Investment Income | Ingresos por inversiones | /glossary/investment-income/ | Los ingresos que usted recibe por una inversión, tales como interés recibido de un banco o, dividendos recibidos de unas acciones.Para más información, vea... | [] | [] | [] | [] | [] | The income you get from an investment, like interest you get from a bank or dividends you get from a stock you own.For more information, see IRS Publicatio... |
['glossary'] | ['glossary'] | [] | Interest | Interés | /glossary/interest/ | El costo por conseguir dinero prestado.El interés que se cobra de un banco, o dividendos percibidos de una acción de la cual usted es propietario, son algu... | [] | [] | [] | [] | [] | The charge for the use of borrowed money.Interest you get from a bank or dividends from a stock you own are examples of investment income, which you should... |
['glossary'] | ['glossary'] | [] | Inpatient Care | Cuidados para paciente internado | /glossary/inpatient-care/ | Cuidados médicos que usted recibe cuando es internado en un centro médico, tal como un hospital o un centro de enfermería especializado. | [] | [] | [] | [] | [] | Health care that you get when you're admitted as an inpatient to a health care facility, like a hospital or skilled nursing facility. |
['glossary'] | ['glossary'] | [] | In Person Assistance Personnel Program | Asistencia/Personal | /glossary/in-person-assistance-personnel-program/ | Individuos u organizaciones capacitados y aptos para facilitar ayuda al consumidor, pequeñas empresas y sus empleados, mientras buscan opciones de cobertura ... | [] | [] | [] | [] | [] | Individuals or organizations that are trained and able to provide help to consumers, small businesses, and their employees as they look for health coverage o... |
['glossary'] | ['glossary'] | [] | Health Plan Categories | Categorías de planes médicos | /glossary/health-plan-categories/ | Los niveles de planes en el Mercado de Seguros Médicos: Bronce, Plata, Oro y Platino. Las categorías (algunas veces llamadas “nivel de metal”) son basadas en... | [] | [] | [] | [] | [] | Levels of plans in the Health Insurance Marketplace®: Bronze, Silver, Gold, and Platinum. Categories (sometimes called “metal levels”) are based on how you a... |
['glossary'] | ['glossary'] | [] | Health Coverage | Cobertura médica | /glossary/health-coverage/ | Derecho legal al pago o reembolso de sus costos por atención médica, por lo general mediante un contrato con una compañía de seguro, un plan de salud grupal ... | [] | [] | [] | [] | [] | Legal entitlement to payment or reimbursement for your health care costs, generally under a contract with a health insurance company, a group health plan off... |
['glossary'] | ['glossary'] | [] | Hardship Exemption | Exención por dificultad | /glossary/hardship-exemption/ | Una exención que se necesita al solicitar cobertura catastrófica para las personas de 30 años o más que enfrentaron una "dificultad" que les impidió obtener ... | [] | [] | [] | [] | [] | An exemption that’s needed when applying for Catastrophic coverage for people 30 and older who faced a "hardship" that prevented them from getting insurance.... |
['glossary'] | ['glossary'] | [] | Group Health Plan | Plan médico grupal | /glossary/group-health-plan/ | En general, un plan de salud ofrecido por un empleador o una organización de empleados, que provee cobertura médica a los empleados y sus familias. | [] | [] | [] | [] | [] | In general, a health plan offered by an employer or employee organization that provides health coverage to employees and their families. |
['glossary'] | ['glossary'] | [] | Gold Health Plan | Plan médico de categoría Oro | /glossary/gold-health-plan/ | Una de las 4 categorías de plan (también conocidas como “nivel de metal”) en el Mercado de Seguros Médicos. Los planes Oro por lo general tienen primas mensu... | [] | [] | [] | [] | [] | One of 4 health plan categories (or “metal levels”) in the Health Insurance Marketplace®. Gold plans usually have higher monthly premiums but lower costs whe... |
['glossary'] | ['glossary'] | [] | Generic Drugs | Medicamento genérico | /glossary/generic-drugs/ | Un medicamento recetado que tiene la misma fórmula de ingredientes activos que un medicamento de marca. Los medicamentos genéricos usualmente cuestan menos q... | [] | [] | [] | [] | [] | 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 Dru... |
['glossary'] | ['glossary'] | [] | Full-Time Employee (FTE) | Empleado a tiempo completo | /glossary/full-time-employee/ | Cualquier empleado que trabaja un promedio de al menos 30 horas por semana durante más de 120 días en un año. Los empleados a tiempo parcial que trabajan un ... | [] | [] | [] | [] | [] | Any employee who works an average of at least 30 hours per week for more than 120 days in a year. Part-time employees work an average of less than 30 hours p... |
['glossary'] | ['glossary'] | [] | Fee | Tarifa | /glossary/fee/ | Un pago (también conocido como "penalidad," "multa" o "mandato individual") que hizo cuando presenta su declaración federal de impuestos si no tuvo seguro mé... | [] | [] | [] | [] | [] | A payment ("penalty," "fine," "individual mandate") you made when you filed federal taxes if you didn't have health insurance that counted as qualifying heal... |
['glossary'] | ['glossary'] | [] | Fee for Service | Pago por servicio | /glossary/fee-for-service/ | Método en el cual se paga a los médicos y otros proveedores de servicios de salud por cada servicio brindado. Algunos ejemplos de servicios incluyen pruebas ... | [] | [] | [] | [] | [] | A method in which doctors and other health care providers are paid for each service performed. Examples of services include tests and office visits.Related... |
['glossary'] | ['glossary'] | [] | Federally Recognized Tribe | Tribu reconocida federalmente | /glossary/federally-recognized-tribe/ | Cualquier tribu, corporación Alaska Native Claims Settlement Act (ANCSA ) (de un región o pueblo), grupo, nación, pueblo, comarca o comunidad indígena o de n... | [] | [] | [] | [] | [] | Any Indian or Alaska Native tribe, Alaska Native Claims Settlement Act (ANCSA) Corporation (regional or village), band, nation, pueblo, village, rancheria, o... |
['glossary'] | ['glossary'] | [] | External Review | Revisión externa | /glossary/external-review/ | Una revisión de la decisión de un plan de denegación de cobertura o pago de un servicio, llevada a cabo por una organización independiente, no relacionada co... | [] | [] | [] | [] | [] | A review of a plan's decision to deny coverage for or payment of a service by an independent third-party not related to the plan. If the plan denies an appea... |
['glossary'] | ['glossary'] | [] | Employer or Union Retiree Plans | Planes de empleadores o sindicatos para jubilados | /glossary/employer-or-union-retiree-plans/ | Planes que ofrecen cobertura de salud y/o de medicamentos a ex-empleados o miembros y en algunos casos, a sus familias. Estos planes se ofrecen a las persona... | [] | [] | [] | [] | [] | Plans that provide health and/or drug coverage to former employees or members, and, in some cases, their families. These plans are offered to people through ... |
['glossary'] | ['glossary'] | [] | Eligible Immigration Status | Estatus de inmigración elegible | /glossary/eligible-immigration-status/ | Una condición inmigratoria que se considera elegible para obtener cobertura médica a través del Mercado de seguros. Las reglas sobre la condición inmigratori... | [] | [] | [] | [] | [] | An immigration status that's considered eligible for getting health coverage through the Marketplace. The rules for eligible immigration status may be differ... |
['glossary'] | ['glossary'] | [] | Eligibility Assessment | Evaluación de elegibilidad | /glossary/eligibility-assessment/ | En algunos estados, el Mercado de seguros no provee la decisión final en cuanto a la elegibilidad para Medicaid. Sin embargo, el Mercado de seguros lleva a c... | [] | [] | [] | [] | [] | In certain states, the Marketplace doesn't provide the final decision on Medicaid eligibility. Instead, the Marketplace conducts an assessment and passes the... |
['glossary'] | ['glossary'] | [] | Drug List | Lista de medicamentos (Formulario) | /glossary/drug-list/ | Una lista de medicamentos recetados cubiertos por un plan de medicamentos recetados u otro plan de seguro médico que ofrezca beneficios de medicamentos recet... | [] | [] | [] | [] | [] | A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Also called a formulary. |
['glossary'] | ['glossary'] | [] | Domestic Partnership | Pareja doméstica/de hecho | /glossary/domestic-partnership/ | Dos personas del mismo o diferente sexo que viven juntos y comparten una vida doméstica, pero no están casadas o unidas por una unión civil. En algunos estad... | [] | [] | [] | [] | [] | Two people of the same or opposite sex who live together and share a domestic life, but aren't married or joined by a civil union. In some states, domestic p... |
['glossary'] | ['glossary'] | [] | Dividend | Dividendo | /glossary/dividend/ | Un pago hecho por una corporación con fines de lucro a sus accionistas. Este pago es una porción de los beneficios corporativos y se puede pagar un cierto nú... | [] | [] | [] | [] | [] | A payment made by a for-profit corporation to its shareholders. This payment is a portion of the corporate earnings and may be paid a certain number of times... |
['glossary'] | ['glossary'] | [] | Dependent | Dependiente | /glossary/dependent/ | Un niño u otra persona en virtud de la cual los padres, parientes u otra persona pueden reclamar una exención personal de impuestos. En virtud de la Ley de a... | [] | [] | [] | [] | [] | A child or other individual for whom a parent, relative, or other person may claim a personal exemption tax deduction. Under the Affordable Care Act, individ... |
['glossary'] | ['glossary'] | [] | Department of Health and Human Services (HHS) | Departamento de Salud y Servicios Humanos (HHS en inglés) | /glossary/department-of-health-and-human-services-hhs/ | La agencia federal que supervisa el programa CMS, el cual administra los programas de protección de la salud de todas las personas en los Estados Unidos, inc... | [] | [] | [] | [] | [] | The federal agency that oversees CMS, which administers programs for protecting the health of all Americans, including Medicare, the Marketplace, Medicaid, a... |
['glossary'] | ['glossary'] | [] | Dental Coverage | ¿Puedo obtener cobertura dental del Mercado? | /glossary/dental-coverage/ | null | [] | [] | [] | [] | [] | Benefits that help pay for the cost of visits to a dentist for basic or preventive services, like teeth cleaning, X-rays, and fillings. In the Marketplace, d... |
['glossary'] | ['glossary'] | [] | Deductible | Deducible | /glossary/deductible/ | La cantidad que paga por los servicios de atención médica cubiertos antes de que su plan de seguro comience a pagar. Con un deducible de $2,000, usted paga l... | [] | [] | [] | [] | [] | The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000... |
['glossary'] | ['glossary'] | [] | Court Awards | Adjudicaciones judiciales | /glossary/court-awards/ | El dinero que es debido como resultado de una demanda. Este dinero puede ser libre de impuestos. Ejemplos de adjudicaciones libres de impuestos son las canti... | [] | [] | [] | [] | [] | Money that's due to you as the result of a lawsuit. This money may be taxable. Examples of lawsuit proceeds that aren't taxable are amounts awarded to you fo... |
['glossary'] | ['glossary'] | [] | Cost Sharing Reduction (CSR) | Reducción de Costos Compartidos | /glossary/cost-sharing-reduction/ | Un descuento que disminuye la cantidad que tiene que pagar de su bolsillo por deducibles, copagos y coseguros. En el Mercado de Seguros Médicos, las reduccio... | [] | [] | [] | [] | [] | A discount that lowers the amount you have to pay for deductibles, copayments, and coinsurance. In the Health Insurance Marketplace®, cost-sharing reductions... |
['glossary'] | ['glossary'] | [] | Coordination of Benefits | Coordinación de beneficios | /glossary/coordination-of-benefits/ | Una forma de averiguar quién paga primero cuando 2 o más planes de seguro médico son responsables de pagar la misma reclamación médica. | [] | [] | [] | [] | [] | A way to figure out who pays first when 2 or more health insurance plans are responsible for paying the same medical claim. |
['glossary'] | ['glossary'] | [] | Co-op | Cooperativa | /glossary/co-op/ | Una organización sin fines de lucro en la que los propios dueños están asegurados por la compañía. Las cooperativas pueden estar formadas a nivel nacional, e... | [] | [] | [] | [] | [] | A non-profit organization in which the same people who own the company are insured by the company. Cooperatives can be formed at a national, state, or local ... |
['glossary'] | ['glossary'] | [] | Certified Application Counselor | Consejeros certificados para solicitudes | /glossary/certified-applicant-counselor/ | Un individuo (afiliado con una organización designada) que está capacitado y puede ayudar a los consumidores, pequeñas empresas, y a sus empleados que buscan... | [] | [] | [] | [] | [] | An individual (affiliated with a designated organization) who is trained and able to help consumers, small businesses, and their employees as they look for h... |
['glossary'] | ['glossary'] | [] | Centers for Medicare & Medicaid Services (CMS) | Centros de Servicios de Medicare y Medicaid (CMS en inglés) | /glossary/centers-for-medicare-and-medicaid-services/ | La agencia federal que administra los programas Medicare, Medicaid y el Programa de seguro médico para los niños, y el Mercado de seguros médicos facilitado ... | [] | [] | [] | [] | [] | The federal agency that runs the Medicare, Medicaid, and Children's Health Insurance Programs, and the federally facilitated Marketplace. For more informatio... |
['glossary'] | ['glossary'] | [] | Capital Gains | Ganancias sobre el capital | /glossary/capital-gains/ | Una ganancia sobre el capital es la cantidad que usted recibe de la venta de una propiedad, tal como acciones, una casa, o un fondo mutuo. Por ejemplo, si us... | [] | [] | [] | [] | [] | A capital gain is the amount you get from selling property, like stock, a house, or a mutual fund. For example, if you buy stock for $1,000 and sell it for $... |
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