Dictionary

Medicare terms, in plain English.

Every definition written at an 8th-grade reading level.

AEP
Annual Enrollment Period. October 15 – December 7 each year. You can join, switch, or drop Medicare Advantage and Part D plans.
Advantage (Part C)
A Medicare plan offered by a private insurer that bundles Parts A, B, and usually D. Uses a network of providers.
ANOC
Annual Notice of Change. A document your Advantage or Part D plan mails you in September detailing changes for the coming year.
Appeal
A formal request to Medicare or your plan to review a coverage decision you disagree with.
Assignment
When a provider agrees to accept the Medicare-approved amount as full payment.
Coinsurance
The percentage of costs you pay after meeting your deductible — commonly 20% under Original Medicare.
Copay
A fixed dollar amount you pay for a covered service, like $20 for a doctor visit.
Creditable Coverage
Health or drug coverage at least as good as Medicare's. Keeping it lets you delay Medicare enrollment without penalty.
Deductible
The amount you pay out of pocket each year before Medicare or your plan begins to pay.
Donut Hole
A former coverage gap in Part D. Eliminated in 2025 — Part D now has a $2,000 annual out-of-pocket cap.
Dual Eligible
Someone who qualifies for both Medicare and Medicaid.
Extra Help
A federal program that helps people with limited income pay for Part D premiums and copays.
Formulary
The list of drugs a Part D or Advantage plan covers.
GEP
General Enrollment Period. January 1 – March 31 each year, for people who missed their initial enrollment.
Guaranteed Issue
Times when insurers must sell you a Medigap policy regardless of your health, such as the 6 months after your Part B begins.
HMO
Health Maintenance Organization. An Advantage plan type that requires you to use in-network providers and get referrals.
IEP
Initial Enrollment Period. The 7-month window around your 65th birthday to sign up for Medicare.
IRMAA
Income-Related Monthly Adjustment Amount. Extra Part B and D premiums for higher-income beneficiaries.
MA OEP
Medicare Advantage Open Enrollment Period. January 1 – March 31. Advantage members can switch or drop.
Medigap
Medicare Supplement Insurance. Private policies that pay what Original Medicare doesn't.
MSP
Medicare Savings Program. State-run programs that help pay Medicare premiums and cost-sharing.
Network
The providers, hospitals, and pharmacies that contract with an Advantage or Part D plan.
Original Medicare
Parts A and B, run directly by the federal government. No networks.
Part A
Hospital insurance. Covers inpatient stays, skilled nursing, hospice, and some home health.
Part B
Medical insurance. Covers doctor visits, outpatient care, and preventive services.
Part C
Medicare Advantage — see Advantage.
Part D
Prescription drug coverage offered through private insurers.
PPO
Preferred Provider Organization. An Advantage plan type with more flexibility to see out-of-network providers, at higher cost.
Premium
The amount you pay each month for Medicare or a Medicare plan.
SEP
Special Enrollment Period. Triggered by life events like losing employer coverage or moving.
SSA-44
The form used to request an IRMAA reduction after a life-changing event like retirement.