ACRONYMS

Search:
(clear)

  • m

  • The Medicare Advantage Open Enrollment Period (MA-OEP) occurs annually from January 1 to March 31, allowing individuals already in a Medicare Advantage (MA) plan to make a single change to their coverage. Options include switching to a different MA plan or returning to Original Medicare with a Part D plan.
  • Medicare Advantage (MA) plans, or Part C, are private insurance alternatives to Original Medicare, covering Part A and Part B services, often with integrated Part D drug coverage and extra benefits like dental or vision. Offered by approved private companies, these plans typically use networks (HMO/PPO) and may have $0 premiums.
  • MAGI = Modified Adjusted Gross Income: is an individual's Adjusted Gross Income (AGI) plus certain deductions added back, used by the IRS to determine eligibility for specific tax deductions, credits, and retirement plan contributions. It is not a line item on your tax return, but a calculated figure that is generally equal to or higher than AGI.
  • A Medicare Advantage Prescription Drug (MAPD) plan is a type of Medicare Advantage (Part C) plan offered by private insurers that bundles Medicare Part A (hospital), Part B (medical), and Part D (prescription drugs) into a single, comprehensive plan. These plans are alternatives to Original Medicare, often providing added benefits like dental, vision, and hearing coverage.
  • A Managed Care Organization (MCO) is a healthcare provider or insurance plan that manages the cost, quality, and delivery of medical services through contracted networks, such as HMOs or PPOs, aimed at providing efficient, high-quality care. MCOs often serve Medicaid and Medicare beneficiaries by emphasizing preventive care, care coordination, and utilization management.
  • MEC stands for Minimum Essential Coverage under the Affordable Care Act (ACA). It refers to the baseline health insurance coverage that individuals must have to comply with the ACA (previously avoiding tax penalties) and that large employers must offer (95% of staff) to avoid employer shared responsibility payments. MEC covers preventive services but is not necessarily comprehensive medical insurance.
  • A Multiple Employer Trust (MET) is a legal trust structure allowing multiple, usually smaller and unrelated, employers to combine resources to purchase or self-fund employee benefit plans, such as health insurance, dental, or pensions. METs allow small businesses to access economies of scale and better rates typical of large employer groups.
  • A Multiple Employer Welfare Arrangement (MEWA) allows small- to mid-sized employers to pool resources, sharing risks to offer cost-effective, customized health insurance benefits outside traditional, expensive exchanges. Regulated by ERISA and state laws, MEWAs provide better rates, flexible plan designs, and stronger bargaining power for employee coverage.
  • Medicare-Medicaid Plans (MMPs) are specialized, integrated health plans for individuals dually eligible for both Medicare and Medicaid, combining all benefits into a single, coordinated plan. Operating under a three-way contract between CMS, states, and health plans, they simplify access to services like medical care and long-term support.
  • MOOP stands for Maximum Out-of-Pocket limit in health insurance, representing the absolute most you will pay for covered services in a plan year. Once this limit is reached through deductibles, copays, and coinsurance, the insurance plan pays 100% of covered costs for the remainder of the year. It does not include monthly premiums.
  • A (MPN) Medical Provider Network is an entity-approved group of healthcare providers in California designed to treat employees injured on the job. Established by insurers or employers, MPNs ensure workers receive specialized, quality, and timely medical care. Workers must generally use these approved doctors for.