ACRONYMS
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- QDWIThe Qualified Disabled & Working Individual (QDWI) program is a Medicaid-based Medicare Savings Program that pays Medicare Part A premiums for disabled individuals under age 65 who lost premium-free Part A coverage due to returning to work. Eligible individuals must have income $\le$200% of the Federal Poverty Level (FPL) and limited resources
- QHPA Qualified Health Plan (QHP) is a private insurance plan certified by the Health Insurance Marketplace (Exchange) that complies with Affordable Care Act (ACA) requirements. These plans must cover essential health benefits, follow established cost-sharing limits, and are categorized into metal tiers (Bronze-Platinum) based on actuarial value.
- QIA Qualifying Individual (QI) is a person eligible for a Medicare Savings Program (MSP) that pays for Medicare Part B premiums. Administered by state Medicaid offices, the QI program assists low-income seniors and adults with disabilities who have incomes between 120% and 135% of the federal poverty level.
- QLEA Qualifying Life Event (QLE) is a significant change in circumstances—such as marriage, birth, or loss of coverage—that triggers a "Special Enrollment Period" (SEP). This allows individuals to enroll in or change health insurance plans outside of the annual Open Enrollment period. Most QLEs provide a 60-day window to make changes.