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Medicare Glossary I - L from Humana
Explanations of Commonly Used Medicare Terminology
INITIAL COVERAGE ELECTION PERIOD (ICEP)
The three months immediately before you are entitled to Medicare Part A and enrolled in Part B. During this time you can choose a Medicare health plan.
INITIAL ENROLLMENT PERIOD (IEP)
The first chance you have to enroll in Part B. Your IEP is a seven-month period that begins three months before the month you are first eligible for Medicare Part B. For most people, the IEP begins three months before the month you turn age 65. It ends three months after you turn age 65. The Initial Enrollment Period is different from the Initial Coverage Election Period. See definitions for Eligibility: Medicare Part A and Initial Coverage Election Period.
INJURY
Bodily harm directly resulting from an accident that did not take place at work.
IN-NETWORK PROVIDER
A healthcare provider – such as a doctor, hospital, other medical facility, or pharmacy – that has agreed to charge a set rate for members of a health benefits plan. Providers on the list of network members are also called participating providers. Your network choices may vary, depending on your plan and where you live. With PPO and HMO plans, you can reduce your costs by using in-network providers – also known as participating providers.
IN-NETWORK COVERAGE
Benefit amounts when you use healthcare providers who have agreed to charge a set rate for Humana members – also called participating providers. Your network choices may vary, depending on your plan and where you live.
INPATIENT
A patient who is registered for a bed in a healthcare facility and charged for room and board.
INPATIENT CARE
Healthcare you receive when you are admitted to a hospital.
INPATIENT HOSPITAL
A facility, other than psychiatric, that admits patients and primarily provides the following services by or under the supervision of physicians: diagnostic services, surgical and non-surgical therapeutic services, and rehabilitation services.
INPATIENT HOSPITAL DEDUCTIBLE
The amount a Medicare beneficiary is responsible for paying before Medicare Part A pays benefits for inpatient hospital services furnished during an illness.
INPATIENT HOSPITAL SERVICES
These services include bed and board, nursing services, diagnostic or therapeutic services, and medical or surgical services.
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LIFETIME MAXIMUM BENEFIT
The total dollars a health plan will pay, per covered member, for the lifetime of the coverage.
LIFETIME RESERVE DAYS
The 60 additional days of hospital confinement benefits provided by Part A of Medicare that you can use after the first 90 days of hospital confinement benefits during a Medicare benefit period. Lifetime Reserve Days may be used only once during your lifetime. See the definitions for benefit period.
LIMITATIONS
Items or services a health plan doesn’t cover in some circumstances.
LOCK-IN PERIOD
People with a Medicare Advantage and prescription drug plans are “locked-in,” meaning they can only switch Medicare plans during certain times of the year unless they qualify for special circumstances. The lock-in period runs from April 1 to November 14th.
LONG-TERM CARE HOSPITAL
A hospital that has an average inpatient length of stay of greater than 25 days.
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