Advanced radiological imagingHighly technological radiology procedures performed in an office or hospital-like setting.

Ambulatory surgerySurgical procedures that do not require an overnight hospital stay. Procedures can be performed in a hospital or a licensed surgical center. Also called outpatient surgery.

Anniversary dateThe day after a plan year ends. Usually, the month and day that coverage first goes into effect becomes its anniversary date each year.

Appeals and external reviewAll health plans must have a standard internal appeal process and an external review process for denied claims.

BBehavioral care servicesAssessment and therapeutic services used to treat mental health and substance abuse problems.

BondingA process to chemically etch the tooth's enamel to better attach (or bond) composite filling material, veneers or plastic/acrylic.

Cap/crownThe portion of a tooth covered by enamel. Also a dental solution that covers the entire tooth and restores it to its original shape. Cap usually refers to a crown for a front tooth.

CDHP (consumer-driven health plan)A health care model in which customers are made aware of the true costs and value of health care, so that they can make informed decisions that balance choice with co [..]

CIGNAThe name derived from Connecticut General Corporation and Insurance Company of North America when they combined their operations in 1982. This is a service mark used by one or more of the Cigna g [..]

Cigna Health AccessA type of health coverage plan underwritten by Cigna Health Maintenance Organizations (HMOs) and Connecticut General Life Insurance Company, which combines the coverage of an HMO wi [..]

Claim statusA term used to describe where the claim is during the claim payment process.  The claim could be paid, not paid, in-progress or waiting for action (for example, the doctor must provide mor [..]

Comparative effectiveness research fee (2012)A tax on health plans to fund research. The tax is currently $1 per enrollee. For plan years that start after October 1, 2012, it will be $2. The fee incre [..]

ConsultationA discussion with another health care professional when additional feedback is needed during diagnosis or treatment. Usually, a consultation is by referral from a primary care physician.

CopayThe amount a customer pays towards a doctor's visit. The amount can vary based on the health plan coverage terms and the type of covered health service received.

Coverage packageA term informally used to refer to the employer's coverage plan or to the coverage plan options from which the employee can choose.

Custodial careCare provided primarily to meet the personal needs of a patient. The care is not meant to improve health or provide medical treatment.

DDSDoctor of Dental Surgery or DMD, Doctor of Dental Medicine. These are educational degrees given to dental school graduates. Some dental schools identify their graduates as DMDs, while other schools [..]

Dental hygienistA dental professional specializing in cleaning teeth by removing plaque, calculus and diseased gum tissue. The dental hygienist acts as the patient's guide in establishing a prope [..]

Designated Provider Program (DPP)A Cigna point-of-service product. Each customer chooses a Cigna-affiliated primary care physician (PCP), but has the added convenience of going outside the network for [..]

Doctor Choice (2010)Adults can name any network doctor as their primary care physician (PCP). Children can name a pediatrician as their PCP.

EEarly Retiree Reinsurance Program (ERRP)To encourage employers to offer health insurance to early retirees, companies can be paid for some of the cost. Early retirees are between the ages of 55 and 6 [..]

Emergency careThis is the acute care of patients who have not had a prior appointment for their condition. Emergency care must be covered at the in-network level, even if care is received out-of-netwo [..]

EnrolleeAn individual who is offered health coverage by his or her employer. At Cigna, this person is also called a primary customer or subscriber.

Excise "Cadillac" TaxA tax on health plans that cost more than $10,200 per year for single coverage or $27,500 for family coverage. This 40 percent excise tax begins in 2018.

Expiration dateThe date stated in an insurance contract on which coverage ends (also called end date).

FFederal mental health and substance abuse parity lawThe Mental Health Parity and Addiction Equity Act of 2008 is a law that makes benefits under Mental Health and Substance Use Disorder coverage the [..]

FluorideA chemical compound used to prevent dental decay, used in fluoridated water systems and/or applied directly to the teeth.

GingivitisAn inflammation or infection of the gingiva (gum tissue); the initial stage of gum disease

HHealth Alliance Plan (HAP)A managed care health plan with a large service area in Michigan. Cigna and Health Alliance Plan (HAP) are working together to provide quality care to Cigna customers, wheth [..]

Health maintenance servicesAny health care service or program that helps maintain a person's good health. Health maintenance services include all standard preventive medical practices, such as im [..]

Home health careHealth services given in the home to an individual who is confined to the home. Such services are provided to individuals who do not need institutional care, but who need nursing servi [..]

ImpairmentA change in health status documented by objective medical findings.

Individual planA health insurance policy sold to an individual directly, not health coverage offered through an employer-sponsored plan. An individual plan can cover the individual and/or any family m [..]

Inpatient careCare given to a patient admitted to a hospital, extended care facility, nursing home or other similar health care institution.

Lifetime maximumThe maximum amount a plan will pay over the lifetime of an individual's coverage. Health care reform law does not allow lifetime limits for most plans.

MMaintenance medicationA medication prescribed for long-term treatment of a chronic condition, such as diabetes, high blood pressure or asthma. Maintenance medications are available through Cigna Home [..]

MedicaidHealth plan for low income and disabled people. More people will be eligible for Medicaid under the Patient Protection and Affordable Care Act (PPACA), also known as the health care reform law [..]

Medicare annual enrollment period The period each year when a person may enroll in a Medicare plan. The period is October 15 to December 7.

Minimum essential coverageAll U.S. citizens and legal residents must follow health care reform's rule called the individual mandate. This rule requires people to maintain health coverage that off [..]

National Committee on Quality Assurance (NCQA)An independent, nonprofit group that reviews the quality of managed care plans.

Open enrollmentA period when employees can enroll in a health plan or make changes. Most employers offer an open enrollment period each year.

Out-of-area coveragePayments the health plan provides for covered services received from health care professionals outside of the network service area. Coverage details vary from plan to plan.

Outpatient careAny health care service provided to a patient who is not admitted to a hospital. You may receive outpatient care in a doctor's office, clinic, your home or a hospital outpatient de [..]

Partial day treatmentA program offered by appropriately-licensed hospitals and clinics that includes either a day or evening treatment program, usually for mental health or substance abuse.

Pended claimA claim that requires more information before Cigna can process it. A pended claim always has a specific reason code to clearly show what's missing.

Plan yearGenerally, any 12-consecutive-month period determined by the plan under which coverage is provided per the plan documents.

Pre-disability earningsThe amount of an employee's wages or salary in effect and covered by the plan on the day before a disability began.

Premium tax creditIf you are eligible, your premiums will be reduced immediately when you begin coverage under a qualified plan.

Preventive treatmentAny action taken by the patient, assisted by the dentist, hygienist and the office staff that serves to prevent dental or other disease. Sealants, cleanings and space maintainers a [..]

Prosthetic devicesA device that replaces all or a part of the human body because a part of the body is permanently damaged, is absent or is malfunctioning. An artificial leg is a prosthetic device.

Qualified health benefits planA health plan that is certified by an exchange. To be certified, a plan must provide essential health benefits and meet other health care reform rules.

Residual coverageDisability coverage that pays for a portion of a covered person's salary when they are able to work, but limited in their abilities because of the covered disability. For example [..]

SSealantA composite material used to seal the decay-prone pits, fissures and grooves of children's teeth to prevent decay.

Small business health options program (SHOP)A program to increase health insurance options for small businesses and individuals. SHOP offers money to states to improve their insurance markets.

Staff model health maintenance organization (HMO)An HMO where doctors are employed by the health plan and provide care at a health care center.

TTemporary high-risk poolsA health plan that covers people with pre-existing conditions. They must have been uninsured for six months. Pools will be available until state exchanges begin in 2014. Insu [..]

Treatment planIn dentistry, a list of the work the dentist proposes to perform on a patient based on the results of the dentist's X-rays, examination and diagnosis. Dentists often present more th [..]

VVeneerAn artificial filling material, usually plastic, composite or porcelain, used to provide an aesthetic covering over the visible surface of a tooth. Most often used on front teeth.

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  Soil Ecology Terms actinomycetes A large group of bacteria that grow in long filaments that are too small to see without magnification. Actinomycetes generate the smell of “healthy soil,” and are important in decomposing cellulose, chitin, and other hard-to-decompose compounds, especially at higher pH levels. Many produce an [..]

Black Tea:

Caffeine:

Darjeeling:

Earthy:

Fannings:

Garden:

Hard:

I-Chiban Cha:

Jasmine:

Keemun:

Lapsang Soucho:

Metallic:

New:

Old:

Pan-fired:

Quality:

Rains; rainy:

Sappy:

Tainted:

Weathery:

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Source:  "California Minerals and Mines", CD-ROM, DMG CD 2000-001, Produced by the California Geological Survey                 Library. The CD-ROM contains over 1,000 searchable dig [..]

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