Group of doctors, hospitals and other health care providers who come together voluntarily to give coordinated high quality care to specific patients, most often Medicare patients.

Health care expenses the health plan is expected to cover for a typical group of enrollees.

Medical care for an episode of injury or an illness.

Specially trained health care professionals other than physicians. Allied health care providers include optometrists, chiropractors, podiatrists, and nurse practitioners.

The specific dollar amount of a medical bill that Medicare, Medicaid, or your health plan will pay.

Medical care for an injury or an illness that can be provided on a outpatient basis.

Federal Patient Protection and Affordable Care Act, sometimes known as Obamacare.

Special services ordered by your physician such as laboratory, radiology, durable medical equipment, and pharmacy services.

A payment method in which the provider agrees to provide all the care you may need in return for a fixed monthly payment by your health plan company.

Evidence of coverage or contract.