Insurance Made Simple

We believe the better educated you are, the better decisions you'll be able to make about insurance. Below you will find a list of common insurance-related acronyms and their definitions.

Please be sure to contact us if you have any questions at 208-286-7883.

• APTC: Advance Premium Tax Credit - A tax credit determined by the Department of Health and Welfare to lower the monthly cost of premiums for Insurance plans sold through Your Health Idaho.

• CMS: Center (for) Medicare (& Medicaid) Services

• CSR: Cost-sharing Reduction - A discount that lowers the amount you pay out-of-pocket for things like deductibles, co-insurance, and co-payments. Eligibility is determined by the Department of Health and Welfare and to qualify, your income must fall within a certain range and you must enroll in a silver level health plan.

• EHB: Essential Health Benefits

• ESRD: End Stage Renal Disease

• FSA: Flexible Spending Account

• GA: Guaranteed Issue; a situation where a policy is offered to any eligible applicant without regard to health status.

• HDHP: High Deductible Health (Insurance) Plan

• HIPAA: Health Insurance Portability (&) Accountability Act

• HMO: Health Maintenance Organization; gives access to certain doctors and hospitals within its network to utilize.

• HRA: Health Reimbursement Account

• HSA: Health Savings Account

• ICEP: Initial Coverage Enrollment Period

• IEP: Initial Enrollment Period

• IPN: Independent Provider Network

• LIS: Low Income Subsidy

• LOA: Licensed Agent Only

• LOCC: Letter of Credible Coverage

• LOR: Letter of Record

• MAPD: Medicare Advantage Prescription Drug

• MGA: Main General Agent

• MPTC: Monthly Premium Tax Credit

• MSA: Medical Savings Account

• OEP: Open Enrollment Period

• OSB: Optional Supplemental Benefits

• PAC: Prior Authorization (Auto Pay)

• PCP: Primary Care Physician

• PDP: Prescription Drug Plan

• PFFS: Private Fee For Service

• PHI: Protected health information

• PPACA: Patient Protection (&) Affordable Care Act

• PPO: Preferred Provider Organization, gives relative freedom to choose which doctors and hospitals they want to utilize.

• SEP: Special Enrollment Period

• SNP: Special Needs Plan