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CMS-10407 SBC Glossary Anchor
Summary of Benefits and Coverage and Uniform Glossary (CMS-10407)
sbc-glossary-anchors.xlsx
SBC Disclosure
OMB: 0938-1146
OMB.report
HHS/CMS
OMB 0938-1146
ICR 201903-0938-017
IC 199007
CMS-10407 SBC Glossary Anchor
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1146 can be found here:
2022-11-01 - Revision of a currently approved collection
2019-12-30 - No material or nonsubstantive change to a currently approved collection
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Term
Anchor Label
Anchor Absolute Path
Link to full page
https://www.healthcare.gov/sbc-glossary/
Allowed Amount
allowed-amount
https://www.healthcare.gov/sbc-glossary/#allowed-amount
Appeal
appeal
https://www.healthcare.gov/sbc-glossary/#appeal
Balance Billing
balance-billing
https://www.healthcare.gov/sbc-glossary/#balance-billing
Claim
claim
https://www.healthcare.gov/sbc-glossary/#claim
Coinsurance
coinsurance
https://www.healthcare.gov/sbc-glossary/#coinsurance
Complications of Pregnancy
complications-pregnancy
https://www.healthcare.gov/sbc-glossary/#complications-pregnancy
Copayment
copayment
https://www.healthcare.gov/sbc-glossary/#copayment
Cost Sharing
cost-sharing
https://www.healthcare.gov/sbc-glossary/#cost-sharing
Cost Sharing Reductions
cost-sharing-reductions
https://www.healthcare.gov/sbc-glossary/#cost-sharing-reductions
Deductible
deductible
https://www.healthcare.gov/sbc-glossary/#deductible
Diagnostic Test
diagnostic-test
https://www.healthcare.gov/sbc-glossary/#diagnostic-test
Durable Medical Equipment (DME)
durable-medical-equipment
https://www.healthcare.gov/sbc-glossary/#durable-medical-equipment
Emergency Medical Condition
emergency-medical-condition
https://www.healthcare.gov/sbc-glossary/#emergency-medical-condition
Emergency Medical Transportation
emergency-medical-transportation
https://www.healthcare.gov/sbc-glossary/#emergency-medical-transportation
Emergency Room Care / Emergency Services
emergency-room-care-emergency-services
https://www.healthcare.gov/sbc-glossary/#emergency-room-care-emergency-services
Excluded Services
excluded-services
https://www.healthcare.gov/sbc-glossary/#excluded-services
Formulary
formulary
https://www.healthcare.gov/sbc-glossary/#formulary
Grievance
grievance
https://www.healthcare.gov/sbc-glossary/#grievance
Habiliation Services
habilitation-services
https://www.healthcare.gov/sbc-glossary/#habilitation-services
Health Insurance
health-insurance
https://www.healthcare.gov/sbc-glossary/#health-insurance
Home Health Care
home-health-care
https://www.healthcare.gov/sbc-glossary/#home-health-care
Hospice Services
hospice-services
https://www.healthcare.gov/sbc-glossary/#hospice-services
Hospitalization
hospitalization
https://www.healthcare.gov/sbc-glossary/#hospitalization
Hospital Outpatient Care
hospital-outpatient-care
https://www.healthcare.gov/sbc-glossary/#hospital-outpatient-care
Individual Responsibility Requirement
individual-responsibility-requirement
https://www.healthcare.gov/sbc-glossary/#individual-responsibility-requirement
In-network Coinsurance
in-network-coinsurance
https://www.healthcare.gov/sbc-glossary/#in-network-coinsurance
In-network Copayment
in-network-copayment
https://www.healthcare.gov/sbc-glossary/#in-network-copayment
Marketplace
marketplace
https://www.healthcare.gov/sbc-glossary/#marketplace
Maximum Out-of-Pocket Limit
maximum-out-of-pocket-limit
https://www.healthcare.gov/sbc-glossary/#maximum-out-of-pocket-limit
Medically Necessary
medically-necessary
https://www.healthcare.gov/sbc-glossary/#medically-necessary
Minimum Essential Coverage
minimum-essential-coverage
https://www.healthcare.gov/sbc-glossary/#minimum-essential-coverage
Minimum Value Standard
minimum-value-standard
https://www.healthcare.gov/sbc-glossary/#minimum-value-standard
Network
network
https://www.healthcare.gov/sbc-glossary/#network
Network Provider (Preferred Provider)
network-provider
https://www.healthcare.gov/sbc-glossary/#network=provider
Orthotics and Prosthetics
orthotics-prosthetics
https://www.healthcare.gov/sbc-glossary/#orthotics-prosthetics
Out-of-network Coinsurance
out-of-network-coinsurance
https://www.healthcare.gov/sbc-glossary/#out-of-network-coinsurance
Out-of-network Copayment
out-of-network-copayment
https://www.healthcare.gov/sbc-glossary/#out-of-network-copayment
Out-of-network Provider (Non-Preferred Provider)
out-of-network-provider
https://www.healthcare.gov/sbc-glossary/#out-of-network-provider
Out-of-pocket Limit
out-of-pocket-limit
https://www.healthcare.gov/sbc-glossary/#out-of-pocket-limit
Physician Services
physician-services
https://www.healthcare.gov/sbc-glossary/#physician-services
Plan
plan
https://www.healthcare.gov/sbc-glossary/#plan
Preauthorization
preauthorization
https://www.healthcare.gov/sbc-glossary/#preauthorization
Premium
premium
https://www.healthcare.gov/sbc-glossary/#premium
Premium Tax Credits
premium-tax-credits
https://www.healthcare.gov/sbc-glossary/#premium-tax-credits
Prescription Drug Coverage
prescription-drug-coverage
https://www.healthcare.gov/sbc-glossary/#prescription-drug-coverage
Prescription Drugs
prescription-drugs
https://www.healthcare.gov/sbc-glossary/#prescription-drugs
Preventive Care
preventive-care
https://www.healthcare.gov/sbc-glossary/#preventive-care
Primary Care Physician
primary-care-physician
https://www.healthcare.gov/sbc-glossary/#primary-care-physician
Primary Care Provider
primary-care-provider
https://www.healthcare.gov/sbc-glossary/#primary-care-provider
Provider
provider
https://www.healthcare.gov/sbc-glossary/#provider
Reconstructive Surgery
reconstructive-surgery
https://www.healthcare.gov/sbc-glossary/#reconstructive-surgery
Referral
referral
https://www.healthcare.gov/sbc-glossary/#referral
Rehabilitation Services
rehabilitation-services
https://www.healthcare.gov/sbc-glossary/#rehabiliation-services
Screening
screening
https://www.healthcare.gov/sbc-glossary/#screening
Skilled Nursing Care
skilled-nursing-care
https://www.healthcare.gov/sbc-glossary/#skilled-nursing-care
Specialist
specialist
https://www.healthcare.gov/sbc-glossary/#specialist
Specialty Drug
specialty-drug
https://www.healthcare.gov/sbc-glossary/#specialty-drug
UCR (Usual, Customary and Reasonable)
ucr
https://www.healthcare.gov/sbc-glossary/#ucr
Urgent Care
urgent-care
https://www.healthcare.gov/sbc-glossary/#urgent-care
How You and Your Insurer Share Costs - Example
share-costs-example
https://www.healthcare.gov/sbc-glossary/#share-costs-example
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