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Cost-sharing requirements

The portion of medical expenses that a person covered by health insurance must pay out of their own pocket, such as deductibles, coinsurance, or copayments.

Diagnostic breast examination

A medically necessary breast exam, like a special mammogram, MRI, or ultrasound, used to check on a suspected problem found during a routine screening or by another means.

Supplemental breast examination

A medically necessary breast exam, like an MRI or ultrasound, used to screen for breast cancer when there isn't a suspected problem but the individual has a higher risk due to personal or family history.

Group health plan

A health insurance plan offered by an employer or employee organization to a group of employees and their families.

Health insurance issuer

A company that provides health insurance policies.

High Deductible Health Plan (HDHP)

A health insurance plan with a high deductible that often comes with a lower monthly premium and can be combined with a Health Savings Account (HSA).

Grandfathered health plans

Health plans that existed before the Affordable Care Act (ACA) was passed in March 2010, which are allowed to keep certain features that don't comply with some newer ACA requirements.