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Glossaries

For many of us, medical and health insurance terms are unfamiliar or complex. Our glossaries define some of those terms.

Medicare risk contract
A contract between Medicare and an HMO or competitive medical plan under which the plan provides Medicare-covered services for enrollees and receives monthly capitated payments from Medicare, thereby assuming insurance risk for enrollees. A plan is eligible for a risk contract if it is a federally qualified HMO or a competitive medical plan.

To learn more about Medicare, please visit our Insurance section.

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Major medical insurance
Managed care
Managed care organization
Medicaid
Medically necessary
Medicare
Medicare Part A
Medicare Part B
Medicare risk contract
Medigap

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