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1. Describe/define the following terms & concepts: Premium Deductible Copayment (Co-Insurance) Capitation Fee for Service (FFS) Value-Based Care Out of Pocket Costs Late enrollment penalty

1. Describe/define the following terms & concepts:

  • Premium
  • Deductible
  • Copayment (Co-Insurance)
  • Capitation
  • Fee for Service (FFS)
  • Value-Based Care
  • Out of Pocket Costs
  • Late enrollment penalty
  • Beneficiary
  • Medicare Advantage
  • Medicare Part D Coverage Gap ("Donut Hole")
  • Federal Poverty Level
  • Medicaid Coordinated Care Organization (CCO)
  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • High-Deductible Health Plan (HDHP)

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