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Connector Organizations

The Connector Organizations will help uninsured individuals and small businesses learn about, apply for and enroll in health plans, including Medicaid, Maryland Children’s Health Program (MCHP) and Qualified Health Plans (QHPs).

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Consumer Assistance Program

The consumer assistance program for Maryland Health Connection consists of a consumer support center (call center), the website MarylandHealthConnection.gov and a statewide network of connector organizations with consumer assistance workers who provide local in-person application assistance.

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Coinsurance

Your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plans allowed amount for an office visit is $100 and …

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Claim

A request for payment that you or your health care provider submits to your health insurer after you receive items or services you think are covered.

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Chronic Disease Management

An integrated care approach to managing illness that includes screenings, checkups, monitoring and coordinating treatment and patient education. It can improve your quality of life while reducing your health care costs if you have a chronic disease by preventing or minimizing the effects of a disease.

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Catastrophic Plan

A catastrophic plan covers an individual or family in the event of a major medical emergency. While the plan offers low monthly premiums that often make it more affordable than other plans, its deductible is much higher. This means that the individual or family typically pays out of pocket for …

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Carriers

A company that provides health insurance plans. See available carriers for this year.

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Brokers

Authorized insurance brokers can help you choose an insurance company and health plan that meet the needs of you and your family, and help enrollees with any administrative problems. There is no fee when you use an authorized insurance broker. They are licensed by the Maryland Insurance Administration and authorized …

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Benefit Level

A benefit level is a group of plans that have similar value. The groupings help you compare plans with similar covered benefits and costs to determine the plan that best fits your needs. The percentage represents the percent of your total benefit costs paid by the plan. You cover the …

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Benefits

Products and services covered under health plans. Learn more about what plans cover.

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