The figure used to determine eligibility for lower costs through Maryland Health Connection, including private health plans, Medicaid and the Maryland Children’s Health Program (MCHP). Generally, modified adjusted gross income

Navigators deliver in-person outreach, education, and enrollment in health plans and public insurance options. Consumers can get one-on-one assistance from our statewide network of navigators.

The list of the doctors, other health care providers, and hospitals that a plan has contracted with to provide medical care to its members. These providers are called network providers

A provider who doesn’t have a contract with your health insurer or plan to provide services to you. You’ll pay more to see a non-preferred provider. Check your policy to

A designated period of time each year during which individuals or employees can enroll in a health insurance plan or make changes to their coverage. Maryland open enrollment is Nov.

The percent you pay of the allowed amount for covered health care services to providers who do not contract with your health insurance or plan, for example, 40%. Out-of-network coinsurance

A fixed amount you pay for covered health care services from providers who do not contract with your health insurance or plan, for example, $30. Out-of-network copayments usually are more

Any cost or fee for medical services paid by the patient such as copayment or coinsurance. Out-of-pocket expenses will not be reimbursed by the insurance plan.

An estimate of the amount that you may have to pay on your own for health care or prescription drug costs. The estimate is made before your health plan has

The most you pay during a policy period (usually a year) before your health insurance or plan begins to pay 100% of the allowed amount. This limit never includes your