Glossary of Terms
An individual who is trained and able to help consumers look for health coverage options through Washington Healthplanfinder. They can help you complete eligibility and enrollment forms. These individuals and organizations are required to be unbiased. Their services are free to consumers.
The facilities, providers, and suppliers with whom your health insurer or plan has contracted to provide health care services.
A health plan that contracts with doctors, hospitals, pharmacies, and other health care providers to provide plan members with services and supplies at a discounted price.
A requirement that job-based coverage not discriminate based on health status. Coverage under job-based plans cannot be denied or restricted. You also cannot be charged more because of your health status. Job-based plans can restrict coverage based on other factors, such as part-time employment, that are not related…
A formulary is a list of preferred medications that a committee of pharmacists and doctors deems to be the safest, most effective and most economical. Drugs that are non-formulary are not on the health plan’s list.