Common Terms, Acronyms, and Shorthands

Medicaid

A health care program for people with disabilities, or aged 65 years and older paid for through a combination of state and federal funding.

a.k.a. Medical Assistance

Medicaid Disability Application

Modified Adjusted Gross Income

From the IRS:

Modified adjusted gross income adds certain amounts to your AGI.

MAGI determines:

• If you qualify for certain government programs or tax benefits (including credits, deductions and exclusions)
• How much you may contribute to certain accounts (including retirement, investment and health savings) and how much of these contributions you can deduct on your return
• Whether you owe certain taxes like the net investment income tax

Medicare Advantage Plan

Insurance program offered by a private company that contracts Medicare to provide you with all your Part A and Part B benefits.

Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans.

Medicaid Purchase Plan

Provides health care coverage for people with a disability who are age 18 or older and are working or interested in working. MAPP has a higher income and asset limit than other Medicaid programs for adults.  

Managed Care Organization

When a person enrolls in Family Care, Family Care Partnership (sometimes referred to as just a "Partnership"), or PACE, they become a member of a managed care organization. Members can choose the MCO they want to use.

My Coverage Plan

Created and patented Advocus, a software product to align, optimize, and record varied health care coverage information as a strategy to help prevent medical debt and uncompensated care.

A program feature in both BadgerCare and Medicaid for individuals just over the income limit for program eligibility. A Medicaid Deductible is calculated based on the amount of the applicant’s income above the program limit. The cost of unpaid and recently paid bills for medical or remedial expenses can be used to meet a deductible to off-set some of that excess income.   

Outstanding or unpaid medical bills; costs incurred for services that have not been paid or covered by insurance.

A federal health insurance program for people 65 and older and certain younger people with disabilities which consists of 4 parts:

• Part A
• Part B
• Part C
• Part D

All of which offer different forms of aid. It also covers people with ESRD.